Invoice

From:

300 Ballardvale St
Andover, MA 01810

306 Main St
Worcester, MA 01608

Invoice Number webId_ACCT#13663
Order Number WAUKEE YOUTH FOOTBALL LEAGUE INC- ACCT#13663
Invoice Date May 29, 2024
Total Due $7,250.05
To:
ESP Bill Pay General Account

INVOICE FOR WAUKEE YOUTH FOOTBALL LEAGUE INC- ACCT#13663

Qty Service Rate/PriceSub Total
1 GL PACKAGE- HCC
$3,788.88$3,788.88
1 PARTICIPANT MEDICAL PACKAGE - AIG
$2,150.00$2,150.00
1 COACHES MEDICAL PACKAGE - AIG
$450.00$450.00
1 D&O PACKAGE - GREAT AMERICAN $650.00$650.00
Sub Total $7,038.88
Site and Service Fee (3.0%) $211.17
Total Due $7,250.05