Bill To:

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

Services Rendered To:

David Arista
3148 Juan Circle
Eagle Pass, TX 78852
Policy # 038895594


Product
Price
Qty
Amount

  1. 102 Engine Response (Per Hour)

    $350.00
    2.75
    $962.50

  2. 103 Rescue Response (Per Hour)

    $300.00
    2.75
    $825.00

  3. 102 Engine Response (Per Hour)

    $350.00
    2.75
    $962.50

  4. 401 Debris Cleanup/Removal (# Used)

    $250.00
    1
    $250.00

  5. 404 Scene Lighting (Per Hour)

    $75.00
    2.75
    $206.25

  6. 403 Traffic Control / Road Closure (Per Hour)

    $100.00
    2.75
    $275.00

    7. Additional Incident Info

    Incident Type: MVA Response

    Incident Location: Loop 76 & US Highway 87 - O'Donnell, Texas

Subtotal $3,481.25
Total Due $3,481.25


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
November 16, 2021 @ 12:12 pm

Invoice updated by Geoffrey.

Status Update
November 16, 2021 @ 12:13 pm

Status changed: Draft to Pending.