From:Insight Family Practice

8686 S 1300 E, Suite L102-104
Sandy, UT 84094
US
Phone: (801) 997-0368
insightfamilypractice@gmail.com

To:Shantana Hatjes

33 N 400 E
Saint George, UT 84770
US
Phone: (801) 920-6184
Invoice # 16383
Issued on August 4, 2026
Due on August 18, 2026
Balance Due $548.81

Task 1.0

Owed for 2/5/25 Appointment (not met deductible)

Rate

$100

Qty

1

Amount

$100

Task 2.0

Owed for 3/31/25 Appointment (not met deductible)

Rate

$172.22

Qty

1

Amount

$172.22

Task 3.0

Owed for 5/5/25 Appointment (not met deductible)

Rate

$100

Qty

1

Amount

$100

Task 4.0

Owed for 6/4/25 Appointment (not met deductible)

Rate

$176.59

Qty

1

Amount

$176.59

Total Owed

Info & Notes

Thank you; we really appreciate your business.

Terms & Conditions

We do expect payment within 21 days, so please process this invoice within that time. There will be a 1.5% interest charge per month on late invoices.

Balance of $548.81 Due in 2 Days Make a Payment

Make a Payment

Please enter your payment information to pay this invoice. A receipt for your records will be sent to you. Thank you very much!

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