Paid

Invoice

From:

300 Ballardvale St
Andover, MA 01810

306 Main St
Worcester, MA 01608

Invoice Number webId_ACCT#3942
Order Number OLMSTED FALLS BULLDOG YOUTH FOOTBALL - ACCT#3942
Invoice Date May 3, 2024
Total Due $0.00
To:
ESP Bill Pay General Account

INVOICE FOR OLMSTED FALLS BULLDOG YOUTH FOOTBALL - ACCT#3942

Qty Service Rate/PriceSub Total
1 GL PACKAGE - HCC
$3,956.42$3,956.42
1 PARTICIPANTS MEDICAL PACKAGE - AIG
$2,000.00$2,000.00
1 COACHES MEDICAL PACKAGE - AIG
$250.00$250.00
1 D&O PACKAGE - GREAT AMERICAN $775.00$775.00
Sub Total $6,981.42
Site and Service Fee (3.0%) $209.44
Paid -$7,190.86
Total Due $0.00