Paid

Invoice
From:
Professional Insurance Brokers Inc.

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

insurance@pibinc.com

Invoice Number INV-0047
Invoice Date August 31, 2017
Total Due $3,903.70
To:
Mojica & Associates Real Estate

5213 N Central Ave
Phoenix, AZ 85012

Hrs/Qty Service Rate/PriceAdjustSub Total
1 Professional Liability Insurance Annual Premium $3,790.003%$3,903.70
Sub Total $3,903.70
Tax $0.00
Total Due $3,903.70

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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