Invoice

From:

300 Ballardvale St
Andover, MA 01810

306 Main St
Worcester, MA 01608

Invoice Number webId_ACCT#5365
Order Number WHITE BEAR YOUTH FOOTBALL ASSOC - ACCT#5365
Invoice Date May 14, 2024
Total Due $3,981.98
To:
ESP Bill Pay General Account

INVOICE FOR WHITE BEAR YOUTH FOOTBALL ASSOC - ACCT#5365

Qty Service Rate/PriceSub Total
1 GL PACKAGE - HCC
$1,402.00$1,402.00
1 PARTICIPANTS MEDICAL PACKAGE - AIG
$1,750.00$1,750.00
1 DO PACKAGE - GREAT AMERICAN $714.00$714.00
Sub Total $3,866.00
Site and Service Fee (3.0%) $115.98
Total Due $3,981.98