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


Updated
May 20, 2021 @ 8:22 pm

Invoice updated by Geoffrey.

Status Update
May 20, 2021 @ 8:22 pm

Status changed: Draft to Pending.

Viewed
May 20, 2021 @ 8:22 pm

Invoice viewed by 63.88.73.132 for the first time.

Updated
May 20, 2021 @ 8:23 pm

Invoice updated by Geoffrey.

Viewed
October 22, 2022 @ 7:24 pm

Invoice viewed by 64.124.8.36 for the first time.