Paid
Invoice
From:
515 E. Carefree Hwy.
Phoenix, AZ 85085-8839
insurance@pibinc.com
| Invoice Number | INV-0141 |
| Invoice Date | December 4, 2018 |
| Total Due | $0.00 |
To:
Brittini Larsen
12103 West Range Mule Dr
Peoria, AZ 85383
brittini.larsen@gmail.com
| Hrs/Qty | Service | Rate/Price | Adjust | Sub Total |
|---|---|---|---|---|
| 1 | PROFESSIONAL LIABILITY INSURANCE - ANNUAL PREMIUM | $683.00 | 3% | $703.49 |
| Sub Total | $703.49 |
| Tax | $0.00 |
| Paid | -$703.49 |
| Total Due | $0.00 |