Paid

Invoice

From:

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

insurance@pibinc.com

Invoice Number INV-0012
Order Number 30090
Invoice Date April 3, 2017
Due Date April 3, 2017
Total Due $1,913.33
To:
EZ Insurance Services LLC

4931 W Condor Drive
Tucson, Az 85742

Hrs/Qty Service Rate/PriceAdjustSub Total
1 PROFESSIONAL LIABILITY INSURANCE - ANNUAL PREMIUM $1,857.603.00%$1,913.33
Sub Total $1,913.33
Tax $0.00
Total Due $1,913.33