HomeMy WebLinkAbout260169 06/28/16 u' CITY OF CARMEL, INDIANA VENDOR: 369732
® �I ONE CIVIC SQUARE G C S A A CHECK AMOUNT: $*******425.00* .
:9 ,_� CARMEL, INDIANA 46032 1421 RESEARCH PARK DRIVE CHECK NUMBER: 260169
M,�rpH. LAWRENCE KS 66049-3859 CHECK DATE: 06/28/16
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1207 4355300 164825 425.00 ORGANIZATION & MEMBER
Prescribed by State Board of Accounts City Form No.201(Rev.1995)
VOUCHER NO. WARRANT NO.
GOLF COURSE SUPER. ASSOC OF AMERIC ALLOWED 20 ACCOUNTS PAYABLE VOUCHER
1421 RESEARCH PARK DR It IN SUM OF$ CITY OF CARMEL� ��
An invoice or bill to be properly itemized must show:kind of service,where performed,dates service
LAWRENCE, KS 66049-3859 C �"13 Z,� rendered,by whom,rates per day,number of hours,rate per hour,number of units,price per unit,etc.
$425.00 Payee
Purchase Order#
ON ACCOUNT OF APPROPRIATION FOR
Brookshire Golf Course Terms
Date Due
PO# ACCT# DATE INVOICE# DESCRIPTION
DEPT# INVOICE# Fund# AMOUNT Board Members DEPT# FUND# . (or note attached invoice(s)or bill(s)) AMOUNT
164825 43-553.00 $425.00 1 hereby certify that the attached invoice(s),or 7/1/16 164825 Dues $425.00
1207 101 1207 101
bill(s)is(are)true and correct and that the
materials or services itemized thereon for
which charge is made were ordered and
received except
Monday,June 20,2016
hereby certify that the attached invoice(s),or bill(s),is(are)true and correct and I have
audited same in accordance with IC 5-11-10-1.6
20
Cost distribution ledger classification if claim paid motor vehicle highway fund. Clerk-Treasurer
GCSAAuI MEMBERSHIP RENEWAL
�o�a 164825
1421 Research Park Drive • Lawrence,KS 66049-3859 • 785-841-2240 • 800.472-7878 • Fax 785-832-3643
Please Sign Renewal and Return to GCSAA w/pmt OR renew at www.gcsaa.org Dues Invoice: 567703
Membership Cycle: 7/1/2016-6/30/2017
Membership Class: A
Class A Renewal Cycle is: 04/06/2016-04/05/2021
Your preferred mailing address:
Robert D. Higgins
PO BOX 960
Westfield,IN 46074-0960
UNITED STATES
• ® ' ' NEW Golf Course Information:(Provide ONLY if you have changed courses.)
NEW Home Mailing Address:(Provide ONLY if you have moved.) Golf Course Name
Street Street
Address Address
City,State,Zip City,State,Zip
Country Country
Phone Phone
Current E-mail Information Publish E-mail address? ❑YES❑NO
bhiggins@carmel.in.gov
Preferred E-mail address(to be used for all GCSAA correspondence and In the Would you like to continue to receive ❑YES❑NO
GCSAA Membership Directory). Golf Course Managementmagazine?
G7 jaws re
quire0ot thelollowing
If your position/responsibilities have changed and you have not
Your current job title or position is: contacted us,please visit www.gcsaa.org/membership and complete
Golf Course Superintendent a reclassification form.
Titre I h ertify that my information is correct.
Brookshire Golf CourseZ
Facility/Company/University X Date
Members Signature
Semi-private 18
Facility Type #Holes Renewal form will be returned to membersigned.
Please Make A Copy For Tax Purposes:
GCSAA dues are not deductible as a charitable contribution for federal income tax purposes,but may be deductible as an ordinary and necessary business expense.GCSAA estimates that 6%of your
membership dues are not deductible as this portion will be used for advocating positions on government issues,as well as for the payment of dues term life insurance for all members excluding students,
affiliate companies,technical assistance network and non-U.S.citizens.
The Environmental Institute for Golf is exempt from taxation under Code Section 501(c)(3)of the Internal Revenue Service.Your voluntary gift is deductible as a charitable contribution for federal tax
purposes to the extent provided by law.
Make checks payable to:GCSAA
U.S.Funds Only(US.dollars drawn on US.bank) -
❑Check❑Credit Card Membership Dices; $375.00
Card Holder Name(please print) Pall Amount: $0.00
--------- --------- --/20--
TOTAL DUES OWED $375.00
Card Number Expiration Date
Voluntary Contnbution'to The•Envtrenmeiltal lnstiWit forGc if $50.00
Card Holder's Signature TOTAi.DUES:and CONTIItI$UTION $425.00
Join orzenew the Croldet Tee Clubby contributing an. Widonal
Mail: Questions? Online:www.gcsaa.org X50 here:'.
1421 Research Park Dr Contact member solutions at
Lawrence,KS 66D49-3859 800-472-7878 Fax:785-832-3643 TOTAL AMOUNT ENCLOSED
. . REN
164825 A Robert D. Higgins 567703 7/1/2016-6/30/2017 $375.00