Paid

Invoice

From:

300 Ballardvale St
Andover, MA 01810

306 Main St
Worcester, MA 01608

Invoice Number webId_ACCT#28537
Order Number PRESIDENTIAL ALLIANCE - ACCT#28537
Invoice Date May 2, 2024
Total Due $0.00
To:
ESP Bill Pay General Account

INVOICE FOR PRESIDENTIAL ALLIANCE - ACCT#28537

Qty Service Rate/PriceSub Total
1 GL PACKAGE - HCC
$1,354.24$1,354.24
1 PARTICIPANTS MEDICAL PACKAGE - AIG $1,625.00$1,625.00
Sub Total $2,979.24
Site and Service Fee (3.0%) $89.38
Paid -$3,068.62
Total Due $0.00