PO Box 645084

Cincinnati, Ohio 45264-5084

513.421.3900
Invoice Date

Troupe #

9/19/2014

INVOICE
Payee # 868848

Invoice #

Terms

Due Date

Balance Due

649325

Pay By Due Date

9/19/2014

$.00

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Paid by: ( ___ Check ___ AMEX ___ MC ___ VISA ___ Diners Club)

Jonathan Bonilla
Sherman Oaks Center for Enriched Studies
6619 Saloma Ave
Van Nuys, CA 91405

Amt. Paid

Pmt. Date
Signature (credit card only)

Check/Credit Card Number (no spaces)

CID #

Exp (mm/yy)

Return top portion with payment to the PO Box above.

cut here
Invoice Date

Notice Date

9/19/2014

9/19/2014

Troupe #

Invoice #

PO #

649325

Jonathan Bonilla
Sherman Oaks Center for Enriched Studies
6619 Saloma Ave
Van Nuys, CA 91405

Due Date

Invoice Amt.

9/19/2014

$50.00

Send payment to:

Payee # 868848

EdTA
PO Box 645084
Cincinnati, Ohio 45264-5084

Invoice Detail
Date

Item Description

QTY

Rate

Total

9/19/2014 New Affiliate Professional Member Dues

$50.00

$50.00

9/19/2014 Payment - VISA 6511607797

$-50.00

$-50.00

Note:

Please Retain This Portion For Your Records

Total Invoice

$50.00

Payments/Applied Credits

$50.00

Balance Due

$.00

You can pay online at schooltheatre.org. Log in and click on invoices and transaction history.