515 E. Carefree Hwy.
Phoenix, AZ 85085-8839
insurance@pibinc.com
| Invoice Number | INV-0184 |
| Invoice Date | May 31, 2019 |
| Total Due | $103.00 |
5427 W Soft Wind Dr
Glendale, AZ 85310
| Hrs/Qty | Service | Rate/Price | Adjust | Sub Total |
|---|---|---|---|---|
| 1 | Additional premium | $100.00 | 3% | $103.00 |
| Sub Total | $103.00 |
| Tax | $0.00 |
| Total Due | $103.00 |