Bill To:


GEICO INSURANCE
ONE GEICO BLVD
FREDERICKSBURG, VA 22412-9000

Services Rendered To:


Lester Golden
Ph.# 936-465-7247
Policy # 4608312213


Product
Price
Qty
Amount
  1. 102 Engine Response (Per Hour)

    $350.00
    1.5
    $525.00
  2. 105 Utility Vehicle Response (Per Hour)

    $150.00
    1.5
    $225.00
  3. 301 Hand Tool (# Used)

    $15.00
    1
    $15.00
  4. 309 Power Tool (# Used)

    $50.00
    1
    $50.00
  5. 306 Hose Per 50′ (Amt Used)

    $25.00
    5
    $125.00

  6. Additional Incident Info

    Incident Type: Structure Fire Response

    Incident Location: Concord Hunting Club (Caney Creek Road) - Zavalla, Texas

Subtotal $940.00
Total Due $940.00


Updated
June 23, 2021 @ 3:14 pm

Invoice updated by Geoffrey.

Status Update
June 23, 2021 @ 3:14 pm

Status changed: Draft to Pending.