Invoice

From:

300 Ballardvale St
Andover, MA 01810

306 Main St
Worcester, MA 01608

Invoice Number webId_ACCT#4540
Order Number ORLAND PARK PIONEERS - ACCT#4540
Invoice Date May 9, 2024
Total Due $5,284.44
To:
ESP Bill Pay General Account

INVOICES FOR ORLAND PARK PIONEERS - ACCT#4540

Qty Service Rate/PriceSub Total
1 GL PACKAGE - HCC
$2,598.52$2,598.52
1 PARTICIPANTS MEDICAL PACKAGE - AIG
$1,600.00$1,600.00
1 COACHES MEDICAL PACKAGE - AIG
$200.00$200.00
1 D&O PACKAGE - GREAT AMERICAN $732.00$732.00
Sub Total $5,130.52
Site and Service Fee (3.0%) $153.92
Total Due $5,284.44