Paid

Invoice

From:

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

insurance@pibinc.com

Invoice Number INV-0143
Invoice Date December 4, 2018
Total Due $0.00
To:
Todd H McDonald

1039 E Geneva Drive
Tempe, AZ 85282

Hrs/Qty Service Rate/PriceAdjustSub Total
1 PROFESSIONAL LIABILITY INSURANCE - ANNUAL PREMIUM - DOWN PAYMENT $269.203%$277.28
Sub Total $277.28
Tax $0.00
Paid -$277.28
Total Due $0.00