Bill To:


GEICO INSURANCE
ONE GEICO BLVD
FREDERICKSBURG, VA 22412-9000

Services Rendered To:


Brandon Rasor
135 Remington Park Drive
Springtown, Texas 76082
Policy # 4584058169


Product
Price
Qty
Amount
  1. 106 Battalion/Chief Vehicle Response (Per Hour)

    BC-49

    $150.00
    1
    $150.00
  2. 104 Tanker Response (Per Hour)

    T-49

    $300.00
    1
    $300.00
  3. 105 Utility Vehicle Response (Per Hour)

    Squad -49

    $150.00
    1
    $150.00
  4. 106 Battalion/Chief Vehicle Response (Per Hour)

    BC-249

    $150.00
    1
    $150.00
  5. 803 Basic EMS Assistance (Response Fee)

    $250.00
    1
    $250.00

  6. Additional Incident Info

    Incident Type: MVA Response

    Incident Location: 3400 East State Highway 199 - Reno, Texas

    Ordinance Info: Billing Amendment , Recovery Costs

Subtotal $1,000.00
Total Due $1,000.00
Updated
April 7, 2020 @ 3:56 pm

Invoice updated by Karen Smith.

Status Update
April 7, 2020 @ 3:56 pm

Status changed: Draft to Pending.

Updated
April 7, 2020 @ 4:06 pm

Invoice updated by Karen Smith.

Updated
April 7, 2020 @ 4:07 pm

Invoice updated by Karen Smith.

Updated
April 7, 2020 @ 4:14 pm

Invoice updated by Karen Smith.