Paid

Invoice
From:
Professional Insurance Brokers Inc.

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

insurance@pibinc.com

Invoice Number INV-0330
Invoice Date May 13, 2022
Total Due $0.00
To:
David A Lotz, CPA, PC

2930 N Swan Rd, # 209
Tucson, AZ 85712

LIMITS: $1,000,000/$2,000,000       DEDUCTIBLE: $2,500

Hrs/Qty Service Rate/PriceAdjustSub Total
1 E & O ANNUAL PREMIUM - LIMITS: $1,000,000/$2,000,000 DEDUCTIBLE: $2,500

David A Lotz, CPA, PC

 $1,191.003.6%$1,233.88
Sub Total $1,233.88
Tax $0.00
Paid -$1,233.88
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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