Bill To:


Geico
One Geico Plaza
Bethesda, MD 20810-0001

Services Rendered To:


Trevor Cruse
Policy# 4541183408

Incident Table
Incident # Loss Date Invoice Date Terms Fire Dept
TX-BY2015-2018-0805-A 08/05/2018 08/26/2019 On Receipt Douglassville Volunteer Fire Department

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

    $350.00
    2
    $700.00
  2. 103 Rescue Response (Per Hour)

    $300.00
    2
    $600.00
  3. 301 Hand Tool (# Used)

    $15.00
    3
    $45.00
  4. 409 Manpower (Per Hour)

    $20.00
    8
    $160.00

  5. Additional Incident Info

    Incident Type: MVA Response

    Incident Location: 9808 TX HWY 77 West, Cass County, TX

Subtotal $1,505.00
Total Due $1,505.00
Updated
August 25, 2019 @ 12:26 am

Invoice updated by Karen Smith.

Status Update
August 25, 2019 @ 12:26 am

Status changed: Draft to Pending.

Viewed
October 25, 2022 @ 12:06 am

Invoice viewed by 64.124.8.28 for the first time.