Bill To:


GEICO INSURANCE
ONE GEICO BLVD
FREDERICKSBURG, VA 22412-9000

Services Rendered To:


License Plate# TZK7413
POLICY# 6115544196

Incident Table
Incident # Loss Date Invoice Date Terms Fire Dept
TX-BB-326-24-58 03/26/2024 04/30/2024 On Receipt Rosharon VFD

Product
Price
Qty
Amount
  1. 102 Engine Response (Per Hour)

    $500.00
    1
    $500.00
  2. 103 Rescue Response (Per Hour)

    $400.00
    1
    $400.00
  3. 103 Rescue Response (Per Hour)

    $400.00
    1
    $400.00
  4. 201 Oil Absorbent Material (# Used)

    $35.00
    2
    $70.00
  5. 403 Traffic Control / Road Closure (Per Hour)

    $100.00
    1
    $100.00
  6. 418 Environmental Hazard Cleanup/Removal

    $250.00
    1
    $250.00
  7. 309 Power Tool (# Used)

    $50.00
    1
    $50.00
  8. 301 Hand Tool (# Used)

    $15.00
    1
    $15.00

  9. Additional Incident Info

    Incident Type: MVA Response

    Incident Location: FM 655- Rosharon, TX

    Ordinance Info: Rosharon Cost Recovery Resolution

Subtotal $1,785.00
Total Due $1,785.00


Updated
April 30, 2024 @ 11:45 am

Invoice updated by Geoffrey.

Status Update
April 30, 2024 @ 11:45 am

Status changed: Draft to Pending.