Bill To:

GEICO INSURANCE
ONE GEICO BLVD
FREDERICKSBURG, VA 22412-9000

Services Rendered To:

Jayesh Gujar
8100 Memorial Lane #8103
Plano, Texas 75024
Policy # 6051986906


Product
Price
Qty
Amount

  1. 105 Utility Vehicle Response (Per Hour)

    $150.00
    1
    $150.00

  2. 103 Rescue Response (Per Hour)

    $300.00
    1
    $300.00

  3. 206 Latex Gloves (Pairs Used)

    $2.00
    8
    $16.00

  4. 403 Traffic Control / Road Closure (Per Hour)

    $100.00
    1
    $100.00

  5. 803 Basic EMS Assistance (Response Fee)

    $250.00
    1
    $250.00

    6. Additional Incident Info

    Incident Type: MVA Response

    Incident Location: MM 224 Northbound on Interstate 45 - Angus, TX

    Ordinance Info: City of Angus Billing Authorization # 7

Subtotal $816.00
Total Due $816.00


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
June 3, 2021 @ 12:32 pm

Invoice updated by Geoffrey.

Status Update
June 3, 2021 @ 12:32 pm

Status changed: Draft to Pending.