Paid

Invoice

From:

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

insurance@pibinc.com

Invoice Number INV-0040
Invoice Date August 10, 2017
Total Due $3,617.36
To:
Claudia Jordan

14301 N 87 Street #106
Scottsdale, AZ 85260

Hrs/Qty Service Rate/PriceAdjustSub Total
1 Professional Liability Insurance Annual Premium $3,512.003.00%$3,617.36
Sub Total $3,617.36
Tax $0.00
Total Due $3,617.36