Invoice

From:

300 Ballardvale St
Andover, MA 01810

306 Main St
Worcester, MA 01608

Invoice Number webId_ACCT#28817
Order Number ROCKLAND YOUTH FOOTBALL- ACCT#28817
Invoice Date May 22, 2024
Total Due $1,551.88
To:
ESP Bill Pay General Account

INVOICE FOR ROCKLAND YOUTH FOOTBALL- ACCT#28817

Qty Service Rate/PriceSub Total
1 GL PACKAGE- HCC
$406.68$406.68
1 PARTICIPANT MEDICAL PACKAGE - AIG
$600.00$600.00
1 D&O PACKAGE - GREAT AMERICAN $500.00$500.00
Sub Total $1,506.68
Site and Service Fee (3.0%) $45.20
Total Due $1,551.88