Bill To:


GEICO INSURANCE
ONE GEICO BLVD
FREDERICKSBURG, VA 22412-9000

Services Rendered To:


Charles Tahah
303 6th Street
Elgin, OK 73538
POLICY # 4584690079


Product
Price
Qty
Amount
  1. 106 Battalion/Chief Vehicle Response (Per Hour)

    $150.00
    1
    $150.00
  2. 218 Cervical Collar (# Used)

    $25.00
    1
    $25.00
  3. 418 Environmental Hazard Cleanup/Removal

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

    $2.00
    4
    $8.00
  5. 201 Oil Absorbent Material (# Used)

    $35.00
    2
    $70.00
  6. 803 Basic EMS Assistance (Response Fee)

    $250.00
    1
    $250.00

  7. Additional Incident Info

    Incident Type: MVA Response

    Incident Location: 8064 N.W. Meers - Porter Hill Road - Lawton, OK

Subtotal $753.00
Total Due $753.00


Updated
July 10, 2022 @ 3:45 pm

Invoice updated by Geoffrey.

Status Update
July 10, 2022 @ 3:45 pm

Status changed: Draft to Pending.

Updated
July 10, 2022 @ 3:46 pm

Invoice updated by Geoffrey.