Bill To:

GEICO INSURANCE
ONE GEICO BLVD
FREDERICKSBURG, VA 22412-9000

Services Rendered To:

Melissa Brown
1007 S Verne St
Rockport, TX 78382
POLICY# 4053749272


Product
Price
Qty
Amount

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

    $150.00
    1
    $150.00

  2. 102 Engine Response (Per Hour)

    $350.00
    1
    $350.00

  3. 218 Cervical Collar (# Used)

    $25.00
    1
    $25.00

  4. 418 Environmental Hazard Cleanup/Removal

    $250.00
    1
    $250.00

  5. 209 Extinguisher (# Used)

    $50.00
    1
    $50.00

  6. 310 Hydraulic Tool (# Used)

    $200.00
    2
    $400.00

  7. 206 Latex Gloves (Pairs Used)

    $2.00
    12
    $24.00

  8. 301 Hand Tool (# Used)

    $15.00
    2
    $30.00

  9. 403 Traffic Control / Road Closure (Per Hour)

    $100.00
    1
    $100.00

  10. 215 Trauma Kit (# Used)

    $25.00
    1
    $25.00

  11. 306 Hose Per 50′ (Amt Used)

    $25.00
    1
    $25.00

    12. Additional Incident Info

    Incident Type: MVA Response

    Incident Location: 1409 Business 35- Rockport, TX

Subtotal $1,429.00
Total Due $1,429.00


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
June 16, 2023 @ 12:29 pm

Invoice updated by Geoffrey.

Status Update
June 16, 2023 @ 12:29 pm

Status changed: Draft to Pending.