HomeMy WebLinkAbout326918 06/29/18 _�Coq
a�% CITY OF CARMEL, INDIANA VENDOR: 359978
• ONE CIVIC SQUARE GOLF COURSE SUPER.ASSOC OF AMERMCK AMOUNT: $""""""*435.00'
:9 =a; CARMEL, INDIANA 46032 1421 RESEARCH PARK DR CHECK NUMBER: 326918
M,�roN..�. LAWRENCE KS 66049-3859 CHECK DATE: 06/29/18
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1207 4355300 164825 435.00 ORGANIZATION & MEMBER
VOUCHER NO. WARRANT NO. Prescribed by State Board of Accounts City Form No.201 (Rev.1995)
- !tr"I1 — — — ACC01--'NT" PAYABLE VOUCHER
Vendor#- 359973
s
GOLF COURSE SUPER. ASSOC OF AMERIC IN SUM OF CITY OF CARMEL
1421 RESEARCH PARK DR An invoice or bill to be properly itemized must show:kind of service,where performed,dates service
rendered,by whom,rates per day,number of hours,rate per hour,number of units,price per unit,etc.
LAWRENCE, KS 66049-3859
Payee
$435.00
ON ACCOUNT OF APPROPRIATION FOR Purchase Order#
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 $435.00 1 hereby certify that the attached invoice(s),or 6/18/18 164825 2019 Dues $435.00
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 18,2018
I 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
GCSAA09 ' MEMBERSHIP RENEWAL
1 164825
1421 Research Park Drive • Lawrence,KS 66049-3859 • 785-Ml-2240 • 800.472-7878• Fax 785-832-3843
Dues Invoice: 716474
Membership Cycle: 7/1/2018-6/30/2019
Membership Class: A
Class A Renewal Cycle is: 04/06/2016-04/05/2021
Your preferred mailing address:
Robert D. Higgins
BAD BILLING ADDRESS ON FILE
z �Im„7,d,�,�, r�=���� ',,,�L, :;:w�,-,�s..,;:,,.,?.,.._; _._,.�,�� ._.��..:�: 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 _)o q 7 t 51,cD r-e 1, Street
Address 07 I _ I Address
City,State,Zip0 hl0 Sv r l e ( � Y �(ro� City,State,Zip
Country Country
Phone 3 Z214 L Phone
-"•:-::`�""y"'T' .'• ;�.-rs,�r:_s`�vuva.,..:..;".•:�e..a,+.1'F.�'.a."=L.....��`:+.sws''..^,...:+�4.�."ew'"s-.a.-r.,,..:."..,...s�..-..�;ul.�''.x�''.'.`..a3;""�.Tz.'. -r.+r..�;Y:.':v"gat.^....z-`-�...-.".-.a,BSc*T�rlfl�^esr-�c«,• �;°.. ,:C'E"�Tu�`�B�C:Y,.T,s"av"" -;
Current E-mail Information Publish E-mail address? DYES❑NO
bhiggins@carmel.in.gov
Preferred E-mail address(to be used for all GCSAA correspondence and in the Would you like to continue tozin ?
receive IrES El NO
GCSAA Membership Directory).
Golf Course Management magazine?
:,.;,C#xb .�+=.'GtsraWL"wwuaY.:Dunt.4•as.-.-w,."...c-........,as7 ..:.v..aa ... ,.. nw...L.vz-.,-...y.-,c..�.�vas;o.,4..c21 -L.u.:.�..E'.'�eLu..�.,+nYa rt6•'iw � ..-.A'6 1uu:5:YdS[�r �u�Sr••
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.
Title I hereby c rtify that m information is correct.
Brookshire Golf Chub
Facility/Company/University X Date
Municipal 18 Memb is Signature
Facility Type #Holes '
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:GCSV1
U.S.funds ON),(U.S.dollars drawn on U.S.bank) 4
11 Check 11 Credit card Membership Dues $380.00
Card Holder Name(please print) Paid Amount $0.00
___ 20-- TOTAL DUES OWED $380,00
Card Number Expiration Date _
L Voluntary Cdntnbutton`to The Environmental Institute for Golf $55.00
Card Holder's Signature TOTAL DUES And CONTRIBUTION_ $435.00
Join or renew'&i G4ke ee Clubby contnbuting an'additional
7Lawrence7,
Questions? Online:www.gcsaa.org $45 here.
arch Park Dr Contact member solutions at "
KS 66049-3859 800-472-7878 Fax:785-832-3643 TOTAL AMOUNT,ENCI.OSELD.
. • .. . • . • REN
164825 A Robert D. Higgins 716474 7/1%2018-6/30/2019 $380.00