Paid

Invoice

From:

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

insurance@pibinc.com

Invoice Number INV-0401
Invoice Date January 2, 2024
Total Due $0.00
To:
Ryan Bontems

3741 S Ponderosa Drive
Gilbert AZ 85297

Hrs/Qty Service Rate/PriceAdjustSub Total
1 E & O ANNUAL PREMIUM - down payment $170.603.6%$176.74
Sub Total $176.74
Tax $0.00
Paid -$176.74
Total Due $0.00