invoice date - safe payment pagesmoranco 9631 n nevada st, ste 309 spokane, wa 99218 p: (509)...
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Moranco9631 N Nevada St, Ste 309
Spokane, WA 99218P: (509) 324-0640
Test Client Name Spokane, WA 99218
INVOICEInvoice No: 00002
Invoice Date: 01/01/2020
Description Policy Number Eff Date Line of Business Due
Policy Premium RLP00000 08/01/2019 Professional Liability $1,000.00
Broker Fee RLP00000 08/01/2019 Professional Liability $0.00
Total: $1,000.00
Detach and return this portion with your payment
Invoice No: 00002Customer: Test
MAIL TO:
Moranco9631 N Nevada St, Ste 309 Spokane, WA 99218
Due Date: 08/07/2019
Amount Due Enclosed
$1,000.00
Kim
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Kim
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