Bill To:


GEICO INSURANCE COMPANY
PO BOX 9515
FREDERICKSBURG, VA 22403-9515

Services Rendered To:


Donnie Harkrider
460 CR 2228
Douglassville, Texas 75560-0000
Policy # 4585740220

Incident Table
Incident # Loss Date Invoice Date Terms Fire Dept
TX-BY205-2019-1012 10/12/2019 11/06/2019 On Receipt Douglassville Volunteer Fire Department

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

    $350.00
    2.5
    $875.00
  2. 103 Rescue Response (Per Hour)

    $300.00
    2.5
    $750.00
  3. 302 Hand Light (# Used)

    $5.00
    1
    $5.00
  4. 301 Hand Tool (# Used)

    $15.00
    2
    $30.00
  5. 403 Traffic Control / Road Closure (Per Hour)

    $100.00
    2.5
    $250.00

  6. Additional Incident Info

    Incident Type: MVA Response

    Incident Location: CR 2225

Subtotal $1,910.00
Total Due $1,910.00
Updated
November 6, 2019 @ 1:29 pm

Invoice updated by Karen Smith.

Status Update
November 6, 2019 @ 1:29 pm

Status changed: Draft to Pending.

Updated
November 6, 2019 @ 1:30 pm

Invoice updated by Karen Smith.

Updated
November 6, 2019 @ 1:30 pm

Invoice updated by Karen Smith.

Updated
November 6, 2019 @ 1:31 pm

Invoice updated by Karen Smith.

Updated
November 6, 2019 @ 1:32 pm

Invoice updated by Karen Smith.

Updated
November 6, 2019 @ 1:36 pm

Invoice updated by Karen Smith.

Updated
November 6, 2019 @ 1:37 pm

Invoice updated by Karen Smith.

Updated
November 6, 2019 @ 1:39 pm

Invoice updated by Karen Smith.

Updated
November 6, 2019 @ 1:40 pm

Invoice updated by Karen Smith.

Updated
November 6, 2019 @ 1:42 pm

Invoice updated by Karen Smith.

Updated
November 6, 2019 @ 2:28 pm

Invoice updated by Karen Smith.

Updated
November 29, 2019 @ 12:55 pm

Invoice updated by Karen Smith.

Updated
January 3, 2020 @ 6:52 pm

Invoice updated by Karen Smith.