Paid
515 E. Carefree Hwy.
Phoenix, AZ 85085-8839
insurance@pibinc.com
| Invoice Number | INV-0133 |
| Invoice Date | October 17, 2018 |
| Total Due | $672.59 |
PO BOX 8053
SURPRISE, AZ 85374
| Hrs/Qty | Service | Rate/Price | Adjust | Sub Total |
|---|---|---|---|---|
| 1 | PROFESSIONAL LIABILITY INSURANCE - ANNUAL PREMIUM | $653.00 | 3% | $672.59 |
| Sub Total | $672.59 |
| Tax | $0.00 |
| Total Due | $672.59 |