Paid

Invoice

From:

300 Ballardvale St
Andover, MA 01810

306 Main St
Worcester, MA 01608

Invoice Number webId_ACCT#10043
Order Number WALDWICK MIDLAND PARK JUNIOR FOOTBALL- ACCT#10043
Invoice Date May 23, 2024
Total Due $0.00
To:
ESP Bill Pay General Account

INVOICE FOR WALDWICK MIDLAND PARK JUNIOR FOOTBALL- ACCT#10043

Qty Service Rate/PriceSub Total
1 GL PACKAGE- HCC
$460.00$460.00
1 PARTICIPANT MEDICAL PACKAGE - AIG
$1,650.00$1,650.00
1 COACHES MEDICAL PACKAGE - AIG
$300.00$300.00
1 D&O PACKAGE - GREAT AMERICAN $555.64$555.64
Sub Total $2,965.64
Site and Service Fee (3.0%) $88.97
Paid -$3,054.61
Total Due $0.00