Paid

Invoice

From:

300 Ballardvale St
Andover, MA 01810

306 Main St
Worcester, MA 01608

Invoice Number webId_ACCT#10211
Order Number TENTH WARD TIGERS- ACCT#10211
Invoice Date May 30, 2024
Total Due $0.00
To:
ESP Bill Pay General Account

INVOICE FOR TENTH WARD TIGERS- ACCT#10211

Qty Service Rate/PriceSub Total
1 GL PACKAGE- HCC
$533.60$533.60
1 PARTICIPANT MEDICAL PACKAGE - AIG
$800.00$800.00
1 D&O PACKAGE - GREAT AMERICAN $525.00$525.00
Sub Total $1,858.60
Site and Service Fee (3.0%) $55.76
Paid -$1,914.36
Total Due $0.00