Bill To:

PROGRESSIVE INSURANCE, TX
1045 Wisterwood Dr.
Houston, TX 77043

Services Rendered To:

Jesse Crowley
105 Coolibar Court
Weatherford, TX 76085
Policy # 936989061


Product
Price
Qty
Amount

  1. 104 Tanker Response (Per Hour)

    Unit # T 49

    $300.00
    1
    $300.00

  2. 105 Utility Vehicle Response (Per Hour)

    Unit # FM 49

    $150.00
    1
    $150.00

  3. 105 Utility Vehicle Response (Per Hour)

    Unit # A 249

    $150.00
    1
    $150.00

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

    $100.00
    1
    $100.00

  5. 803 Basic EMS Assistance (Response Fee)

    $250.00
    1
    $250.00

  6. 402 Fire/Police Services (Per Hour)    

    $100.00
    1
    $100.00

  7. 322 Turn Out Gear / PPE (Per FireFighter)

    $250.00
    4
    $1,000.00

  8. 326 Safety Fest (# Used)

    $2.50
    4
    $10.00

    9. Additional Incident Info

    Incident Type: MVA Response

    Incident Location: 4400 East Highway 199 Westbound - Springtown, Texas

Subtotal $2,060.00
Total Due $2,060.00


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 @ 3:16 pm

Invoice updated by Geoffrey.

Status Update
November 8, 2021 @ 3:17 pm

Status changed: Draft to Pending.