From:Insight Family Practice

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

To:Kortney Johnson

5557 West Straights Ln
West Valley City, UT 84120
US
Phone: (385) 436-8456
Invoice # 16448
Issued on August 5, 2026
Due on August 19, 2026
Balance Due $133.16

Task 1.0

Owed for 5/12/25 Appointment (not met deductible)

Rate

$100

Qty

1

Amount

$100

Task 2.0

Owed for 6/9/25 Appointment (co-insurance)

Rate

$33.16

Qty

1

Amount

$33.16

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 $133.16 Due in 3 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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