Paid

Invoice

From:

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

insurance@pibinc.com

Invoice Number INV-0236
Invoice Date February 14, 2020
Total Due $0.00
To:
Ryan Bontems

3741 S Ponderosa Drive
Gilbert AZ 85297

Hrs/Qty Service Rate/PriceAdjustSub Total
1 Professional Liability Insurance Annual Premium - Down Payment $170.603.00%$175.72
Sub Total $175.72
Tax $0.00
Paid -$175.72
Total Due $0.00