Bill To:

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

Services Rendered To:

Jose Gallegos
9807 FM S. 269
Pickton, TX 75471
Policy # 927429351


Product
Price
Qty
Amount

  1. 102 Engine Response (Per Hour)

    $350.00
    1.5
    $525.00

  2. 103 Rescue Response (Per Hour)

    $300.00
    1.5
    $450.00

  3. 301 Hand Tool (# Used)

    $15.00
    1
    $15.00

  4. 403 Traffic Control / Road Closure (Per Hour)

    $100.00
    1.5
    $150.00

  5. 401 Debris Cleanup/Removal (# Used)

    $250.00
    1
    $250.00

  6. 409 Manpower (Per Hour)

    $50.00
    5
    $250.00

    7. Additional Incident Info

    Incident Type: MVA Response

    Incident Location: State Highway 8 and Intersection of State Highway 77 - Douglassville, Texas

Subtotal $1,640.00
Total Due $1,640.00

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
September 15, 2020 @ 2:01 pm

Invoice updated by Geoffrey.