Bill To:

PROGRESSIVE INSURANCE
6300 WILSON MILLS ROAD
MAYFIELD VILLAGE, OH 44143-2109

Services Rendered To:

Nathan Chansler
6814 County Road 10
Ranburne, AL 36264
Policy # 926011422


Product
Price
Qty
Amount

  1. 102 Engine Response (Per Hour)

    $350.00
    1.5
    $525.00

  2. 106 Battalion/Chief Vehicle Response (Per Hour)

    $150.00
    1.5
    $225.00

  3. 803 Basic EMS Assistance (Response Fee)

    $250.00
    1
    $250.00

  4. 403 Traffic Control / Road Closure (Per Hour)

    $100.00
    1
    $100.00

    5. Additional Incident Info

    Incident Type: MVA Response

    Incident Location: Near 10209 County Road 10 - Ranburne, AL

Subtotal $1,100.00
Total Due $1,100.00


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
August 26, 2021 @ 8:51 pm

Invoice updated by Geoffrey.

Status Update
August 26, 2021 @ 8:51 pm

Status changed: Draft to Pending.