Bill To:


GEICO INSURANCE
ONE GEICO BLVD
FREDERICKSBURG, VA 22412-9000

Services Rendered To:


Russell Adams
22956 Hwy D
MO, Preston 63771
POLICY# 6049918912


Product
Price
Qty
Amount
  1. 105 Utility Vehicle Response (Per Hour)

    $150.00
    1
    $150.00
  2. 103 Rescue Response (Per Hour)

    $300.00
    1
    $300.00
  3. 309 Power Tool (# Used)

    $50.00
    1
    $50.00
  4. 201 Oil Absorbent Material (# Used)

    $35.00
    2
    $70.00
  5. 403 Traffic Control / Road Closure (Per Hour)

    $100.00
    1
    $100.00

  6. Additional Incident Info

    Incident Type: MVA Response

    Incident Location: 20232 Hwy D- Preston, MO

Subtotal $670.00
Total Due $670.00


Updated
October 17, 2022 @ 4:45 pm

Invoice updated by Geoffrey.

Status Update
October 17, 2022 @ 4:45 pm

Status changed: Draft to Pending.