Paid

Invoice

From:

515 E. Carefree Hwy.
Phoenix, AZ 85085-8839

insurance@pibinc.com

Invoice Number INV-0073
Invoice Date December 29, 2017
Total Due $0.00
To:
Hrs/Qty Service Rate/PriceAdjustSub Total
1 Professional Liability Insurance - Annual Premium
$1,428.003.00%$1,470.84
1 DATA BREACH LIABILITY - ANNUAL PREMIUM $363.003.00%$373.89
Sub Total $1,844.73
Tax $0.00
Paid -$1,844.73
Total Due $0.00