Bill To:


GEICO INSURANCE
ONE GEICO BLVD
FREDERICKSBURG, VA 22412-9000

Services Rendered To:


Chelsea Burback
2346 Chapel Cross Lane
Wylie, Texas 75098
Policy # 4435501178


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

    $350.00
    1
    $350.00
  2. 106 Battalion/Chief Vehicle Response (Per Hour)

    $150.00
    1
    $150.00
  3. 206 Latex Gloves (Pairs Used)

    $2.00
    8
    $16.00
  4. 403 Traffic Control / Road Closure (Per Hour)

    $100.00
    1
    $100.00

  5. Additional Incident Info

    Incident Type: MVA Response

    Incident Location: FM 2755 & CR 536 - Lavon, Texas

    Ordinance Info: City of Lavon - Resolution NO. 2020-03-01

Subtotal $616.00
Total Due $616.00


Updated
October 18, 2021 @ 3:16 pm

Invoice updated by Geoffrey.

Status Update
October 18, 2021 @ 3:16 pm

Status changed: Draft to Pending.

Updated
October 18, 2021 @ 3:16 pm

Invoice updated by Geoffrey.