Paid

Invoice

From:

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

Invoice Number INV-21381
Invoice Date June 20, 2019
Due Date July 20, 2019
Total Due $240.00
To:
AMR

8808 Balboa Ave.
San Diego, Ca

cortes

6/18/2019

Hours Equipment RateSub Total
1 rig#94838 van

FROM: chula vista hospital 795 medical ctr crt.
TO: station one balboa

$100.00$100.00
20 mileage $7.00$140.00
Sub Total $240.00
Tax $0.00
Total Due $240.00