Bill To:


GEICO INSURANCE
ONE GEICO BLVD
FREDERICKSBURG, VA 22412-9000

Services Rendered To:


Brandi Love
Policy # 4301-31-36-09


Product
Price
Qty
Amount
  1. 104 Tanker Response (Per Hour)

    $300.00
    6.75
    $2,025.00
  2. 106 Battalion/Chief Vehicle Response (Per Hour)

    $150.00
    6.75
    $1,012.50
  3. 105 Utility Vehicle Response (Per Hour)

    $150.00
    6.75
    $1,012.50
  4. 106 Battalion/Chief Vehicle Response (Per Hour)

    $150.00
    6.75
    $1,012.50
  5. 218 Cervical Collar (# Used)

    $25.00
    2
    $50.00
  6. 315 Cribbing – Lvl 2 (Class B Vehicle) (Used)

    $200.00
    1
    $200.00
  7. 319 Generator (Per Generator/Per Hour)

    $50.00
    6.75
    $337.50
  8. 310 Hydraulic Tool (# Used)

    $200.00
    1
    $200.00
  9. 301 Hand Tool (# Used)

    $15.00
    2
    $30.00
  10. 309 Power Tool (# Used)

    $50.00
    1
    $50.00
  11. 201 Oil Absorbent Material (# Used)

    $35.00
    1
    $35.00
  12. 216 Oxygen (# Used)

    $25.00
    1
    $25.00
  13. 404 Scene Lighting (Per Hour)

    $75.00
    6.75
    $506.25
  14. 330 Backboard (# Used)

    $25.00
    1
    $25.00
  15. 302 Hand Light (# Used)

    $5.00
    4
    $20.00
  16. 803 Basic EMS Assistance (Response Fee)

    $250.00
    1
    $250.00

  17. Additional Incident Info

    Incident Type: MVA Response

    Incident Location: FM 730 North @ Reed road - Azle, Texas

Subtotal $6,791.25
Total Due $6,791.25


Updated
November 23, 2021 @ 4:55 pm

Invoice updated by Geoffrey.

Status Update
November 23, 2021 @ 4:55 pm

Status changed: Draft to Pending.

Updated
November 23, 2021 @ 4:56 pm

Invoice updated by Geoffrey.