From:Insight Family Practice

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

To:Cameron Stith

9585 Sweet Blossom Drive
South Jordan, UT 84095
US
Phone: (385) 255-0300
Invoice # 16475
Issued on August 6, 2026
Due on August 20, 2026
Balance Due $25.00

Task 1.0

Owed for 2/24/25 Appointment (copay)

Rate

$25

Qty

1

Amount

$25

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 $25.00 is Overdue Make a Payment

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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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