Bill To:


GEICO INSURANCE COMPANY
PO BOX 9515
FREDERICKSBURG, VA 22403-9515

Services Rendered To:


Franklin Thomas Ward III
203 Briar Oaks Drive
Azle, Texas 76020
Policy # 4534814894

Incident Table
Incident # Loss Date Invoice Date Terms Fire Dept
TX-WB206-2018-364 04/22/2018 11/14/2019 On Receipt Briar - Reno Fire Department

Product
Price
Qty
Amount
  1. 106 Battalion/Chief Vehicle Response (Per Hour)

    BC #49

    $150.00
    1
    $150.00
  2. 102 Engine Response (Per Hour)

    E #49

    $350.00
    1
    $350.00
  3. 102 Engine Response (Per Hour)

    E #52

    $350.00
    1
    $350.00
  4. 105 Utility Vehicle Response (Per Hour)

    SQD # 49

    $150.00
    1
    $150.00

  5. Additional Incident Info

    Incident Type: MVA Response

    Incident Location: 13912 FM Road 730 N. and Portwood Road

Subtotal $1,000.00
Total Due $1,000.00
Updated
November 14, 2019 @ 3:59 pm

Invoice updated by Karen Smith.

Status Update
November 14, 2019 @ 3:59 pm

Status changed: Draft to Pending.

Updated
November 14, 2019 @ 4:01 pm

Invoice updated by Karen Smith.

Updated
November 14, 2019 @ 4:01 pm

Invoice updated by Karen Smith.

Viewed
October 24, 2022 @ 6:38 am

Invoice viewed by 64.124.8.42 for the first time.