Invoice

From:

300 Ballardvale St
Andover, MA 01810

306 Main St
Worcester, MA 01608

Invoice Number webId_ACCT#3993
Order Number MISSOULA YOUTH FOOTBALL - ACCT#3993
Invoice Date April 29, 2024
Total Due $15,480.72
To:
ESP Bill Pay General Account

INVOICE FOR MISSOULA YOUTH FOOTBALL - ACCT#3993

Qty Service Rate/PriceSub Total
1 GL PACKAGE - HCC
$7,510.83$7,510.83
1 PARTICIPANTS MEDICAL PACKAGE - AIG
$5,975.00$5,975.00
1 COACHES MEDICAL PACKAGE - AIG
$750.00$750.00
1 D&O PACKAGE - GREAT AMERICAN $794.00$794.00
Sub Total $15,029.83
Site and Service Fee (3.0%) $450.89
Total Due $15,480.72