Invoice

From:

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

insurance@pibinc.com

Invoice Number INV-0216
Invoice Date September 16, 2019
Total Due $2,104.29
To:
Steven C Shell Architect

10741 E Avenida Hacienda
Tucson, AZ 85748

Hrs/Qty Service Rate/PriceAdjustSub Total
1 PROFESSIONAL LIABILITY INSURANCE - ANNUAL PREMIUM $2,043.003.00%$2,104.29
Sub Total $2,104.29
Tax $0.00
Total Due $2,104.29