Invoice

From:

300 Ballardvale St
Andover, MA 01810

306 Main St
Worcester, MA 01608

Invoice Number webId_ACCT#16901
Order Number LAKE WASHINGTON JR KANGS FOOTBALL ASSOCIATION - ACCT#16901
Invoice Date May 2, 2024
Total Due $2,621.02
To:
ESP Bill Pay General Account

INVOICE FOR LAKE WASHINGTON JR KANGS FOOTBALL ASSOCIATION - ACCT#16901

Qty Service Rate/PriceSub Total
1 GL PACKAGE - HCC
$769.68$769.68
1 PARTICIPANTS MEDICAL PACKAGE - AIG
$1,050.00$1,050.00
1 COACHES MEDICAL PACKAGE - AIG
$200.00$200.00
1 D&O PACKAGE - GREAT AMERICAN $525.00$525.00
Sub Total $2,544.68
Site and Service Fee (3.0%) $76.34
Total Due $2,621.02