Paid

Invoice

From:

300 Ballardvale St
Andover, MA 01810

306 Main St
Worcester, MA 01608

Invoice Number webId_ACCT#13570
Order Number LAKE CITIES FOOTBALL AND CHEER ASSOC- ACCT#13570
Invoice Date May 31, 2024
Total Due $0.00
To:
ESP Bill Pay General Account

INVOICE FOR LAKE CITIES FOOTBALL AND CHEER ASSOC- ACCT#13570

Qty Service Rate/PriceSub Total
1 GL PACKAGE- HCC
$1,466.48$1,466.48
1 PARTICIPANT MEDICAL PACKAGE - AIG
$1,450.00$1,450.00
1 D&O PACKAGE - GREAT AMERICAN $642.00$642.00
Sub Total $3,558.48
Site and Service Fee (3.0%) $106.75
Paid -$3,665.23
Total Due $0.00