Invoice

From:

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

insurance@pibinc.com

Invoice Number INV-0262
Invoice Date August 17, 2020
Total Due $448.05
To:
Fusion Reinforcing LLC

33509 N 24th Drive
Phoenix, AZ 85085

Hrs/Qty Service Rate/PriceAdjustSub Total
1 WORKERS COMPENSATION POLICY $435.003.00%$448.05
Sub Total $448.05
Tax $0.00
Total Due $448.05