Bill To:


GEICO INSURANCE
ONE GEICO BLVD
FREDERICKSBURG, VA 22412-9000

Services Rendered To:


Arnold Andujar
3708 Greenridge
Cibilo, TX 78108
Policy # 4407751157


Product
Price
Qty
Amount
  1. 105 Utility Vehicle Response (Per Hour)

    $150.00
    1.75
    $262.50
  2. 102 Engine Response (Per Hour)

    $350.00
    1.75
    $612.50
  3. 106 Battalion/Chief Vehicle Response (Per Hour)

    $150.00
    1.75
    $262.50
  4. 206 Latex Gloves (Pairs Used)

    $2.00
    2
    $4.00
  5. 404 Scene Lighting (Per Hour)

    $75.00
    1.75
    $131.25
  6. 403 Traffic Control / Road Closure (Per Hour)

    $100.00
    1.75
    $175.00
  7. 503 ** Damaged / Destroyed Equipment **

    Rescue boat destroyed in rescue – Fire Department Insurance has covered loss of boat (Totaled in Rescue) 

    Requesting Deductible of $250.00 incurred by department

    $250.00
    1
    $250.00
  8. 803 Basic EMS Assistance (Response Fee)

    $250.00
    1
    $250.00
  9. 106 Battalion/Chief Vehicle Response (Per Hour)

    Unit # 4402

    $150.00
    1.75
    $262.50
  10. 106 Battalion/Chief Vehicle Response (Per Hour)

    Unit # 4401

    $150.00
    1.75
    $262.50

  11. Additional Incident Info

    Incident Type: Fire Department Response

    Incident Location: 3708 Greenridge - Cibilo, TX

    Ordinance Info: McQueeney Cost Recovery Resolution 4521

Subtotal $2,472.75
Total Due $2,472.75


Updated
December 22, 2021 @ 5:12 pm

Invoice updated by Geoffrey.

Status Update
December 22, 2021 @ 5:12 pm

Status changed: Draft to Pending.

Updated
December 22, 2021 @ 5:13 pm

Invoice updated by Geoffrey.

Updated
December 22, 2021 @ 5:14 pm

Invoice updated by Geoffrey.