14862 – Owed for 1/31/25 Appointment

From:Insight Family Practice

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

Phone: (801) 997-0368

insightfamilypractice@gmail.com

To:David Weston Bird

11426 South Tiger Tail Circle
Sandy, UT 84094
US

Phone: (801) 910-9122

Invoice # 14862

Issued on July 6, 2026

Due on July 20, 2026

Balance Due $10.10

Task 1.0

Owed for 1/31/25 appointment (co-insurance)

Rate

$10.10

Qty

Amount

$10.10

Total Owed

Subtotal
$10.10
Total
$10.10

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 $10.10 Due in 8 Days 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!

Credit Card

First Name *

Last Name *

Street Address *

Street Address 2

City *

ZIP Code *

State *

Country *

Cardholder Name *

Card Number *

Expiration Date *

Security Code *

Invoice History

Updated 5 days ago

Invoice updated by info@utahwebdesignpros.com.