Bill To:


GEICO INSURANCE
ONE GEICO BLVD
FREDERICKSBURG, VA 22412-9000

Services Rendered To:


Vishwaja
612 Bunker Hill Rd
Fate, TX 75132
POLICY# 4475-83-43-07


Product
Price
Qty
Amount
  1. 101 Aerial/Ladder Response (Per Hour)

    $400.00
    1
    $400.00
  2. 106 Battalion/Chief Vehicle Response (Per Hour)

    $150.00
    1
    $150.00
  3. 402 Fire/Police Services (Per Hour)    

    $100.00
    1
    $100.00
  4. 206 Latex Gloves (Pairs Used)

    $2.00
    2
    $4.00

  5. Additional Incident Info

    Incident Type: MVA Response

    Incident Location: SH 78 & Geren Dr- Lavon, TX

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

Subtotal $654.00
Total Due $654.00


Updated
December 9, 2022 @ 10:40 am

Invoice updated by Geoffrey.

Status Update
December 9, 2022 @ 10:40 am

Status changed: Draft to Pending.