Paid

Invoice

From:

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

insurance@pibinc.com

Invoice Number INV-0023
Invoice Date May 15, 2017
Due Date June 7, 2017
Total Due $168.30
To:
Jacqueline Atchley/ Windmill Road Appraisals

6595 S. Windmill Road
Skull Valley, AZ 86338

Hrs/Qty Service Rate/PriceAdjustSub Total
1 Professional Liability Insurance Annual Premium $163.403.00%$168.30
Sub Total $168.30
Tax $0.00
Total Due $168.30