Paid

Invoice

From:

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

Invoice Number INV-20872
Invoice Date January 14, 2019
Due Date February 14, 2019
Total Due $184.00
To:
AMR

8808 Balboa Ave.
San Diego, Ca

Driver: Joe
Truck: A22

Hours Equipment RateSub Total
1 Van rig #43204

Pickup: grossmont hospital ER
Delivered: station 1, balboa ave

$100.00$100.00
12 Miles fee $7.00$84.00
Sub Total $184.00
Tax $0.00
Total Due $184.00