Paid

Invoice
From:
Professional Insurance Brokers Inc.

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

insurance@pibinc.com

Invoice Number INV-0152
Invoice Date January 15, 2019
Total Due $0.00
To:
BL Gertz & Associates

5731 E Duncan Street
Mesa, AZ 85205

Hrs/Qty Service Rate/PriceAdjustSub Total
1 PROFESSIONAL LIABILITY INSURANCE - ANNUAL PREMIUM - FINAL PAYMENT $791.003%$814.73
Sub Total $814.73
Tax $0.00
Paid -$814.73
Total Due $0.00

Payment is due upon receipt or the policy effective date which ever comes first.
By using PayPal to pay this invoice you agree to the 3% charge.

Thanks for choosing Professional Insurance Brokers | insurance@pibinc.com
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