Paid

Invoice

From:

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

insurance@pibinc.com

Invoice Number INV-0407
Invoice Date February 20, 2024
Total Due $0.00
To:
Jennifer Lane

1548 E Spyglass Drive
Mesa Az 85249

Hrs/Qty Service Rate/PriceAdjustSub Total
1 E & O 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