Invoice

From:

300 Ballardvale St
Andover, MA 01810

306 Main St
Worcester, MA 01608

Invoice Number webId_ACCT#3926
Order Number BELMONT JUNIOR MARAUDER FOOTBALL INC- ACCT#3926
Invoice Date May 31, 2024
Total Due $1,434.79
To:
ESP Bill Pay General Account

INVOICE FOR BELMONT JUNIOR MARAUDER FOOTBALL INC- ACCT#3926

Qty Service Rate/PriceSub Total
1 GL PACKAGE- HCC
$468.00$468.00
1 PARTICIPANT MEDICAL PACKAGE - AIG
$400.00$400.00
1 D&O PACKAGE - GREAT AMERICAN $525.00$525.00
Sub Total $1,393.00
Site and Service Fee (3.0%) $41.79
Total Due $1,434.79