18103 – Owed for 7/2/25 Appointment

From:Insight Family Practice

8686 S 1300 E, Suite L102-104
Sandy, UT 84094
US

Phone: (801) 997-0368

insightfamilypractice@gmail.com

To:Robynne Baker

2875 E Cherry Blossom Ln
Salt Lake City, UT 84117
US

Phone: (385) 900-9770

Invoice # 18103

Issued on August 19, 2026

Due on September 2, 2026

Balance Due $29.73

Task 1.0

Owed for 7/2/25 Appointment (co-insurance)

Rate

$29.73

Qty

Amount

$29.73

Total Owed

Subtotal
$29.73
Total
$29.73

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.

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