Bill To:

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

Services Rendered To:

Reinaldo Rodriguez
413 Van Zandt C.R. 4715
Ben Wheeler, Texas 75754
POLICY # 03 21 28 91-7


Product
Price
Qty
Amount

  1. 105 Utility Vehicle Response (Per Hour)

    Brush #1

    $150.00
    1.5
    $225.00

  2. 105 Utility Vehicle Response (Per Hour)

    Brush #2

    $150.00
    1.5
    $225.00

  3. 418 Environmental Hazard Cleanup/Removal

    $250.00
    1
    $250.00

  4. 402 Fire/Police Services (Per Hour)    

    $100.00
    1.5
    $150.00

  5. 206 Latex Gloves (Pairs Used)

    $2.00
    4
    $8.00

  6. 301 Hand Tool (# Used)

    $15.00
    1
    $15.00

  7. 403 Traffic Control / Road Closure (Per Hour)

    $100.00
    1.5
    $150.00

    8. Additional Incident Info

    Incident Type: MVA Response

    Incident Location: Highway 64 @ C.R. 4926 - Ben Wheeler, Texas

Subtotal $1,023.00
Total Due $1,023.00


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
July 10, 2022 @ 6:39 pm

Invoice updated by Geoffrey.

Status Update
July 10, 2022 @ 6:39 pm

Status changed: Draft to Pending.