Invoice

From:

300 Ballardvale St
Andover, MA 01810

306 Main St
Worcester, MA 01608

Invoice Number webId_ACCT#19606
Order Number FOX JR WARRIORS - ACCT#19606
Invoice Date May 10, 2024
Total Due $4,580.67
To:
ESP Bill Pay General Account

INVOICES FOR FOX JR WARRIORS - ACCT#19606

Qty Service Rate/PriceSub Total
1 GL PACKAGE - HCC
$2,037.25$2,037.25
1 PARTICIPANTS MEDICAL PACKAGE - AIG
$1,725.00$1,725.00
1 COACHES MEDICAL PACKAGE - AIG
$165.00$165.00
1 D&O PACKAGE - GREAT AMERICAN $520.00$520.00
Sub Total $4,447.25
Site and Service Fee (3.0%) $133.42
Total Due $4,580.67