Bill To:


GEICO CASUALTY INSURANCE
ONE GEICO PLAZA
WASHINGTON, DC 20076-0003

Services Rendered To:


Yvonne Solis
2412 Marty Way
Sequin, TX 78155
POLICY # 41547598328


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

    Unit # 4412

    $350.00
    1
    $350.00
  2. 102 Engine Response (Per Hour)

    Unit # 4411

    $350.00
    1
    $350.00
  3. 418 Environmental Hazard Cleanup/Removal

    $250.00
    1
    $250.00
  4. 402 Fire/Police Services (Per Hour)    

    $100.00
    1
    $100.00
  5. 206 Latex Gloves (Pairs Used)

    $2.00
    3
    $6.00
  6. 301 Hand Tool (# Used)

    $15.00
    3
    $45.00
  7. 201 Oil Absorbent Material (# Used)

    $35.00
    3
    $105.00
  8. 403 Traffic Control / Road Closure (Per Hour)

    $100.00
    1
    $100.00
  9. 803 Basic EMS Assistance (Response Fee)

    $250.00
    1
    $250.00

  10. Additional Incident Info

    Incident Type: MVA Response

    Incident Location: FM 78 & FM 1044 - McQueeney, Texas

    Ordinance Info: McQueeney Cost Recovery Resolution 4521

Subtotal $1,556.00
Total Due $1,556.00