Paid
Invoice
From:
515 E. Carefree Hwy.
Phoenix, AZ 85085-8839
insurance@pibinc.com
| Invoice Number | INV-0030 |
| Invoice Date | June 27, 2017 |
| Total Due | $175.72 |
To:
Timothy S O'Donnell / Timothy S O'Donnell & Associates
1508 W La Jolla Drive
Tempe, AZ 85282
cyrese5@cox.net
| Hrs/Qty | Service | Rate/Price | Adjust | Sub Total |
|---|---|---|---|---|
| 1 | Professional Liability Insurance Annual Premium | $170.60 | 3% | $175.72 |
| Sub Total | $175.72 |
| Tax | $0.00 |
| Total Due | $175.72 |