Paid

Invoice

From:

300 Ballardvale St
Andover, MA 01810

306 Main St
Worcester, MA 01608

Invoice Number webId_ACCT#16982
Order Number STAMFORD SPARTANS YOUTH FOOTBALL- ACCT#16982
Invoice Date May 21, 2024
Total Due $0.00
To:
ESP Bill Pay General Account

INVOICE FOR STAMFORD SPARTANS YOUTH FOOTBALL- ACCT#16982

Qty Service Rate/PriceSub Total
1 GL PACKAGE- HCC
$3,993.03$3,993.03
1 PARTICIPANT MEDICAL PACKAGE - AIG
$2,500.00$2,500.00
1 COACHES MEDICAL PACKAGE - AIG
$300.00$300.00
1 D&O PACKAGE - GREAT AMERICAN $700.00$700.00
Sub Total $7,493.03
Site and Service Fee (3.0%) $224.79
Paid -$7,717.82
Total Due $0.00