Bill To:


GEICO INSURANCE
ONE GEICO BLVD
FREDERICKSBURG, VA 22412-9000

Services Rendered To:


Brandi Stout
918 West 20th Street
Houston, Texas 77008
Policy # 6035392132


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

    $350.00
    1.25
    $437.50
  2. 103 Rescue Response (Per Hour)

    $300.00
    1.25
    $375.00
  3. 401 Debris Cleanup/Removal (# Used)

    $250.00
    1
    $250.00
  4. 201 Oil Absorbent Material (# Used)

    $35.00
    5
    $175.00
  5. 403 Traffic Control / Road Closure (Per Hour)

    $100.00
    1.25
    $125.00

  6. Additional Incident Info

    Incident Type: MVA Response

    Incident Location: 1200 Block of FM 1620 - McQueeney, Texas

    Ordinance Info: McQueeney Cost Recovery Resolution 4521

Subtotal $1,362.50
Total Due $1,362.50


Updated
September 3, 2021 @ 4:49 pm

Invoice updated by Geoffrey.

Status Update
September 3, 2021 @ 4:49 pm

Status changed: Draft to Pending.