Paid
Invoice
From:
515 E. Carefree Hwy.
Phoenix, AZ 85085-8839
insurance@pibinc.com
| Invoice Number | INV-0405 |
| Invoice Date | January 29, 2024 |
| Total Due | $0.00 |
To:
Daniel Bateman
2425 W Bronco Butte Trail #2025
danbateman@cox.net
| Hrs/Qty | Service | Rate/Price | Adjust | Sub Total |
|---|---|---|---|---|
| 1 | E & O ANNUAL PREMIUM | $369.00 | 3.6% | $382.28 |
| Sub Total | $382.28 |
| Tax | $0.00 |
| Paid | -$382.28 |
| Total Due | $0.00 |