Paid

Invoice

From:

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

insurance@pibinc.com

Invoice Number INV-0295
Invoice Date June 15, 2021
Total Due $0.00
To:
Fusion Reinforcing LLC

33509 N 24th Drive
Phoenix, AZ 85085

Hrs/Qty Service Rate/PriceAdjustSub Total
1 COMMERCIAL AUTO & WORKERS COMP - ANNUAL PREMIUM $2,840.003.00%$2,925.20
Sub Total $2,925.20
Tax $0.00
Paid -$2,925.20
Total Due $0.00