Bill To:

GEICO INSURANCE
ONE GEICO BLVD
FREDERICKSBURG, VA 22412-9000

Services Rendered To:

Hunter Jaynes
550 Lonesome Dove
China Spring, Texas 76633
Policy # 4590736049


Product
Price
Qty
Amount

  1. 103 Rescue Response (Per Hour)

    $300.00
    2.5
    $750.00

  2. 102 Engine Response (Per Hour)

    $350.00
    2.5
    $875.00

  3. 105 Utility Vehicle Response (Per Hour)

    $150.00
    2.5
    $375.00

  4. 218 Cervical Collar (# Used)

    $25.00
    1
    $25.00

  5. 401 Debris Cleanup/Removal (# Used)

    $250.00
    1
    $250.00

  6. 204 Flate (# Used)

    $8.00
    6
    $48.00

  7. 206 Latex Gloves (Pairs Used)

    $2.00
    10
    $20.00

  8. 201 Oil Absorbent Material (# Used)

    $35.00
    2
    $70.00

  9. 404 Scene Lighting (Per Hour)

    $75.00
    2.5
    $187.50

  10. 403 Traffic Control / Road Closure (Per Hour)

    $100.00
    2.5
    $250.00

  11. 215 Trauma Kit (# Used)

    $25.00
    1
    $25.00

  12. 803 Basic EMS Assistance (Response Fee)

    $250.00
    1
    $250.00

    13. Additional Incident Info

    Incident Type: MVA Response

    Incident Location: 10095 North Highway 6 - Crawford, Texas

Subtotal $3,125.50
Total Due $3,125.50


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
May 20, 2021 @ 8:22 pm

Invoice updated by Geoffrey.

Status Update
May 20, 2021 @ 8:22 pm

Status changed: Draft to Pending.

Updated
May 20, 2021 @ 8:23 pm

Invoice updated by Geoffrey.