Invoice

From:

300 Ballardvale St
Andover, MA 01810

306 Main St
Worcester, MA 01608

Invoice Number webId_ACCT#9466
Order Number BLAINE YOUTH FOOTBALL- ACCT#9466
Invoice Date June 10, 2024
Total Due $10,065.57
To:
ESP Bill Pay General Account

INVOICE FOR BLAINE YOUTH FOOTBALL- ACCT#9466

Qty Service Rate/PriceSub Total
1 GL PACKAGE- HCC
$5,962.40$5,962.40
1 PARTICIPANT MEDICAL PACKAGE - AIG
$2,550.00$2,550.00
1 COACHES MEDICAL PACKAGE - AIG
$500.00$500.00
1 D&O PACKAGE - GREAT AMERICAN $760.00$760.00
Sub Total $9,772.40
Site and Service Fee (3.0%) $293.17
Total Due $10,065.57