Paid
515 E. Carefree Hwy.
Phoenix, AZ 85085-8839
insurance@pibinc.com
| Invoice Number | INV-0050 | 
| Invoice Date | September 21, 2017 | 
| Total Due | $1,277.20 | 
661 S. 4th Avenue
Yuma, Arizona  85364
| Hrs/Qty | Service | Rate/Price | Adjust | Sub Total | 
|---|---|---|---|---|
| 1 | PROFESSIONAL LIABILITY INSURANCE - ANNUAL PREMIUM | $1,240.00 | 3% | $1,277.20 | 
| Sub Total | $1,277.20 | 
| Tax | $0.00 | 
| Total Due | $1,277.20 |