Invoice

From:

300 Ballardvale St
Andover, MA 01810

306 Main St
Worcester, MA 01608

Invoice Number webId_ACCT#17087
Order Number ACCT#17087
Invoice Date April 25, 2024
Total Due $3,656.58
To:
ESP Bill Pay General Account

INVOICE FOR FOLSOM YOUTH FOOTBALL AND CHEER - ACCT#17087

Qty Service Rate/PriceSub Total
1 GL PACKAGE - HCC
$1,950.08$1,950.08
1 PARTICIPANTS MEDICAL PACKAGE - AIG $1,600.00$1,600.00
Sub Total $3,550.08
Site and Service Fee (3.0%) $106.50
Total Due $3,656.58