Paid

Invoice

From:

300 Ballardvale St
Andover, MA 01810

306 Main St
Worcester, MA 01608

Invoice Number webId_ACCT#22891
Order Number TRACTOR YOUTH FOOTBALL - ACCT# 22891
Invoice Date April 29, 2024
Total Due $0.00
To:
ESP Bill Pay General Account

INVOICE FOR TRACTOR YOUTH FOOTBALL - ACCT# 22891

Qty Service Rate/PriceSub Total
1 GL PACKAGE - HCC
$637.60$637.60
1 PARTICIPANTS MEDICAL PACKAGE - AIG
$975.00$975.00
1 COACHES MEDICAL PACKAGE - AIG
$150.00$150.00
1 D&O PACKAGE - GREAT AMERICAN $685.00$685.00
Sub Total $2,447.60
Site and Service Fee (3.0%) $73.43
Paid -$2,521.03
Total Due $0.00