Bill To:

GEICO INSURANCE
ONE GEICO BLVD
FREDERICKSBURG, VA 22412-9000

Services Rendered To:

Pricila Islam
1510 W. Lovers Lane, Apt # 6
Arlington, Texas 76013
Policy # 4621933243


Product
Price
Qty
Amount

  1. 101 Aerial/Ladder Response (Per Hour)

    $400.00
    1
    $400.00

  2. 401 Debris Cleanup/Removal (# Used)

    $250.00
    1
    $250.00

  3. 206 Latex Gloves (Pairs Used)

    $2.00
    8
    $16.00

  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. Additional Incident Info

    Incident Type: MVA Response

    Incident Location: Highway 78 & FM 6 - Lavon Texas

    Ordinance Info: City of Lavon - Billing Resolution NO. 2020-03-01

Subtotal $836.00
Total Due $836.00


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
October 7, 2021 @ 9:13 pm

Invoice updated by Geoffrey.

Status Update
October 7, 2021 @ 9:14 pm

Status changed: Draft to Pending.