Bill To:

Progressive County Mutual Insurance
6300 Wilson Mills Rd.
Mayfield, OH 44143

Services Rendered To:

Stephen Russell
2501 Carrington
Bay City, Texas 77414
Policy # 52342939


Product
Price
Qty
Amount

  1. 103 Rescue Response (Per Hour)

    $300.00
    1.5
    $450.00

  2. 105 Utility Vehicle Response (Per Hour)

    $150.00
    1.5
    $225.00

  3. 105 Utility Vehicle Response (Per Hour)

    $150.00
    1.5
    $225.00

  4. 401 Debris Cleanup/Removal (# Used)

    $250.00
    1
    $250.00

  5. 206 Latex Gloves (Pairs Used)

    $2.00
    8
    $16.00

  6. 301 Hand Tool (# Used)

    $15.00
    2
    $30.00

  7. 404 Scene Lighting (Per Hour)

    $75.00
    1.5
    $112.50

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

    $100.00
    1.5
    $150.00

    9. Additional Incident Info

    Incident Type: MVA Response

    Incident Location: Business 35 and Highway 35 - West Columbia, Texas

Subtotal $1,458.50
Total Due $1,458.50

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 14, 2020 @ 3:46 pm

Invoice updated by Karen Smith.

Status Update
August 14, 2020 @ 3:46 pm

Status changed: Draft to Pending.

Updated
December 3, 2020 @ 5:11 pm

Invoice updated by Geoffrey.

Updated
December 3, 2020 @ 5:14 pm

Invoice updated by Geoffrey.