Invoice
From:
Professional Insurance Brokers Inc.

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

insurance@pibinc.com

Invoice Number INV-0279
Invoice Date January 27, 2021
Total Due $175.89
To:
Ryan Bontems

3741 S Ponderosa Drive
Gilbert AZ 85297

Hrs/Qty Service Rate/PriceAdjustSub Total
1 PROFESSIONAL LIABILITY INSURANCE -ANNUAL PREMIUM - Down Payment $170.603.1%$175.89
Sub Total $175.89
Tax $0.00
Total Due $175.89

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
Page {PAGENO}/{nbpg}