Paid

Invoice

From:

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

insurance@pibinc.com

Invoice Number INV-0065
Invoice Date November 29, 2017
Total Due $0.00
To:
Vertical Identity Security

2810 S 24th Street Ste #108
Phoenix, AZ 85034

Hrs/Qty Service Rate/PriceAdjustSub Total
1 WORKERS COMP ADD'L PREMIUM - AUDIT $3,497.903.00%$3,602.84
Sub Total $3,602.84
Tax $0.00
Paid -$3,602.84
Total Due $0.00