Bill To:


GEICO INSURANCE
ONE GEICO BLVD
FREDERICKSBURG, VA 22412-9000

Services Rendered To:


Celee Joe Chick
2450 Calendar Road
Mansfield, Tx 76063
Policy # 6022635145

Incident Table
Incident # Loss Date Invoice Date Terms Fire Dept
TX-SH-201-C20-26609 11/24/2020 03/12/2021 On Receipt Angus Vol. Fire Department

Product
Price
Qty
Amount
  1. 103 Rescue Response (Per Hour)

    $300.00
    1
    $300.00
  2. 401 Debris Cleanup/Removal (# Used)

    $250.00
    1
    $250.00
  3. 402 Fire/Police Services (Per Hour)    

    $100.00
    1
    $100.00
  4. 403 Traffic Control / Road Closure (Per Hour)

    $100.00
    1
    $100.00
  5. 232 N95 Mask (Per Unit/Per Use)

    $10.00
    4
    $40.00
  6. 206 Latex Gloves (Pairs Used)

    $2.00
    4
    $8.00

  7. Additional Incident Info

    Incident Type: MVA Response

    Incident Location: MM 222 Northbound on Interstate 45 - Angus, Texas

    Ordinance Info: City of Angus Billing Authorization Item # 7

Subtotal $798.00
Total Due $798.00


Updated
March 11, 2021 @ 5:12 pm

Invoice updated by Geoffrey.

Status Update
March 11, 2021 @ 5:12 pm

Status changed: Draft to Pending.

Viewed
October 24, 2022 @ 6:17 am

Invoice viewed by 64.124.8.42 for the first time.