Bill To:


GEICO INSURANCE – MEDICAL
ONE GEICO BLVD
FREDERICKSBURG, VA 22412-9000

Services Rendered To:


Michael Cheatham
826 Lily Ln
Rosharon, TX 77583
POLICY# 4180152078

Incident Table
Incident # Loss Date Invoice Date Terms Fire Dept
TX-BB-326-22-250-E 11/28/2022 06/09/2023 On Receipt Rosharon VFD

Product
Price
Qty
Amount
  1. 406 Medical Extrication – Lvl 2

    Patient

    Traevon Lingard
    3015 Aspen Ln
    Manvel, TX 77578
    POLICY# 447 9501-K06-53A 002

    $1,500.00
    1
    $1,500.00

  2. Additional Incident Info

    Incident Type: MVA Response

    Incident Location: 1333 Fm 1462- Rosharon, TX

Subtotal $1,500.00
Total Due $1,500.00


Updated
June 9, 2023 @ 12:12 pm

Invoice updated by Geoffrey.

Viewed
August 12, 2023 @ 3:30 pm

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