Bill To:


GEICO INSURANCE
ONE GEICO BLVD
FREDERICKSBURG, VA 22412-9000

Services Rendered To:


Vickie Khan
1017 Olive Mill Lane
Las Vegas, Nevada 89134
Policy # 4596921009


Product
Price
Qty
Amount
  1. 103 Rescue Response (Per Hour)

    $300.00
    1
    $300.00
  2. 104 Tanker Response (Per Hour)

    $300.00
    1
    $300.00
  3. 105 Utility Vehicle Response (Per Hour)

    $150.00
    1
    $150.00
  4. 102 Engine Response (Per Hour)

    $350.00
    1
    $350.00
  5. 301 Hand Tool (# Used)

    $15.00
    1
    $15.00
  6. 303 SCBA Breathing Apparatus (# Used)

    $50.00
    2
    $100.00
  7. 304 SCBA Cylinder (# Used)

    $25.00
    2
    $50.00
  8. 403 Traffic Control / Road Closure (Per Hour)

    $100.00
    2
    $200.00
  9. 306 Hose Per 50′ (Amt Used)

    $25.00
    7
    $175.00

  10. Additional Incident Info

    Incident Type: Vehicle Fire Response

    Incident Location: 287 Southbound @ Midway Church Road - Electra, Texas

    Ordinance Info: City of Electra Resolution NO. 2018-05

Subtotal $1,640.00
Total Due $1,640.00


Updated
March 19, 2021 @ 1:20 pm

Invoice updated by Geoffrey.

Status Update
March 19, 2021 @ 1:20 pm

Status changed: Draft to Pending.

Updated
March 19, 2021 @ 1:20 pm

Invoice updated by Geoffrey.