Bill To:

GEICO CASUALTY INSURANCE
ONE GEICO PLAZA
WASHINGTON, DC 20076-0003

Services Rendered To:

Wendy Plata
252 W 5th St
Atoka, OK 74525
POLICY# 4353025739


Product
Price
Qty
Amount

  1. 103 Rescue Response (Per Hour)

    $300.00
    1.25
    $375.00

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

    $150.00
    1.25
    $187.50

  3. 105 Utility Vehicle Response (Per Hour)

    $150.00
    1.25
    $187.50

  4. 218 Cervical Collar (# Used)

    $25.00
    1
    $25.00

  5. 206 Latex Gloves (Pairs Used)

    $2.00
    3
    $6.00

  6. 803 Basic EMS Assistance (Response Fee)

    $250.00
    1
    $250.00

  7. 403 Traffic Control / Road Closure (Per Hour)

    $100.00
    1.25
    $125.00

    8. Additional Incident Info

    Incident Type: MVA Response

    Incident Location: Hwy 177 & Whispering

Subtotal $1,156.00
Total Due $1,156.00


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
November 9, 2022 @ 11:31 am

Invoice updated by Geoffrey.

Status Update
November 9, 2022 @ 11:31 am

Status changed: Draft to Pending.

Updated
November 9, 2022 @ 11:37 am

Invoice updated by Geoffrey.