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


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
March 4, 2022 @ 1:18 pm

Invoice updated by Geoffrey.

Status Update
March 4, 2022 @ 1:18 pm

Status changed: Draft to Pending.