Invoice
From:
515 E. Carefree Hwy.
Phoenix, AZ 85085-8839
insurance@pibinc.com
| Invoice Number | INV-0328 |
| Invoice Date | May 10, 2022 |
| Total Due | $923.08 |
To:
Helmut John Hammen Architecture LLC
6350 N 78th Street #260
Scottsdale AZ 85250
helmutjohn@hotmail.com
2022 BOP & WORKERS COMP POLICIES - ANNUAL PREMIUM
| Hrs/Qty | Service | Rate/Price | Adjust | Sub Total |
|---|---|---|---|---|
| 1 | 2022 BOP/WC POLICIES - ANNUAL PREMIUM | $891.00 | 3.6% | $923.08 |
| Sub Total | $923.08 |
| Tax | $0.00 |
| Total Due | $923.08 |