Bill To:

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

Services Rendered To:

Jessica Hernandez
2011 Chevy Impala
POLICY# 909609816


Product
Price
Qty
Amount

  1. 105 Utility Vehicle Response (Per Hour)

    $250.00
    1.75
    $437.50

  2. 105 Utility Vehicle Response (Per Hour)

    $250.00
    1.75
    $437.50

  3. 206 Latex Gloves (Pairs Used)

    $2.00
    2
    $4.00

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

    $100.00
    1.75
    $175.00

    5. Additional Incident Info

    Incident Type: MVA Response

    Incident Location: 5000 Block Rose Rd- Albertville, AL

Subtotal $1,054.00
Total Due $1,054.00


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
December 15, 2022 @ 5:37 pm

Invoice updated by Geoffrey.