Paid
Invoice
From:
515 E. Carefree Hwy.
Phoenix, AZ 85085-8839
insurance@pibinc.com
| Invoice Number | INV-0023 |
| Invoice Date | May 15, 2017 |
| Due Date | June 7, 2017 |
| Total Due | $168.30 |
To:
Jacqueline Atchley/ Windmill Road Appraisals
6595 S. Windmill Road
Skull Valley, AZ 86338
jacquelineatchley@yahoo.com
| Hrs/Qty | Service | Rate/Price | Adjust | Sub Total |
|---|---|---|---|---|
| 1 | Professional Liability Insurance Annual Premium | $163.40 | 3% | $168.30 |
| Sub Total | $168.30 |
| Tax | $0.00 |
| Total Due | $168.30 |