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

Incident Table
Incident # Loss Date Invoice Date Terms Fire Dept
AL-01-811-2021-41 08/11/2021 09/04/2021 On Receipt Turkey Heaven V.F.D.

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


Updated
September 3, 2021 @ 6:15 pm

Invoice updated by Geoffrey.

Status Update
September 3, 2021 @ 6:15 pm

Status changed: Draft to Pending.

Viewed
January 9, 2022 @ 8:56 pm

Invoice viewed by Karen Smith (KarenS) for the first time.

Viewed
May 24, 2024 @ 9:13 am

Invoice viewed by 4.236.83.206 for the first time.