Paid
515 E. Carefree Hwy.
Phoenix, AZ 85085-8839
insurance@pibinc.com
| Invoice Number | INV-0131 |
| Invoice Date | October 3, 2018 |
| Total Due | $0.00 |
500 N Tucson Blvd Suite 110
Tucson, AZ 85716
| Hrs/Qty | Service | Rate/Price | Adjust | Sub Total |
|---|---|---|---|---|
| 1 | PROFESSIONAL LIABILITY INSURANCE - ANNUAL PREMIUM |
$500.00 | 3% | $515.00 |
| 1 | CARRIER RM/POLICY FEE | $200.00 | 3% | $206.00 |
| Sub Total | $721.00 |
| Tax | $0.00 |
| Paid | -$721.00 |
| Total Due | $0.00 |