317381 10/11/17 CITY OF CARMEL, INDIANA VENDOR: 356304
ONE CIVIC SQUARE NATIONAL ASSOC OF SCHOOL RESOUftWCK AMOUNT: $********40.00*
f =q CARMEL, INDIANA 46032 OFFICERS INC CHECK NUMBER: 317381
?y •,• 2020 VALLEYDALE ROAD,SUITE 207A CHECK DATE: 10/11/17
HOOVER AL 35244
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1110 4355300 0 40.00 ORGANIZATION & MEMBER
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Remittance Coupon(Please return with check)
Member Name: Wendy Bodenhorn
Member ID: 40675
Expiration Date: 11/29/2017
One-Year Renewal: $40.00
Please Update Your Contact Information for our Records:
Email Address: Q edXIVI. 14 1014M/
Agency: �f Pike( 0
Billing Address: t✓�i I G '
City: ��Y III.C.t State: JA) Zip: 3�
Contact Number: �' , a�UV Mobile Office
le(circle all that apply): U /
SR SRO Supervisor SSO Law Enforcement Agency Executive
Teacher Shool Building Administrator School System Administrator
Type of Organization Serviced (circle all that apply):
mentary School -----High School Middle/Junior High School Higher Education Institution
Law Enforcement Agenc Non-Profit Vendor/Corporate
"Credit card payments can be accepted by calling 205-739-6060 or 888-316-2776.