Bill To:

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

Services Rendered To:

Policy# 53031731
Owner: Brandi Leigh Chadwick
120 PR 114
Covington, TX 76636
Driver: Alanna Marie Bustillos
978 HCR 1429
Covington, TX 76636


Product
Price
Qty
Amount

  1. 105 Utility Vehicle Response (Per Hour)

    $150.00
    1
    $150.00

  2. 403 Traffic Control / Road Closure (Per Hour)

    $100.00
    1
    $100.00

    3. Additional Incident Info

    Incident Type: MVA Response

    Incident Location: FM 309 and HCR 1327, Hillsboro, TX

    Ordinance Info: Peoria Volunteer Fire Dept. Resolution

Subtotal $250.00
Total Due $250.00


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
April 28, 2023 @ 11:30 am

Invoice updated by Karen Smith.

Status Update
April 28, 2023 @ 11:30 am

Status changed: Draft to Pending.

Updated
April 28, 2023 @ 11:31 am

Invoice updated by Karen Smith.