Invoice

From:

300 Ballardvale St
Andover, MA 01810

306 Main St
Worcester, MA 01608

Invoice Number webId_ACCT#22392
Order Number SAXONBURG SPARTANS- ACCT#22392
Invoice Date May 31, 2024
Total Due $3,215.66
To:
ESP Bill Pay General Account

INVOICE FOR SAXONBURG SPARTANS- ACCT#22392

Qty Service Rate/PriceSub Total
1 GL PACKAGE- HCC
$1,662.00$1,662.00
1 PARTICIPANT MEDICAL PACKAGE - AIG
$950.00$950.00
1 D&O PACKAGE - GREAT AMERICAN $510.00$510.00
Sub Total $3,122.00
Site and Service Fee (3.0%) $93.66
Total Due $3,215.66