Paid

Invoice

From:

300 Ballardvale St
Andover, MA 01810

306 Main St
Worcester, MA 01608

Invoice Number webId_1680
Order Number 29103
Invoice Date June 11, 2024
Total Due $0.00
To:
Lime Rock Amphitheater LLC

Lime Rock Amphitheater LLC

Qty Service Rate/PriceSub Total
1 Event Cancellation + Windstorm Premium
$715.00$715.00
1 Broker Fee
$150.00$150.00
1 Surplus Lines Tax
$41.95$41.95
1 Stamping Fee $0.35$0.35
Sub Total $907.30
Site and Service Fee (3.0%) $27.22
Paid -$934.52
Total Due $0.00