Paid

Invoice

From:

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

Invoice Number INV-21021
Invoice Date March 1, 2019
Due Date March 31, 2019
Total Due $96.00
To:
AMR

8808 Balboa Ave.
San Diego, Ca

Manny A14

Date of service

2/28/19

Hours Equipment RateSub Total
1 AMR van 33538

From: Rady childrens hospital
To: 8808 balboa

$75.00$75.00
3 Mileage

License plate #8E12803

$7.00$21.00
Sub Total $96.00
Tax $0.00
Total Due $96.00