From:Insight Family Practice

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

To:Juliet Clark

2399 Fruitland Dr
Ogden, UT 84414
US
Phone: (801) 690-1088
Invoice # 11306
Issued on February 9, 2026
Due on February 23, 2026
Balance Due $522.88

Task 1.0

Total due for selfpay blood labs for Date of Service: 11/20/2025

Rate

$522.88

Qty

1

Amount

$522.88

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 $522.88 is Overdue Make a Payment

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Invoice History

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Status changed: Draft to Pending.

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