Paid

Invoice

From:

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

insurance@pibinc.com

Invoice Number INV-0021
Order Number 30337
Invoice Date May 10, 2017
Due Date May 17, 2017
Total Due $1,636.67
To:
David A Lotz, CPA, PC

2930 N Swan Rd, # 209
Tucson, AZ 85712

Hrs/Qty Service Rate/PriceAdjustSub Total
1 Professional Liability Insurance Annual Premium $1,589.003.00%$1,636.67
Sub Total $1,636.67
Tax $0.00
Total Due $1,636.67