Paid

Invoice

From:

300 Ballardvale St
Andover, MA 01810

306 Main St
Worcester, MA 01608

Invoice Number webId_ACCT#14983
Order Number JDL PROVIDENCE FOOTBALL - ACCT#14983
Invoice Date April 29, 2024
Total Due $0.00
To:
ESP Bill Pay General Account

INVOICES FOR JDL PROVIDENCE FOOTBALL - ACCT#14983

Qty Service Rate/PriceSub Total
1 GL PACKAGE - HCC
$2,217.36$2,217.36
1 PARTICIPANTS MEDICAL PACKAGE - AIG
$1,675.00$1,675.00
1 COACHES MEDICAL PACKAGE - AIG
$205.00$205.00
1 D&O PACKAGE - GREAT AMERICAN $727.00$727.00
Sub Total $4,824.36
Site and Service Fee (3.0%) $144.73
Paid -$4,969.09
Total Due $0.00