Bill To:


GEICO INSURANCE
ONE GEICO BLVD
FREDERICKSBURG, VA 22412-9000

Services Rendered To:


Lizzie Bonita Malone
2506 7th St
Galena Park, TX 77547
POLICY# 6032808351


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

    $500.00
    1.25
    $625.00
  2. 103 Rescue Response (Per Hour)

    $400.00
    1.25
    $500.00
  3. 105 Utility Vehicle Response (Per Hour)

    $250.00
    1.25
    $312.50
  4. 201 Oil Absorbent Material (# Used)

    $35.00
    1
    $35.00
  5. 301 Hand Tool (# Used)

    $15.00
    1
    $15.00
  6. 309 Power Tool (# Used)

    $50.00
    1
    $50.00
  7. 206 Latex Gloves (Pairs Used)

    $2.00
    8
    $16.00
  8. 408 Air Medical Landing Zone (Used)

    $250.00
    1
    $250.00
  9. 803 Basic EMS Assistance (Response Fee)

    $250.00
    1
    $250.00
  10. 418 Environmental Hazard Cleanup/Removal

    $250.00
    1
    $250.00

  11. Additional Incident Info

    Incident Type: MVA Response

    Incident Location: Fm 521 & Cr 51- Rosharon, TX

    Ordinance Info: Rosharon Cost Recovery Resolution

Subtotal $2,303.50
Total Due $2,303.50


Updated
September 19, 2023 @ 4:20 pm

Invoice updated by Geoffrey.

Status Update
September 19, 2023 @ 4:20 pm

Status changed: Draft to Pending.

Updated
September 19, 2023 @ 4:22 pm

Invoice updated by Geoffrey.