From:
To:
State Farm - Brian Rothert Agency
2001 Wide Waters Pkwy
Knightdale, NC 27545
9192660990
brian@brinarothert.com
- Invoice #: 27
- Issue Date: 2020-04-10
- Due Date: 2020-04-10
- Status: Unpaid
This invoice was automatically generated by the membership form.
| Item | Amount |
|---|---|
| Membership: Sole Proprietor, Agents, & Non-Profits | $100 |
| Tax | $0 |
| Donation | $0 |
| Total | $100 |