Bill To:


GEICO INSURANCE
ONE GEICO BLVD
FREDERICKSBURG, VA 22412-9000

Services Rendered To:


Johnnie Milton
12547 Wilderness Park Drive
Spotsylvania, VA 25518
Policy # 0692832504


Product
Price
Qty
Amount
  1. 105 Utility Vehicle Response (Per Hour)

    Unit – B-1

    $150.00
    1.5
    $225.00
  2. 105 Utility Vehicle Response (Per Hour)

    Unit – B-2

    $150.00
    1.5
    $225.00
  3. 401 Debris Cleanup/Removal (# Used)

    $250.00
    1
    $250.00
  4. 206 Latex Gloves (Pairs Used)

    $2.00
    3
    $6.00
  5. 403 Traffic Control / Road Closure (Per Hour)

    $100.00
    1.5
    $150.00

  6. Additional Incident Info

    Incident Type: MVA Response

    Incident Location: Highway 64 @ FM 314 - Ben Wheeler, Texas

Subtotal $856.00
Total Due $856.00


Updated
December 20, 2021 @ 4:02 pm

Invoice updated by Geoffrey.

Status Update
December 20, 2021 @ 4:02 pm

Status changed: Draft to Pending.

Updated
December 20, 2021 @ 4:03 pm

Invoice updated by Geoffrey.