Paid

Invoice

From:

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

Invoice Number INV-20036
Invoice Date May 12, 2018
Due Date June 11, 2018
Total Due $135.00
To:
AMR

8808 Balboa Ave.
San Diego, Ca

Devon A22

Hours Equipment RateSub Total
1 Ford wheelchair van unit #38237

From: Wheelchair Annex
To: AMR Station 1

$100.00$100.00
5 Mileage

License plate # 68177E1
AMR unit #38237

$7.00$35.00
Sub Total $135.00
Tax $0.00
Total Due $135.00