Invoice
From:
515 E. Carefree Hwy.
Phoenix, AZ 85085-8839
insurance@pibinc.com
| Invoice Number | INV-0262 |
| Invoice Date | August 17, 2020 |
| Total Due | $448.05 |
To:
Fusion Reinforcing LLC
33509 N 24th Drive
Phoenix, AZ 85085
dlundeen@fusionreinforcing.com
| Hrs/Qty | Service | Rate/Price | Adjust | Sub Total |
|---|---|---|---|---|
| 1 | WORKERS COMPENSATION POLICY | $435.00 | 3% | $448.05 |
| Sub Total | $448.05 |
| Tax | $0.00 |
| Total Due | $448.05 |