Paid

Invoice

From:

300 Ballardvale St
Andover, MA 01810

306 Main St
Worcester, MA 01608

Invoice Number webId_ACCT#23280
Order Number ROSMAN YOUTH FOOTBALL AND CHEER- ACCT#23280
Invoice Date June 5, 2024
Total Due $0.00
To:
ESP Bill Pay General Account

INVOICE FOR ROSMAN YOUTH FOOTBALL AND CHEER- ACCT#23280

Qty Service Rate/PriceSub Total
1 GL PACKAGE- HCC
$1,402.00$1,402.00
1 PARTICIPANT MEDICAL PACKAGE - AIG
$900.00$900.00
1 D&O PACKAGE - GREAT AMERICAN $585.00$585.00
Sub Total $2,887.00
Site and Service Fee (3.0%) $86.61
Paid -$2,973.61
Total Due $0.00