Invoice

From:

300 Ballardvale St
Andover, MA 01810

306 Main St
Worcester, MA 01608

Invoice Number webId_ACCT# 20404
Order Number LLANO YOUTH FOOTBALL- ACCT# 20404
Invoice Date June 6, 2024
Total Due $1,644.91
To:
ESP Bill Pay General Account

INVOICE FOR LLANO YOUTH FOOTBALL- ACCT# 20404

Qty Service Rate/PriceSub Total
1 GL PACKAGE- HCC
$312.00$312.00
1 PARTICIPANT MEDICAL PACKAGE - AIG
$600.00$600.00
1 D&O PACKAGE - GREAT AMERICAN $685.00$685.00
Sub Total $1,597.00
Site and Service Fee (3.0%) $47.91
Total Due $1,644.91