Invoice

From:

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

insurance@pibinc.com

Invoice Number INV-0306
Invoice Date August 16, 2021
Total Due $540.24
To:
Clemens Accounting

13416 N 58TH STREET
SCOTTSDALE AZ 85254

Hrs/Qty Service Rate/PriceAdjustSub Total
1 PROFESSIONAL LIABILITY INSURANCE -ANNUAL PREMIUM $524.003.1%$540.24
Sub Total $540.24
Tax $0.00
Total Due $540.24