Bill To:


GEICO INSURANCE
ONE GEICO BLVD
FREDERICKSBURG, VA 22412-9000

Services Rendered To:


Brenda James Bursey
1721 John West Road, Apt. 413
Dallas, Texas 75228
Policy # 4483875367


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

    $350.00
    2
    $700.00
  2. 103 Rescue Response (Per Hour)

    $300.00
    2
    $600.00
  3. 301 Hand Tool (# Used)

    $15.00
    3
    $45.00
  4. 309 Power Tool (# Used)

    $50.00
    1
    $50.00
  5. 403 Traffic Control / Road Closure (Per Hour)

    $100.00
    6
    $600.00
  6. 401 Debris Cleanup/Removal (# Used)

    $250.00
    1
    $250.00

  7. Additional Incident Info

    Incident Type: MVA Response

    Incident Location: Texas Highway 77 West - East of Douglassville Texas

Subtotal $2,245.00
Total Due $2,245.00
Updated
May 16, 2020 @ 8:08 pm

Invoice updated by Karen Smith.

Status Update
May 16, 2020 @ 8:08 pm

Status changed: Draft to Pending.

Viewed
April 27, 2022 @ 5:15 pm

Invoice viewed by GEOFFREY SMITH (Geoffrey) for the first time.

Viewed
October 24, 2022 @ 6:31 am

Invoice viewed by 64.124.8.42 for the first time.