Paid

Invoice

From:

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

Invoice Number INV-24876
Invoice Date September 27, 2021
Due Date October 27, 2021
Total Due $197.00
Customer:
AMR

8808 Balboa Ave.
San Diego, Ca

Hours Equipment RateSub Total
1 14 ambulance # 19389 lic# 56531w1

FROM: 1752 national ave.
TO: station 28

$120.00$120.00
11 mileage $7.00$77.00
Sub Total $197.00
Tax $0.00
Total Due $197.00