Bill To:


GEICO INSURANCE
ONE GEICO BLVD
FREDERICKSBURG, VA 22412-9000

Services Rendered To:


Thomas Hooker
16164 CR 1480
Apache, OK 73006
Policy # 4351-66-88-29


Product
Price
Qty
Amount
  1. 106 Battalion/Chief Vehicle Response (Per Hour)

    $150.00
    1
    $150.00
  2. 102 Engine Response (Per Hour)

    $350.00
    1
    $350.00
  3. 105 Utility Vehicle Response (Per Hour)

    $150.00
    1
    $150.00
  4. 106 Battalion/Chief Vehicle Response (Per Hour)

    $150.00
    1
    $150.00
  5. 218 Cervical Collar (# Used)

    $25.00
    1
    $25.00
  6. 418 Environmental Hazard Cleanup/Removal

    $250.00
    1
    $250.00
  7. 310 Hydraulic Tool (# Used)

    $200.00
    1
    $200.00
  8. 206 Latex Gloves (Pairs Used)

    $2.00
    10
    $20.00
  9. 301 Hand Tool (# Used)

    $15.00
    8
    $120.00
  10. 202 Oil Absorbent Sheet (# Used)

    $2.50
    15
    $37.50
  11. 201 Oil Absorbent Material (# Used)

    $35.00
    5
    $175.00
  12. 216 Oxygen (# Used)

    $25.00
    1
    $25.00
  13. 403 Traffic Control / Road Closure (Per Hour)

    $100.00
    1
    $100.00
  14. 803 Basic EMS Assistance (Response Fee)

    $250.00
    1
    $250.00

  15. Additional Incident Info

    Incident Type: MVA Response

    Incident Location: Big Rock Road and Highway 58 - Lawton, OK

Subtotal $2,002.50
Total Due $2,002.50


Updated
June 27, 2022 @ 3:14 pm

Invoice updated by Geoffrey.

Status Update
June 27, 2022 @ 3:14 pm

Status changed: Draft to Pending.