Paid
Invoice
From:
515 E. Carefree Hwy.
Phoenix, AZ 85085-8839
insurance@pibinc.com
| Invoice Number | INV-0342 |
| Invoice Date | July 11, 2022 |
| Total Due | $0.00 |
To:
Golden Rule Tattoo LLC
2819 E Calaveros Drive
Phoenix, AZ 85028
davemaxwellgroup@gmail.com
| Hrs/Qty | Service | Rate/Price | Adjust | Sub Total |
|---|---|---|---|---|
| 1 | WORKERS COMPENSATION - ANNUAL PREMIUM | $6,190.00 | 3.6% | $6,412.84 |
| Sub Total | $6,412.84 |
| Tax | $0.00 |
| Paid | -$6,412.84 |
| Total Due | $0.00 |