Bill To:

PROGRESSIVE NORTHERN INSURANCE
6300 WILSON MILLS ROAD - W33
MAYFIELD VILLAGE, PA 44143-2182

Services Rendered To:

Toni Sanchez
114807 S. 4200 Road
Checotah, OK 74426
POLICY # 934936749


Product
Price
Qty
Amount

  1. 105 Utility Vehicle Response (Per Hour)

    $150.00
    1.5
    $225.00

  2. 102 Engine Response (Per Hour)

    $350.00
    1.5
    $525.00

  3. 105 Utility Vehicle Response (Per Hour)

    $150.00
    1.5
    $225.00

  4. 215 Trauma Kit (# Used)

    $25.00
    1
    $25.00

  5. 803 Basic EMS Assistance (Response Fee)

    $250.00
    1
    $250.00

  6. 330 Backboard (# Used)

    $25.00
    2
    $50.00

    7. Additional Incident Info

    Incident Type: MVA Response

    Incident Location: Interstate 40 West Bound @ MM 247 - Henryetta, OK

    Ordinance Info: Tiger Mountain - McIntosh County Resolution 72021

Subtotal $1,300.00
Total Due $1,300.00


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
August 17, 2022 @ 6:29 pm

Invoice updated by Geoffrey.

Status Update
August 17, 2022 @ 6:29 pm

Status changed: Draft to Pending.

Updated
August 17, 2022 @ 6:30 pm

Invoice updated by Geoffrey.