Bill To:

GEICO INSURANCE
ONE GEICO BLVD
FREDERICKSBURG, VA 22412-9000

Services Rendered To:

Timothy Ward
2262 County Road 92
Graham, AL 36263
Policy # 6074-15-68-91


Product
Price
Qty
Amount

  1. 103 Rescue Response (Per Hour)

    $300.00
    2
    $600.00

  2. 403 Traffic Control / Road Closure (Per Hour)

    $100.00
    2
    $200.00

  3. 803 Basic EMS Assistance (Response Fee)

    $250.00
    1
    $250.00

    4. Additional Incident Info

    Incident Type: MVA Response

    Incident Location: 11510 Highway 46 - Heflin, AL

Subtotal $1,050.00
Total Due $1,050.00


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
September 3, 2021 @ 6:15 pm

Invoice updated by Geoffrey.

Status Update
September 3, 2021 @ 6:15 pm

Status changed: Draft to Pending.