Paid
Invoice
From:
515 E. Carefree Hwy.
Phoenix, AZ 85085-8839
insurance@pibinc.com
| Invoice Number | INV-0021 |
| Order Number | 30337 |
| Invoice Date | May 10, 2017 |
| Due Date | May 17, 2017 |
| Total Due | $1,636.67 |
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 | $1,589.00 | 3% | $1,636.67 |
| Sub Total | $1,636.67 |
| Tax | $0.00 |
| Total Due | $1,636.67 |