Bill To:

GEICO INSURANCE – MEDICAL
ONE GEICO BLVD
FREDERICKSBURG, VA 22412-9000

Services Rendered To:

Cedric Leday
License Plate# TX BBR 5727
POLICY# 0952138808


Product
Price
Qty
Amount

  1. 406 Medical Extrication – Lvl 2

    Patient

    Cedric Leday
    License Plate# TX BBR 5727
    POLICY# 0952138808

    $1,500.00
    1
    $1,500.00

    2. Additional Incident Info

    Incident Type: MVA Response

    Incident Location: 226 SB IH 45- Angus, TX

    Ordinance Info: City of Angus Billing Authorization # 7

Subtotal $1,500.00
Total Due $1,500.00


Checks Payable To:

Sure Fire Recovery Service, LLC
9711 S Mason Road 125-120
Richmond, TX 77407
Federal Tax ID – 83-4417185


  Please Include Incident Number On All Correspondence.
Updated
February 6, 2023 @ 1:13 pm

Invoice updated by Geoffrey.