Paid

Invoice

From:

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

insurance@pibinc.com

Invoice Number INV-0439
Invoice Date August 28, 2024
Total Due $0.00
To:
Fusion Reinforcing LLC

33509 N 24th Drive
Phoenix, AZ 85085

Hrs/Qty Service Rate/PriceAdjustSub Total
1 WORKERS COMPENSATION ANNUAL AUDIT $502.003.6%$520.07
Sub Total $520.07
Tax $0.00
Paid -$520.07
Total Due $0.00