Paid

Invoice

From:

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

insurance@pibinc.com

Invoice Number INV-0322
Invoice Date March 2, 2022
Total Due $0.00
To:
Jennifer Lane

4259 E McLellan Cir
Mesa Az 85205

Hrs/Qty Service Rate/PriceAdjustSub Total
1 PROFESSIONAL LIABILITY INSURANCE -ANNUAL PREMIUM $1,112.003.6%$1,152.03
Sub Total $1,152.03
Tax $0.00
Paid -$1,152.03
Total Due $0.00