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

    Jazmin 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


Updated
February 6, 2023 @ 1:15 pm

Invoice updated by Geoffrey.