Bill To:

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

Services Rendered To:

Jufy Rose
2061 Lisa Circle
Canton, Texas 75103
Policy # 4499-91-96-70


Product
Price
Qty
Amount

  1. 105 Utility Vehicle Response (Per Hour)

    Brush #1

    $150.00
    2
    $300.00

  2. 105 Utility Vehicle Response (Per Hour)

    Brush #2

    $150.00
    2
    $300.00

  3. 401 Debris Cleanup/Removal (# Used)

    $250.00
    1
    $250.00

  4. 402 Fire/Police Services (Per Hour)    

    $100.00
    2
    $200.00

  5. 403 Traffic Control / Road Closure (Per Hour)

    $100.00
    2
    $200.00

    6. Additional Incident Info

    Incident Type: MVA Response

    Incident Location: Highway 64 @ 4925 - Ben Wheeler, Texas

Subtotal $1,250.00
Total Due $1,250.00


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 10, 2021 @ 4:58 pm

Invoice updated by Geoffrey.

Status Update
June 10, 2021 @ 4:58 pm

Status changed: Draft to Pending.