Paid
515 E. Carefree Hwy.
Phoenix, AZ 85085-8839
insurance@pibinc.com
Invoice Number | INV-0051 |
Invoice Date | September 27, 2017 |
Total Due | $1,379.17 |
2810 S 24th Street Ste #108
Phoenix, AZ 85034
Hrs/Qty | Service | Rate/Price | Adjust | Sub Total |
---|---|---|---|---|
1 | WORKERS COMPENSATION - PREMIUM DOWN PAYMENT | $1,339.00 | 3% | $1,379.17 |
Sub Total | $1,379.17 |
Tax | $0.00 |
Total Due | $1,379.17 |