Paid

Invoice
From:
Professional Insurance Brokers Inc.

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

insurance@pibinc.com

Invoice Number INV-0097
Invoice Date April 26, 2018
Total Due $0.00
To:
David A Lotz, CPA, PC

2930 N Swan Rd, # 209
Tucson, AZ 85712

Hrs/Qty Service Rate/PriceAdjustSub Total
1 Professional Liability Insurance Annual Premium $1,589.003%$1,636.67
Sub Total $1,636.67
Tax $0.00
Paid -$1,636.67
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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