Invoice

From:

300 Ballardvale St
Andover, MA 01810

306 Main St
Worcester, MA 01608

Invoice Number webId_ACCT# 28798
Order Number LEHIGH ACRES FOOTBALL ASSOCIATION- ACCT# 28798
Invoice Date May 21, 2024
Total Due $2,451.61
To:
ESP Bill Pay General Account

INVOICE FOR LEHIGH ACRES FOOTBALL ASSOCIATION- ACCT# 28798

Qty Service Rate/PriceSub Total
1 GL PACKAGE- HCC
$705.20$705.20
1 PARTICIPANT MEDICAL PACKAGE - AIG $1,675.00$1,675.00
Sub Total $2,380.20
Site and Service Fee (3.0%) $71.41
Total Due $2,451.61