Bill To:


GEICO INSURANCE
ONE GEICO BLVD
FREDERICKSBURG, VA 22412-9000

Services Rendered To:


Jacob Istas
2110 Crouse Rd
Princeton, TX 75407
POLICY# 6097-04-82-73


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

    $300.00
    1.25
    $375.00
  2. 105 Utility Vehicle Response (Per Hour)

    $150.00
    1.25
    $187.50
  3. 401 Debris Cleanup/Removal (# Used)

    $250.00
    1
    $250.00
  4. 206 Latex Gloves (Pairs Used)

    $2.00
    8
    $16.00
  5. 301 Hand Tool (# Used)

    $15.00
    1
    $15.00
  6. 403 Traffic Control / Road Closure (Per Hour)

    $100.00
    1.25
    $125.00

  7. Additional Incident Info

    Incident Type: MVA Response

    Incident Location: US 281 N- Hamilton, TX

Subtotal $968.50
Total Due $968.50


Updated
January 23, 2023 @ 10:22 am

Invoice updated by Geoffrey.

Status Update
January 23, 2023 @ 10:22 am

Status changed: Draft to Pending.