Invoice

From:

300 Ballardvale St
Andover, MA 01810

306 Main St
Worcester, MA 01608

Invoice Number webId_ACCT#14348
Order Number WEST MIFFLIN YOUTH ASSOCIATION- ACCT#14348
Invoice Date June 3, 2024
Total Due $1,284.78
To:
ESP Bill Pay General Account

INVOICE FOR WEST MIFFLIN YOUTH ASSOCIATION- ACCT#14348

Qty Service Rate/PriceSub Total
1 GL PACKAGE- HCC
$397.36$397.36
1 PARTICIPANT MEDICAL PACKAGE - AIG $850.00$850.00
Sub Total $1,247.36
Site and Service Fee (3.0%) $37.42
Total Due $1,284.78