Invoice

From:

300 Ballardvale St
Andover, MA 01810

306 Main St
Worcester, MA 01608

Invoice Number webId_ACCT#10066
Order Number KINGSVILLE BRAHMAS YOUTH FOOTBALL & CHEER- ACCT#10066
Invoice Date June 6, 2024
Total Due $1,501.41
To:
ESP Bill Pay General Account

INVOICE FOR KINGSVILLE BRAHMAS YOUTH FOOTBALL & CHEER- ACCT#10066

Qty Service Rate/PriceSub Total
1 GL PACKAGE- HCC
$432.68$432.68
1 PARTICIPANT MEDICAL PACKAGE - AIG $1,025.00$1,025.00
Sub Total $1,457.68
Site and Service Fee (3.0%) $43.73
Total Due $1,501.41