Paid

Invoice
From:
Professional Insurance Brokers Inc.

515 E. Carefree Hwy.
Phoenix, AZ 85085-8839

insurance@pibinc.com

Invoice Number INV-0322
Invoice Date March 2, 2022
Total Due $0.00
To:
Jennifer Lane

1548 E Spyglass Drive
Mesa Az 85249

Hrs/Qty Service Rate/PriceAdjustSub Total
1 PROFESSIONAL LIABILITY INSURANCE -ANNUAL PREMIUM $1,112.003.6%$1,152.03
Sub Total $1,152.03
Tax $0.00
Paid -$1,152.03
Total Due $0.00

Payment is due upon receipt or the policy effective date which ever comes first.
By using PayPal to pay this invoice you agree to the 3% charge.

Thanks for choosing Professional Insurance Brokers | insurance@pibinc.com
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