From:Insight Family Practice

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

To:John Amtoft

3338 S 700 E
Salt Lake City, UT 84106
US
Phone: (385) 371-0792
Invoice # 14423
Issued on June 24, 2026
Due on July 8, 2026
Balance Due $92.45

Task 1.0

Co-insurance for appointment on 1/2/25

Rate

$1.79

Qty

1

Amount

$1.79

Task 2.0

Co-insurance for appointment on 1/30/25

Rate

$30

Qty

1

Amount

$30

Task 3.0

Co-insurance for appointment on 5/22/25

Rate

$60.66

Qty

1

Amount

$60.66

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 $92.45 is Overdue 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!

*
*
*
*
*
*
*
*
*
*
*
*

Invoice History

Updated 32 days ago

Invoice updated by info@utahwebdesignpros.com.

Updated 32 days ago

Invoice updated by info@utahwebdesignpros.com.

Viewed 31 days ago

Invoice viewed by 66.249.70.167 for the first time.

Updated 30 days ago

Invoice updated by info@utahwebdesignpros.com.

Viewed 30 days ago

Invoice viewed by 83.99.206.4 for the first time.

Viewed 30 days ago

Invoice viewed by 83.99.206.69 for the first time.

Viewed 25 days ago

Invoice viewed by 5.245.138.117 for the first time.

Viewed 25 days ago

Invoice viewed by 116.108.134.57 for the first time.

Viewed 23 days ago

Invoice viewed by 103.98.129.178 for the first time.

Viewed 21 days ago

Invoice viewed by 90.55.74.166 for the first time.

Viewed 18 days ago

Invoice viewed by 83.99.206.187 for the first time.

Viewed 18 days ago

Invoice viewed by 83.99.206.40 for the first time.

Viewed 14 days ago

Invoice viewed by 83.99.206.210 for the first time.

Viewed 10 days ago

Invoice viewed by 83.99.206.177 for the first time.

Viewed 7 days ago

Invoice viewed by 83.99.206.232 for the first time.

Viewed 3 days ago

Invoice viewed by 83.99.206.130 for the first time.