Paid

Invoice

From:

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

Invoice Number INV-21127
Invoice Date April 2, 2019
Due Date May 2, 2019
Total Due $184.00
To:
AMR

8808 Balboa Ave.
San Diego, Ca

Hours Equipment RateSub Total
1 AMR box rig#5008

From:grossmont hospital
To:station 28

$100.00$100.00
12 Mileage

License plate# 36319G1

$7.00$84.00
Sub Total $184.00
Tax $0.00
Total Due $184.00