Paid
515 E. Carefree Hwy.
Phoenix, AZ 85085-8839
insurance@pibinc.com
| Invoice Number | INV-0114 |
| Invoice Date | July 12, 2018 |
| Total Due | $0.00 |
2819 E Calaveros Drive
Phoenix, AZ 85028
PL/GL LIABILITY ANNUAL PREMIUM 8470
CARRIER FEES 250
SURPLUS LINES TAXES & FEES 279.04
| Hrs/Qty | Service | Rate/Price | Adjust | Sub Total |
|---|---|---|---|---|
| 1 | PROFESSIONAL/GENERAL LIABILITY INSURANCE - ANNUAL PREMIUM | $8,999.04 | 3% | $9,269.01 |
| Sub Total | $9,269.01 |
| Tax | $0.00 |
| Paid | -$9,269.01 |
| Total Due | $0.00 |