Paid
515 E. Carefree Hwy.
Phoenix, AZ 85085-8839
insurance@pibinc.com
| Invoice Number | INV-0065 |
| Invoice Date | November 29, 2017 |
| Total Due | $0.00 |
2810 S 24th Street Ste #108
Phoenix, AZ 85034
| Hrs/Qty | Service | Rate/Price | Adjust | Sub Total |
|---|---|---|---|---|
| 1 | WORKERS COMP ADD'L PREMIUM - AUDIT | $3,497.90 | 3% | $3,602.84 |
| Sub Total | $3,602.84 |
| Tax | $0.00 |
| Paid | -$3,602.84 |
| Total Due | $0.00 |