Paid
Invoice
From:
515 E. Carefree Hwy.
Phoenix, AZ 85085-8839
insurance@pibinc.com
| Invoice Number | INV-0194 |
| Invoice Date | June 26, 2019 |
| Total Due | $0.00 |
To:
Fusion Reinforcing LLC
33509 N 24th Drive
Phoenix, AZ 85085
dlundeen@fusionreinforcing.com
| Hrs/Qty | Service | Rate/Price | Adjust | Sub Total |
|---|---|---|---|---|
| 1 | WORKERS COMP POLICY / WOS - ANNUAL PREMIUM | $492.00 | 3% | $506.76 |
| Sub Total | $506.76 |
| Tax | $0.00 |
| Paid | -$506.76 |
| Total Due | $0.00 |