Paid

Invoice

From:

300 Ballardvale St
Andover, MA 01810

306 Main St
Worcester, MA 01608

Invoice Number webId_ACCT#17217
Order Number WOLVERINE JR FOOTBALL - ACCT#17217
Invoice Date May 20, 2024
Total Due $0.00
To:
ESP Bill Pay General Account

INVOICE FOR WOLVERINE JR FOOTBALL - ACCT#17217

Qty Service Rate/PriceSub Total
1 GL PACKAGE - HCC
$1,047.36$1,047.36
1 PARTICIPANTS MEDICAL PACKAGE - AIG
$1,150.00$1,150.00
1 DO PACKAGE - GREAT AMERICAN $700.00$700.00
Sub Total $2,897.36
Site and Service Fee (3.0%) $86.92
Paid -$2,984.28
Total Due $0.00