Invoice

From:

300 Ballardvale St
Andover, MA 01810

306 Main St
Worcester, MA 01608

Invoice Number webId_ACCT#9446
Order Number LONG VALLEY RAIDERS FOOTBALL ASSOCIATION - ACCT#9446
Invoice Date May 7, 2024
Total Due $3,963.44
To:
ESP Bill Pay General Account

INVOICES FOR LONG VALLEY RAIDERS FOOTBALL ASSOCIATION - ACCT#9446

Qty Service Rate/PriceSub Total
1 GL PACKAGE - HCC
$2,298.00$2,298.00
1 PARTICIPANTS MEDICAL PACKAGE - AIG
$1,300.00$1,300.00
1 COACHES MEDICAL PACKAGE - AIG $250.00$250.00
Sub Total $3,848.00
Site and Service Fee (3.0%) $115.44
Total Due $3,963.44