Invoice

From:

300 Ballardvale St
Andover, MA 01810

306 Main St
Worcester, MA 01608

Invoice Number webId_ACCT#22765
Order Number WAUWATOSA EAST JUNIOR RAIDERS - ACCT#22765
Invoice Date April 29, 2024
Total Due $836.36
To:
ESP Bill Pay General Account

INVOICES FOR WAUWATOSA EAST JUNIOR RAIDERS - ACCT#22765

Qty Service Rate/PriceSub Total
1 GL PACKAGE - HCC
$312.00$312.00
1 PARTICIPANTS MEDICAL PACKAGE - AIG $500.00$500.00
Sub Total $812.00
Site and Service Fee (3.0%) $24.36
Total Due $836.36