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

Incident Table
Incident # Loss Date Invoice Date Terms Fire Dept
TX-CN-310-2021-402 09/21/2021 10/18/2021 On Receipt Lavon V.F.D.

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

    $250.00
    1
    $250.00
  2. 106 Battalion/Chief Vehicle Response (Per Hour)

    $150.00
    1
    $150.00
  3. 403 Traffic Control / Road Closure (Per Hour)

    $100.00
    1
    $100.00

  4. 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 $500.00
Total Due $500.00


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.

Viewed
January 9, 2022 @ 8:47 pm

Invoice viewed by Karen Smith (KarenS) for the first time.

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October 24, 2022 @ 1:37 am

Invoice viewed by 64.124.8.25 for the first time.

Updated
October 24, 2022 @ 1:58 pm

Invoice updated by Geoffrey.

Viewed
March 29, 2024 @ 9:54 pm

Invoice viewed by 66.249.72.4 for the first time.