Invoice

From:

300 Ballardvale St
Andover, MA 01810

306 Main St
Worcester, MA 01608

Invoice Number webId_ACCT#10725
Order Number ACCT#10725
Invoice Date April 24, 2024
Total Due $4,229.26
To:
ESP Bill Pay General Account

INVOICE FOR FORT MYERS POLICE ATHETLIC LEAGUE PAL - ACCT#10725

Qty Service Rate/PriceSub Total
1 GL PACKAGE - HCC
$2,616.08$2,616.08
1 PARTICIPANTS MEDICAL PACKAGE - AIG
$1,375.00$1,375.00
1 COACHES MEDICAL PACKAGE - AIG $115.00$115.00
Sub Total $4,106.08
Site and Service Fee (3.0%) $123.18
Total Due $4,229.26