Paid

Invoice

From:

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

Invoice Number INV-20833
Invoice Date January 4, 2019
Due Date February 3, 2019
Total Due $250.00
To:
AMR

8808 Balboa Ave.
San Diego, Ca

Devon/Manny A22

Date of service

1/3/19

Hours Equipment RateSub Total
1 AMR van unit #58532

From: palomar medical
Escondido
To: station 1

$75.00$75.00
25 Mileage

License plate #7J78220

$7.00$175.00
Sub Total $250.00
Tax $0.00
Total Due $250.00