Paid

Invoice

From:

300 Ballardvale St
Andover, MA 01810

306 Main St
Worcester, MA 01608

Invoice Date April 3, 2024
Total Due $0.00
To:
ESP Bill Pay General Account
Qty Service Rate/PriceSub Total
1 GL - 12345678
$300.00$300.00
1 Medical - 12340286 $300.00$300.00
Sub Total $600.00
Site and Service Fee (3.0%) $18.00
Paid -$618.00
Total Due $0.00