Paid

Invoice
From:
Professional Insurance Brokers Inc.

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

insurance@pibinc.com

Invoice Number INV-0040
Invoice Date August 10, 2017
Total Due $3,617.36
To:
Claudia Jordan

14301 N 87 Street #106
Scottsdale, AZ 85260

Hrs/Qty Service Rate/PriceAdjustSub Total
1 Professional Liability Insurance Annual Premium $3,512.003%$3,617.36
Sub Total $3,617.36
Tax $0.00
Total Due $3,617.36

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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