Invoice

From:

300 Ballardvale St
Andover, MA 01810

306 Main St
Worcester, MA 01608

Invoice Number webId_ACCT@4007
Order Number UNION JR WILDCATS - ACCT@4007
Invoice Date May 8, 2024
Total Due $1,406.98
To:
ESP Bill Pay General Account

INVOICES FOR UNION JR WILDCATS - ACCT@4007

Qty Service Rate/PriceSub Total
1 GL PACKAGE - HCC
$466.00$466.00
1 PARTICIPANTS MEDICAL PACKAGE - AIG $900.00$900.00
Sub Total $1,366.00
Site and Service Fee (3.0%) $40.98
Total Due $1,406.98