Paid

Invoice

From:

300 Ballardvale St
Andover, MA 01810

306 Main St
Worcester, MA 01608

Invoice Number webId_ACCT#28938
Order Number TWELVE BRIDGES JR RHINOS FOOTBALL- ACCT#28938
Invoice Date May 30, 2024
Total Due $0.00
To:
ESP Bill Pay General Account

INVOICE FOR TWELVE BRIDGES JR RHINOS FOOTBALL- ACCT#28938

Qty Service Rate/PriceSub Total
1 GL PACKAGE- HCC
$466.00$466.00
1 PARTICIPANT MEDICAL PACKAGE - AIG
$1,350.00$1,350.00
1 D&O PACKAGE - GREAT AMERICAN $500.00$500.00
Sub Total $2,316.00
Site and Service Fee (3.0%) $69.48
Paid -$2,385.48
Total Due $0.00