Bill To:

PROGRESSIVE INSURANCE, TX
1045 Wisterwood Dr.
Houston, TX 77043

Services Rendered To:

James Ebarb
102 N. 11th Street
Valley Mills, TX 766898
Policy # 932992473


Product
Price
Qty
Amount

  1. 103 Rescue Response (Per Hour)

    $300.00
    1
    $300.00

  2. 102 Engine Response (Per Hour)

    $350.00
    1
    $350.00

  3. 105 Utility Vehicle Response (Per Hour)

    $150.00
    1
    $150.00

  4. 106 Battalion/Chief Vehicle Response (Per Hour)

    $150.00
    1
    $150.00

  5. 218 Cervical Collar (# Used)

    $25.00
    1
    $25.00

  6. 401 Debris Cleanup/Removal (# Used)

    $250.00
    1
    $250.00

  7. 201 Oil Absorbent Material (# Used)

    $35.00
    2
    $70.00

  8. 403 Traffic Control / Road Closure (Per Hour)

    $100.00
    1
    $100.00

    9. Additional Incident Info

    Incident Type: MVA Response

    Incident Location: Baylor Camp Road & N. Highway 6 - Crawford, Texas

Subtotal $1,395.00
Total Due $1,395.00


Checks Payable To:

Sure Fire Recovery Service, LLC
9711 S Mason Road 125-120
Richmond, TX 77407
Federal Tax ID – 83-4417185


  Please Include Incident Number On All Correspondence.
Updated
May 27, 2021 @ 6:18 pm

Invoice updated by Geoffrey.

Status Update
May 27, 2021 @ 6:18 pm

Status changed: Draft to Pending.