Bill To:


GEICO INSURANCE
ONE GEICO BLVD
FREDERICKSBURG, VA 22412-9000

Services Rendered To:


Bobby Keenom
661 S Arena Rd
Mcloud, OK 74851
POLICY# 4499980029


Product
Price
Qty
Amount
  1. 103 Rescue Response (Per Hour)

    $300.00
    1
    $300.00
  2. 105 Utility Vehicle Response (Per Hour)

    $150.00
    1
    $150.00
  3. 105 Utility Vehicle Response (Per Hour)

    $150.00
    1
    $150.00
  4. 105 Utility Vehicle Response (Per Hour)

    $150.00
    1
    $150.00
  5. 106 Battalion/Chief Vehicle Response (Per Hour)

    $150.00
    1
    $150.00
  6. 218 Cervical Collar (# Used)

    $25.00
    1
    $25.00
  7. 418 Environmental Hazard Cleanup/Removal

    $250.00
    1
    $250.00
  8. 201 Oil Absorbent Material (# Used)

    $35.00
    1
    $35.00
  9. 419 Environmental Spill

    $250.00
    1
    $250.00
  10. 803 Basic EMS Assistance (Response Fee)

    $250.00
    1
    $250.00

  11. Additional Incident Info

    Incident Type: MVA Response

    Incident Location: 100700 Hwy 177- Meeker, OK

Subtotal $1,710.00
Total Due $1,710.00


Updated
May 8, 2023 @ 2:53 pm

Invoice updated by Geoffrey.

Status Update
May 8, 2023 @ 2:53 pm

Status changed: Draft to Pending.