Invoice
From:
Professional Insurance Brokers Inc.

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

insurance@pibinc.com

Invoice Number INV-0046
Invoice Date August 31, 2017
Total Due $1.03
To:
Delene Mahoney

515 E Carefree Hwy
Phoenix, AZ 85085

Hrs/Qty Service Rate/PriceAdjustSub Total
1 Professional Liability Insurance Annual Premium $1.003%$1.03
Sub Total $1.03
Tax $0.00
Total Due $1.03

Payment is due upon receipt or the policy effective date which ever comes first.
By using PayPal to pay this invoice you agree to the 3% charge.

Thanks for choosing Professional Insurance Brokers | insurance@pibinc.com
Page {PAGENO}/{nbpg}