Paid

Invoice
From:
Professional Insurance Brokers Inc.

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

insurance@pibinc.com

Invoice Number INV-0020
Order Number 30329
Invoice Date May 9, 2017
Due Date May 16, 2017
Total Due $1,263.81
To:
Mountain Sage Realty

154 W Oriole Way
Chandler, AZ 85286

Hrs/Qty Service Rate/PriceAdjustSub Total
1 PROFESSIONAL LIABILITY INSURANCE - ANNUAL PREMIUM $1,227.003%$1,263.81
Sub Total $1,263.81
Tax $0.00
Total Due $1,263.81

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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