Invoice

From:

300 Ballardvale St
Andover, MA 01810

306 Main St
Worcester, MA 01608

Invoice Number webId_ACCT#17609
Order Number FORT ZUMWALT WEST JUNIOR JAGUARS YOUTH FOOTBALL - ACCT#17609
Invoice Date May 9, 2024
Total Due $4,232.85
To:
ESP Bill Pay General Account

INVOICES FOR FORT ZUMWALT WEST JUNIOR JAGUARS YOUTH FOOTBALL - ACCT#17609

Qty Service Rate/PriceSub Total
1 GL PACKAGE - HCC
$1,624.56$1,624.56
1 PARTICIPANTS MEDICAL PACKAGE - AIG
$1,875.00$1,875.00
1 COACHES MEDICAL PACKAGE - AIG
$100.00$100.00
1 D&O PACKAGE - GREAT AMERICAN $510.00$510.00
Sub Total $4,109.56
Site and Service Fee (3.0%) $123.29
Total Due $4,232.85