Bill To:


GEICO INSURANCE
ONE GEICO BLVD
FREDERICKSBURG, VA 22412-9000

Services Rendered To:


Policy# 4392-45-17-97
Cynthia Patel
Vehicle VIN: 1FMCU0F70KUA71082


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

    $350.00
    1
    $350.00
  2. 401 Debris Cleanup/Removal (# Used)

    $250.00
    1
    $250.00
  3. 206 Latex Gloves (Pairs Used)

    $2.00
    6
    $12.00
  4. 201 Oil Absorbent Material (# Used)

    $35.00
    1
    $35.00
  5. 403 Traffic Control / Road Closure (Per Hour)

    $100.00
    1
    $100.00

  6. Additional Incident Info

    Incident Type: MVA Response

    Incident Location: 411 Highway 78, Lavon, TX

    Ordinance Info: Resolution No. 2020--03-01

Subtotal $747.00
Total Due $747.00
Updated
January 4, 2021 @ 1:49 pm

Invoice updated by Karen Smith.

Status Update
January 4, 2021 @ 1:49 pm

Status changed: Draft to Pending.

Updated
January 4, 2021 @ 1:50 pm

Invoice updated by Karen Smith.

Updated
January 4, 2021 @ 1:51 pm

Invoice updated by Karen Smith.

Updated
January 4, 2021 @ 2:08 pm

Invoice updated by Karen Smith.

Updated
January 4, 2021 @ 2:09 pm

Invoice updated by Karen Smith.