Bill To:

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

Services Rendered To:

Jessica Hooks
823 N. 35th Street
Gadsden, AL 35904
POLICY # 943259777


Product
Price
Qty
Amount

  1. 106 Battalion/Chief Vehicle Response (Per Hour)

    $150.00
    2
    $300.00

  2. 103 Rescue Response (Per Hour)

    $300.00
    2
    $600.00

  3. 418 Environmental Hazard Cleanup/Removal

    $250.00
    1
    $250.00

  4. 206 Latex Gloves (Pairs Used)

    $2.00
    8
    $16.00

  5. 404 Scene Lighting (Per Hour)

    $75.00
    2
    $150.00

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

    $100.00
    2
    $200.00

  7. 215 Trauma Kit (# Used)

    $25.00
    1
    $25.00

  8. 301 Hand Tool (# Used)

    $15.00
    1
    $15.00

  9. 309 Power Tool (# Used)

    $50.00
    1
    $50.00

  10. 326 Safety Vest (# Used)

    $2.50
    3
    $7.50

  11. 803 Basic EMS Assistance (Response Fee)

    $250.00
    1
    $250.00

    12. Additional Incident Info

    Incident Type: MVA Response

    Incident Location: Highway 46 Near County Road 486 - Heflin, Alabama

Subtotal $1,863.50
Total Due $1,863.50


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
October 26, 2022 @ 3:47 pm

Invoice updated by Geoffrey.

Status Update
October 26, 2022 @ 3:47 pm

Status changed: Draft to Pending.