Paid

Invoice

From:

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

insurance@pibinc.com

Invoice Number INV-0004
Invoice Date March 16, 2017
Due Date March 16, 2017
Total Due $912.58
To:
Robert T Helmer
Hrs/Qty Service Rate/PriceAdjustSub Total
1 Professional Liability Insurance Annual Premium $886.003.00%$912.58
Sub Total $912.58
Tax $0.00
Total Due $912.58