Paid

Invoice

From:

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

Invoice Number INV-21425
Invoice Date July 8, 2019
Due Date August 7, 2019
Total Due $149.00
To:
AMR

8808 Balboa Ave.
San Diego, Ca

Devon A22

Date of service

7/7/19

Hours Equipment RateSub Total
1 AMR van unit#38277

From:mercy hospital
To:station 1

$100.00$100.00
7 Mileage

License plate#97952J1

$7.00$49.00
Sub Total $149.00
Tax $0.00
Total Due $149.00