Invoice

From:

300 Ballardvale St
Andover, MA 01810

306 Main St
Worcester, MA 01608

Invoice Number webId_ACCT#17432
Order Number SONOMA JR DRAGONS- ACCT#17432
Invoice Date June 5, 2024
Total Due $1,954.28
To:
ESP Bill Pay General Account

INVOICE FOR SONOMA JR DRAGONS- ACCT#17432

Qty Service Rate/PriceSub Total
1 GL PACKAGE- HCC
$372.36$372.36
1 PARTICIPANT MEDICAL PACKAGE - AIG
$1,000.00$1,000.00
1 D&O PACKAGE - GREAT AMERICAN $525.00$525.00
Sub Total $1,897.36
Site and Service Fee (3.0%) $56.92
Total Due $1,954.28