Bill To:


GEICO INSURANCE
ONE GEICO BLVD
FREDERICKSBURG, VA 22412-9000

Services Rendered To:


Nathan Landmark
220 2nd Street
Elgin, OK 73538
Policy # 4530236944


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

    $350.00
    1
    $350.00
  2. 106 Battalion/Chief Vehicle Response (Per Hour)

    $150.00
    1
    $150.00
  3. 418 Environmental Hazard Cleanup/Removal

    $250.00
    1
    $250.00
  4. 313 TIC Thermal Imaging Camera (# Used)

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

    $2.00
    4
    $8.00
  6. 301 Hand Tool (# Used)

    $15.00
    1
    $15.00
  7. 201 Oil Absorbent Material (# Used)

    $35.00
    5
    $175.00
  8. 403 Traffic Control / Road Closure (Per Hour)

    $100.00
    1
    $100.00
  9. 407 Patient Care / Evaluation (Per Patient)

    $50.00
    2
    $100.00

  10. Additional Incident Info

    Incident Type: MVA Response

    Incident Location: State Highway 58 - Lawton, OK

Subtotal $1,248.00
Total Due $1,248.00


Updated
March 4, 2022 @ 1:18 pm

Invoice updated by Geoffrey.

Status Update
March 4, 2022 @ 1:18 pm

Status changed: Draft to Pending.

Viewed
October 22, 2022 @ 7:59 am

Invoice viewed by 64.124.8.27 for the first time.