Invoice

From:

300 Ballardvale St
Andover, MA 01810

306 Main St
Worcester, MA 01608

Invoice Number webId_ACCT#14752
Order Number LADYS ISLAND EAGLES- ACCT#14752
Invoice Date June 4, 2024
Total Due $1,196.86
To:
ESP Bill Pay General Account

INVOICE FOR LADYS ISLAND EAGLES- ACCT#14752

Qty Service Rate/PriceSub Total
1 GL PACKAGE- HCC
$337.00$337.00
1 PARTICIPANT MEDICAL PACKAGE - AIG $825.00$825.00
Sub Total $1,162.00
Site and Service Fee (3.0%) $34.86
Total Due $1,196.86