Paid

Invoice

From:

803 Anita St.
Chula Vista, CA 91911
619-971-2353

Invoice Number INV-23791
Invoice Date March 19, 2021
Due Date April 18, 2021
Total Due $162.00
Customer:
AMR

8808 Balboa Ave.
San Diego, Ca

cortes

date of service 3/14/2021

Hours Equipment RateSub Total
1 wheel chair van #75734

FROM: mercy hospital 5th and washington
TO: station one

$120.00$120.00
6 mileage $7.00$42.00
Sub Total $162.00
Tax $0.00
Total Due $162.00