From:Insight Family Practice

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

To:Matthew Mitchem

1184 W Pleasant View
Ogden, UT 84414
US
Phone: (731) 225-5943
Invoice # 16416
Issued on August 5, 2026
Due on August 19, 2026
Balance Due $205.04

Task 1.0

Owed for 2/10/25 Appointment (not met deductible)

Rate

$85

Qty

1

Amount

$85

Task 2.0

Owed for 6/20/25 Appointment (not met deductible)

Rate

$120.04

Qty

1

Amount

$120.04

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 $205.04 Due in 3 Days Make a Payment

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Invoice History

Updated 10 days ago

Invoice updated by info@utahwebdesignpros.com.

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