Bill To:

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

Services Rendered To:

Darrell Lambert
569 FM 2210
Bridgeport, TX 76426
Policy # 9327353569


Product
Price
Qty
Amount

  1. 104 Tanker Response (Per Hour)

    $300.00
    1
    $300.00

  2. 404 Scene Lighting (Per Hour)

    $75.00
    1
    $75.00

  3. 803 Basic EMS Assistance (Response Fee)

    $250.00
    1
    $250.00

  4. 302 Hand Light (# Used)

    $5.00
    1
    $5.00

  5. 403 Traffic Control / Road Closure (Per Hour)

    $100.00
    1
    $100.00

    6. Additional Incident Info

    Incident Type: MVA Response

    Incident Location: 2400 Cardinal Road - Azle, Texas

Subtotal $730.00
Total Due $730.00


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
November 8, 2021 @ 3:40 pm

Invoice updated by Geoffrey.

Status Update
November 8, 2021 @ 3:40 pm

Status changed: Draft to Pending.