From:Insight Family Practice

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

To:Michelle Clark

5024 Bobcat Drive
Herriman, UT 84096
US
Phone: (801) 604-5763
Invoice # 16483
Issued on August 6, 2026
Due on August 20, 2026
Balance Due $70.00

Task 1.0

Owed for 2/24/25 Appointment (copay)

Rate

$35

Qty

1

Amount

$35

Task 2.0

Owed for 3/21/25 Appointment (copay)

Rate

$35

Qty

1

Amount

$35

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 $70.00 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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