Bill To:


GEICO INSURANCE
ONE GEICO BLVD
FREDERICKSBURG, VA 22412-9000

Services Rendered To:


Kyle Edwards
Policy# 4459053429


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

    $350.00
    1.5
    $525.00
  2. 103 Rescue Response (Per Hour)

    $300.00
    1.5
    $450.00
  3. 301 Hand Tool (# Used)

    $15.00
    2
    $30.00
  4. 803 Basic EMS Assistance (Response Fee)

    $250.00
    1
    $250.00
  5. 403 Traffic Control / Road Closure (Per Hour)

    $100.00
    6
    $600.00

  6. Additional Incident Info

    Incident Type: Select One

    Incident Location: SH 77 West @ FM 250

Subtotal $1,855.00
Total Due $1,855.00
Updated
September 12, 2019 @ 6:06 pm

Invoice updated by Karen Smith.

Status Update
September 12, 2019 @ 6:06 pm

Status changed: Draft to Pending.

Updated
September 12, 2019 @ 8:52 pm

Invoice updated by Karen Smith.