Paid

Invoice

From:

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

insurance@pibinc.com

Invoice Number INV-0024
Invoice Date May 23, 2017
Total Due $139.87
To:
Brooke Patterson

PO BOX 50185
Phoenixr, AZ 85076

Hrs/Qty Service Rate/PriceAdjustSub Total
1 Professional Liability Insurance Annual Premium $135.803%$139.87
Sub Total $139.87
Tax $0.00
Total Due $139.87