Invoice

From:

300 Ballardvale St
Andover, MA 01810

306 Main St
Worcester, MA 01608

Invoice Number webId_ACCT#4242
Order Number CLAYTON VALLEY ATHLETIC ASSOCIATION- ACCT#4242
Invoice Date June 5, 2024
Total Due $3,046.33
To:
ESP Bill Pay General Account

INVOICE FOR CLAYTON VALLEY ATHLETIC ASSOCIATION- ACCT#4242

Qty Service Rate/PriceSub Total
1 GL PACKAGE- HCC
$1,457.60$1,457.60
1 PARTICIPANT MEDICAL PACKAGE - AIG
$1,250.00$1,250.00
1 COACHES MEDICAL PACKAGE - AIG $250.00$250.00
Sub Total $2,957.60
Site and Service Fee (3.0%) $88.73
Total Due $3,046.33