Invoice

From:

300 Ballardvale St
Andover, MA 01810

306 Main St
Worcester, MA 01608

Invoice Number webId_109
Order Number 17384
Invoice Date April 22, 2024
Total Due $7,902.86
To:
ESP Bill Pay General Account

PALOS VERDES YOUTH FOOTBALL ACCT#17384

Qty Service Rate/PriceSub Total
1 GL PACKAGE - HCC
$3,472.68$3,472.68
1 PARTICIPANTS MEDICAL PACKAGE - AIG
$3,675.00$3,675.00
1 DO PACKAGE - GREAT AMERICAN $525.00$525.00
Sub Total $7,672.68
Site and Service Fee (3.0%) $230.18
Total Due $7,902.86