Bill To:

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

Services Rendered To:

Julie Burnett
505 Oak Street
Checotah, OK 74426
Policy # 9015098762


Product
Price
Qty
Amount

  1. 105 Utility Vehicle Response (Per Hour)

    $250.00
    1
    $250.00

  2. 102 Engine Response (Per Hour)

    $500.00
    1
    $500.00

  3. 105 Utility Vehicle Response (Per Hour)

    $250.00
    1
    $250.00

    4. Additional Incident Info

    Incident Type: MVA Response

    Incident Location: Highway 266 & 1050 Road - Council Hill, OK

Subtotal $1,000.00
Total Due $1,000.00


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
May 17, 2021 @ 3:57 pm

Invoice updated by Geoffrey.

Status Update
May 17, 2021 @ 3:57 pm

Status changed: Draft to Pending.

Updated
May 17, 2021 @ 3:58 pm

Invoice updated by Geoffrey.