From:Insight Family Practice

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

To:Matthew Olsen

3044 East Tolcate Lane
Salt Lake City, UT 84121
US
Phone: (801) 971-5704
Invoice # 5734
Issued on September 28, 2025
Due on October 27, 2025
Balance Due $0.00

Task 1.0

01/23/2025 Office Visit: Patient Responsibility

Rate

$135.14

Qty

1

Amount

$135.14

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 $135.14 has been Paid

Invoice History

Status Update 171 days ago

Status changed: Draft to Pending.

Updated 171 days ago

Invoice updated by Insight Family Practice.

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Status Update 40 days ago

Status changed: Pending to Paid.

Payment 40 days ago

Admin PaymentPayment Total: $135.14

Updated 40 days ago

Invoice updated by info@utahwebdesignpros.com.