Paid

Invoice

From:

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

Invoice Number INV-21751
Invoice Date September 29, 2019
Due Date October 29, 2019
Total Due $191.00
To:
AMR

8808 Balboa Ave.
San Diego, Ca

Devon A22
Date of Service: 9/29/19

Hours Equipment RateSub Total
1 AMR Box Rig # 48884

Plate # 363118G1

$100.00$100.00
13 Mileage

From: Coronado Hospital
To: Station 28

$7.00$91.00
Sub Total $191.00
Tax $0.00
Total Due $191.00