Paid

Invoice

From:

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

Invoice Number INV-20853
Invoice Date January 10, 2019
Due Date February 9, 2019
Total Due $138.00
To:
AMR

8808 Balboa Ave.
San Diego, Ca

Manny A14

Date of service

1/10/19

Hours Equipment RateSub Total
1 Ambulance mini van 52947

From: 1824 torrey pines rd.
To:station 28

$75.00$75.00
9 Mileage

License plate #44964j2

$7.00$63.00
Sub Total $138.00
Tax $0.00
Total Due $138.00