Invoice

From:

300 Ballardvale St
Andover, MA 01810

306 Main St
Worcester, MA 01608

Invoice Number webId_ACCT#4121
Order Number OXFORD JUNIOR FOOTBALL GOLDEN BEARS - ACCT#4121
Invoice Date April 26, 2024
Total Due $3,439.91
To:
ESP Bill Pay General Account

INVOICE FOR OXFORD JUNIORĀ  FOOTBALL GOLDEN BEARS - ACCT#4121

Qty Service Rate/PriceSub Total
1 GL PACKAGE - HCC
$1,264.72$1,264.72
1 PARTICIPANTS MEDICAL PACKAGE - AIG
$1,250.00$1,250.00
1 COACHES MEDICAL PACKAGE - AIG
$300.00$300.00
1 D&O PACKAGE - GREAT AMERICAN $525.00$525.00
Sub Total $3,339.72
Site and Service Fee (3.0%) $100.19
Total Due $3,439.91