Paid
Invoice
From:
515 E. Carefree Hwy.
Phoenix, AZ 85085-8839
insurance@pibinc.com
| Invoice Number | INV-0073 |
| Invoice Date | December 29, 2017 |
| Total Due | $0.00 |
To:
| Hrs/Qty | Service | Rate/Price | Adjust | Sub Total |
|---|---|---|---|---|
| 1 | Professional Liability Insurance - Annual Premium |
$1,428.00 | 3% | $1,470.84 |
| 1 | DATA BREACH LIABILITY - ANNUAL PREMIUM | $363.00 | 3% | $373.89 |
| Sub Total | $1,844.73 |
| Tax | $0.00 |
| Paid | -$1,844.73 |
| Total Due | $0.00 |