Paid

Invoice
From:
Professional Insurance Brokers Inc.

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

insurance@pibinc.com

Invoice Number INV-0121
Invoice Date August 7, 2018
Total Due $0.00
To:
Douglas Mummert Consulting

P O Box 32003
Phoenix, AZ 85064

Hrs/Qty Service Rate/PriceAdjustSub Total
1 PROFESSIONAL/GENERAL LIABILITY INSURANCE - ANNUAL PREMIUM $1,034.003%$1,065.02
Sub Total $1,065.02
Tax $0.00
Paid -$1,065.02
Total Due $0.00

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
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