Bill To:


GEICO INSURANCE
ONE GEICO BLVD
FREDERICKSBURG, VA 22412-9000

Services Rendered To:


Mitchell Wyas
4138 South Weller Ave
MO, 65804
POLICY# 4460282090

Incident Table
Incident # Loss Date Invoice Date Terms Fire Dept
MO-05-307-22-146 10/24/2022 05/08/2023 On Receipt Eldridge V.F.D.

Product
Price
Qty
Amount
  1. 102 Engine Response (Per Hour)

    $350.00
    1
    $350.00
  2. 105 Utility Vehicle Response (Per Hour)

    $150.00
    1
    $150.00
  3. 102 Engine Response (Per Hour)

    $350.00
    1
    $350.00
  4. 103 Rescue Response (Per Hour)

    $300.00
    1
    $300.00
  5. 106 Battalion/Chief Vehicle Response (Per Hour)

    $150.00
    1
    $150.00

  6. Additional Incident Info

    Incident Type: Vehicle Fire Response

    Incident Location: 4138 South Weller Ave- Lebanon, MO

Subtotal $1,300.00
Total Due $1,300.00


Updated
May 8, 2023 @ 10:48 am

Invoice updated by Geoffrey.

Status Update
May 8, 2023 @ 10:48 am

Status changed: Draft to Pending.