Bill To:

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

Services Rendered To:

J. Trinidad Segovia
2019 VW Jetta
VIN # 3VWC57BUXKM09823
Policy # 947407113


Product
Price
Qty
Amount

  1. 105 Utility Vehicle Response (Per Hour)

    $150.00
    1.25
    $187.50

  2. 103 Rescue Response (Per Hour)

    $300.00
    1.25
    $375.00

  3. 105 Utility Vehicle Response (Per Hour)

    $150.00
    1.25
    $187.50

  4. 306 Hose Per 50′ (Amt Used)

    $25.00
    1
    $25.00

  5. 206 Latex Gloves (Pairs Used)

    $2.00
    3
    $6.00

  6. 232 N95 Mask (Per Unit/Per Use)

    $10.00
    3
    $30.00

  7. 803 Basic EMS Assistance (Response Fee)

    $250.00
    1
    $250.00

    8. Additional Incident Info

    Incident Type: MVA Response

    Incident Location: 5686 South Interstate Highway 45 West - Angus, Texas

    Ordinance Info: City of Angus Billing Authorization # 7

Subtotal $1,061.00
Total Due $1,061.00


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 3, 2021 @ 4:29 pm

Invoice updated by Geoffrey.

Status Update
September 3, 2021 @ 4:29 pm

Status changed: Draft to Pending.

Updated
September 3, 2021 @ 4:30 pm

Invoice updated by Geoffrey.

Updated
September 3, 2021 @ 4:31 pm

Invoice updated by Geoffrey.