Paid
Invoice
From:
515 E. Carefree Hwy.
Phoenix, AZ 85085-8839
insurance@pibinc.com
| Invoice Number | INV-0358 |
| Invoice Date | October 26, 2022 |
| Total Due | $0.00 |
To:
Thomas C Hayden
1259 E Jahns
Casa Grande, AZ 85122
tchayden12@gmail.com
| Hrs/Qty | Service | Rate/Price | Adjust | Sub Total |
|---|---|---|---|---|
| 1 | E & O ANNUAL PREMIUM | $550.00 | 3.6% | $569.80 |
| Sub Total | $569.80 |
| Tax | $0.00 |
| Paid | -$569.80 |
| Total Due | $0.00 |