From:Insight Family Practice

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

To:Carlos Coss

5156 Ashfield Dr
Herriman, UT 84096
US
Phone: (801) 759-0407
Invoice # 5698
Issued on September 28, 2025
Due on October 27, 2025
Balance Due $0.00

Task 1.0

01/15/2025 Office Visit: Patient Responsibility

Rate

$5

Qty

1

Amount

$5

Total Paid

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.

Total of $5.00 has been Paid

Invoice History

Status Update 236 days ago

Status changed: Draft to Pending.

Updated 236 days ago

Invoice updated by Insight Family Practice.

Viewed 235 days ago

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Status Update 105 days ago

Status changed: Pending to Paid.

Payment 105 days ago

Admin PaymentPayment Total: $5.00

Updated 105 days ago

Invoice updated by info@utahwebdesignpros.com.