Bill To:

GEICO INSURANCE
ONE GEICO BLVD
FREDERICKSBURG, VA 22412-9000

Services Rendered To:

Kimberly Griffin
662 Bonham Dr
Lavon, TX 75166
POLICY# 4514-09-17-37


Product
Price
Qty
Amount

  1. 101 Aerial/Ladder Response (Per Hour)

    $400.00
    1
    $400.00

  2. 218 Cervical Collar (# Used)

    $25.00
    1
    $25.00

  3. 314 Cribbing – Lvl 1 (Passenger Vehicle) (Used)

    $100.00
    1
    $100.00

  4. 314 Cribbing – Lvl 1 (Passenger Vehicle) (Used)

    $100.00
    1
    $100.00

  5. 401 Debris Cleanup/Removal (# Used)

    $250.00
    1
    $250.00

  6. 402 Fire/Police Services (Per Hour)    

    $100.00
    1
    $100.00

  7. 206 Latex Gloves (Pairs Used)

    $2.00
    6
    $12.00

  8. 403 Traffic Control / Road Closure (Per Hour)

    $100.00
    1
    $100.00

  9. 215 Trauma Kit (# Used)

    $25.00
    1
    $25.00

    10. Additional Incident Info

    Incident Type: MVA Response

    Incident Location: Sh 78 and Hwy 6- Lavon, TX

    Ordinance Info: City of Lavon Resolution NO. 2020-03-01

Subtotal $1,112.00
Total Due $1,112.00


Checks Payable To:

Sure Fire Recovery Service, LLC
9711 S Mason Road 125-120
Richmond, TX 77407
Federal Tax ID – 83-4417185


  Please Include Incident Number On All Correspondence.
Updated
October 11, 2022 @ 1:30 pm

Invoice updated by Geoffrey.

Status Update
October 11, 2022 @ 1:30 pm

Status changed: Draft to Pending.