Paid

Invoice

From:

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

insurance@pibinc.com

Invoice Number INV-0141
Invoice Date December 4, 2018
Total Due $0.00
To:
Brittini Larsen

12103 West Range Mule Dr
Peoria, AZ 85383

Hrs/Qty Service Rate/PriceAdjustSub Total
1 PROFESSIONAL LIABILITY INSURANCE - ANNUAL PREMIUM $683.003.00%$703.49
Sub Total $703.49
Tax $0.00
Paid -$703.49
Total Due $0.00