Invoice
From:
515 E. Carefree Hwy.
Phoenix, AZ 85085-8839
insurance@pibinc.com
| Invoice Number | INV-0186 |
| Invoice Date | June 3, 2019 |
| Total Due | $1,257.63 |
To:
David A Lotz, CPA, PC
2930 N Swan Rd, # 209
Tucson, AZ 85712
david@lotzcpa.com
| Hrs/Qty | Service | Rate/Price | Adjust | Sub Total |
|---|---|---|---|---|
| 1 | Professional Liability Insurance Annual Premium | $1,221.00 | 3% | $1,257.63 |
| Sub Total | $1,257.63 |
| Tax | $0.00 |
| Total Due | $1,257.63 |