Paid

Invoice

From:

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

Invoice Number INV-21413
Invoice Date June 28, 2019
Due Date July 28, 2019
Total Due $142.00
To:
AMR

8808 Balboa Ave.
San Diego, Ca

Driver: Joe
Truck: A22
Date: 6/28/19

Hours Equipment RateSub Total
1 Wheel chair van #54199

Pickup: S/B 805 between adams ave and el cajon blvd, right shoulder
Delivered: station 1, balboa ave

$100.00$100.00
6 Mileage $7.00$42.00
Sub Total $142.00
Tax $0.00
Total Due $142.00