Bill To:

GEICO CASUALTY INSURANCE
ONE GEICO PLAZA
WASHINGTON, DC 20076-0003

Services Rendered To:

Nicole Campbell
402 South Hogan Loop
Ponce De Leon, Florida 32455
Policy # 408-56-98-30109170


Product
Price
Qty
Amount

  1. 103 Rescue Response (Per Hour)

    $300.00
    1
    $300.00

  2. 102 Engine Response (Per Hour)

    $350.00
    1
    $350.00

  3. 403 Traffic Control / Road Closure (Per Hour)

    $100.00
    1
    $100.00

  4. 326 Safety Fest (# Used)

    $2.50
    7
    $17.50

  5. 407 Patient Care / Evaluation (Per Patient)

    $50.00
    2
    $100.00

    6. Additional Incident Info

    Incident Type: MVA Response

    Incident Location: Highway 81 South at the Railroad Tracks - Ponce De Leon, Florida

Subtotal $867.50
Total Due $867.50


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
March 31, 2021 @ 6:55 pm

Invoice updated by Geoffrey.

Status Update
March 31, 2021 @ 6:55 pm

Status changed: Draft to Pending.