From:Insight Family Practice

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

To:Jimmy C Davis

660 Spring Circle
Washington, UT 84780
US
Phone: (801) 671-3993
Invoice # 17179
Issued on August 11, 2026
Due on August 25, 2026
Balance Due $28.89

Task 1.0

Owed for 6/3/25 Appointment (co-insurance)

Rate

$28.89

Qty

1

Amount

$28.89

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 $28.89 is Overdue Make a Payment

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