Paid

Invoice

From:

300 Ballardvale St
Andover, MA 01810

306 Main St
Worcester, MA 01608

Invoice Number webId_ACCT#13763
Order Number ISSAQUAH YOUTH FOOTBALL - ACCT#13763
Invoice Date May 14, 2024
Total Due $0.00
To:
ESP Bill Pay General Account

INVOICES FOR ISSAQUAH YOUTH FOOTBALL - ACCT#13763

Qty Service Rate/PriceSub Total
1 GL PACKAGE - HCC
$916.32$916.32
1 PARTICIPANTS MEDICAL PACKAGE - AIG
$1,650.00$1,650.00
1 COACHES MEDICAL PACKAGE - AIG
$250.00$250.00
1 D&O PACKAGE - GREAT AMERICAN $525.00$525.00
Sub Total $3,341.32
Site and Service Fee (3.0%) $100.24
Paid -$3,441.56
Total Due $0.00