Invoice

From:

300 Ballardvale St
Andover, MA 01810

306 Main St
Worcester, MA 01608

Invoice Number webId_ACCT#17004
Order Number FULLERTON JUNIOR ALL AMERICAN - ACCT#17004
Invoice Date May 2, 2024
Total Due $733.36
To:
ESP Bill Pay General Account

INVOICES FOR FULLERTON JUNIOR ALL AMERICAN - ACCT#17004

Qty Service Rate/PriceSub Total
1 GL PACKAGE - HCC
$312.00$312.00
1 PARTICIPANTS MEDICAL PACKAGE - AIG $400.00$400.00
Sub Total $712.00
Site and Service Fee (3.0%) $21.36
Total Due $733.36