From:Insight Family Practice

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

To:Brooklyn Marrington

1982 N 3900 W
Lehi, UT 84043
US
Phone: (385) 505-8119
Invoice # 16331
Issued on August 4, 2026
Due on August 18, 2026
Balance Due $150.00

Task 1.0

Owed for 2/3/25 Appointment (copay)

Rate

$50

Qty

1

Amount

$50

Task 2.0

Owed for 2/27/25 Appointment (copay)

Rate

$25

Qty

1

Amount

$25

Task 3.0

Owed for 3/12/25 Appointment (copay)

Rate

$25

Qty

1

Amount

$25

Task 4.0

Owed for 3/21/25 Appointment (copay)

Rate

$25

Qty

1

Amount

$25

Task 5.0

Owed for 4/18/25 Appointment (copay)

Rate

$25

Qty

1

Amount

$25

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 $150.00 Due in 2 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!

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Invoice History

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