From:Insight Family Practice

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

To:Ericka Wissler

12267 S Placer Street
Draper, UT 84020
US
Phone: (801) 520-6678
Invoice # 14838
Issued on July 6, 2026
Due on July 20, 2026
Balance Due $25.00

Task 1.0

Owed for 1/22/2025 Appointment (Patient Responsibility)

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

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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