Invoice

From:

300 Ballardvale St
Andover, MA 01810

306 Main St
Worcester, MA 01608

Invoice Number webId_ACCT#14303
Order Number ACCT#14303
Invoice Date April 23, 2024
Total Due $5,812.21
To:
ESP Bill Pay General Account

INVOICE FOR RESTON YOUTH ASSOCIATION - ACCT#14303

Qty Service Rate/PriceSub Total
1 GL PACKAGE - HCC
$2,231.92$2,231.92
1 PARTICIPANTS MEDICAL PACKAGE - AIG
$2,650.00$2,650.00
1 DO PACKAGE - GREAT AMERICAN $761.00$761.00
Sub Total $5,642.92
Site and Service Fee (3.0%) $169.29
Total Due $5,812.21