Paid

Invoice

From:

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

Invoice Number INV-21094
Invoice Date March 23, 2019
Due Date April 22, 2019
Total Due $282.00
To:
AMR

8808 Balboa Ave.
San Diego, Ca

Hours Equipment RateSub Total
1 AMR van unit#42955

From: Palomar hospital, Escondido
To:station 28

$100.00$100.00
26 Mileage

License plate# 48119G2

$7.00$182.00
Sub Total $282.00
Tax $0.00
Total Due $282.00