Invoice

From:

300 Ballardvale St
Andover, MA 01810

306 Main St
Worcester, MA 01608

Invoice Number webId_ACCT#15523
Order Number LEES SUMMIT FOOTBALL ASSOCIATION INC- ACCT#15523
Invoice Date June 5, 2024
Total Due $5,278.46
To:
ESP Bill Pay General Account

INVOICE FOR LEES SUMMIT FOOTBALL ASSOCIATION INC- ACCT#15523

Qty Service Rate/PriceSub Total
1 GL PACKAGE- HCC
$2,874.72$2,874.72
1 PARTICIPANT MEDICAL PACKAGE - AIG
$1,725.00$1,725.00
1 D&O PACKAGE - GREAT AMERICAN $525.00$525.00
Sub Total $5,124.72
Site and Service Fee (3.0%) $153.74
Total Due $5,278.46