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306689 01_05_17
9)CITY OF CARMEL, INDIANA VENDOR: 360668 ONE CIVIC SQUARE ASCAP CHECK AMOUNT: $*******818.00* CARMEL, INDIANA 46032 21678 ETWOR 73LA216 CHECK NUMBER: 306689 CHECK DATE: 01/05117 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1091 4358300 10004593716 818.00 OTHER FEES & LICENSES 20 k / o 9 OD$ f k 0 040 0 > 2 I C O 7 \ 0 E A 2 Z 2 00 cr q w o 2 A { o k CD E o 2 k0 ww t k § 7 0 9 0 o g T o qm m J 0 r 2 w g C 2 0 2 k \ O 2 k LT - D k E g E E UT CL CD 0 G k CD E m G U CcD 2 @ k 9 2 ca. @ 0 0\ 0§ Co 2 k /0CL k » k 2 0 k M 7 0 0 PO BOX 331608 Page: 1 of 1 Nashville, TN 37203-7515 Attn: Account Services Phone: 1-800-505-4052 ascap Fax: 1-615-691-7795 0 DEC 2 7 2016 ca a0Nn 0 0 00Y Michael Klitzing Re: Carmel Clay Dept Of Parks&Recreation w Carmel Clay Dept Of Parks&Recreation Carmel Clay Dept Of Parks& Recreation 1411 E 116th St 1411 E 116th St Carmel, IN 46032-3455 Carmel, IN 46032-3455 ft4i If You Have Already Made Payment,Please Disregard This Invoice. In Case Of Error In Amount Of Bill Or Payment, Contract Terms Shall Govern. ACCOUNT NO. BILLING DATE CURRENT PAST DUE BALANCE DUE 500640093 12/20/2016 818.00 0.00 818.00 CONTRACT RATE 818.00 Charges per applicable operating policy and rate schedule"copies available on request". IMLA ASCAP TRANSACTIQN REFERENCE NO. DATE CHECK N.O. EXPLANATt9N©F CHARGES&CREDITS FOR THE PERIOD AMOUNT,.'i REMAINING BALANCE PREVIOUS BALANCE 0.00 100004593716 12/20/2016 License Fee 01/01/2017 to 12/31/2017 818.00 818.00 Thank you in advance for your timely payment. Securely manage your account on line at www.ascap.com/mylicense Page: I of LOCAL GOVERNMENT ENTITIES c Wap 2017 Rate Schedule and Report Form Account No.: 500640093 Premise Name: Carmel Clay Dept Of Parks&Recreation; Carmel, IN Report Due: 12/30/2017 SCHEDULE A: Base License Fee DEC 217 2016 50,001 to 75,000 680.00 75,001 to 100,000 818.00 100,001 to 125,000 1,091.00 125,001 to 150,000 1,363.00 150,001 to 200,000 1,772.00 200,001 to 250,000 2,180.00 250,001 to 300,000 2,590.00 300,001 to 350,000 , $2,999.00 350,001 to 400,000 3,408.00 400,001 to 450,000 3,814.00 450,001 to 500,000 4,226.00 o5.178.00plus$5OOfor each 1OO.00Oofpopulation above 5O0.00O toamaximum fee nf$88.140.00 SCHEDULE B: Special Events The rate for Special Events shall be1Y6ofGross Revenue. Special Events"means musical events, concerts, shows, pageants, sporting events, festivals, competitions, and other events of limited duration presented by LICENSEE for which the"Gross Revenue"of such Special Event exceeds$25,000. Gross Revenue"means all monies received by LICENSEE or on LICENSEE'S behalf from the sale of tickets for each Special Event. If there are no monies from the sale of tickets, "Gross Revenue"shall mean contributions from sponsors or other payments received by LICENSEE for each Special Event. SCHEDULE C: State Municipal and/or County Leagues or State Associations of Attorneys The annual license fee for LICENSEES who are legally organized as state municipal and/or county leagues or state associations of municipal and/or county attorneys shall be$341.00 License Fee for Year 2018 and Thereafter For each calendar year commencing 2018, all dollar figures set forth in Schedules A, B and C above(except for$500.00 add-on for populations of 500,001 or more)shall be the license fee for the preceding calendar year, adjusted in accordance with the increase in the Consumer Price Index-All Urban Consumers(CPI-U) between the preceding October and the next preceding October. Any additional license fees due resulting from the CPI adjustment shall be payable upon billing by ASCAP. Page: 2 of 3 LOCAL GOVERNMENT ENTITIES dSCBp 2017 Rate Schedule and Report Form g Account No.: 500640093 Premise Name: Carmel Clay Dept Of Parks&Recreation; Carmel, IN 0 Report Due: 12/30/2017 s 8 FDBXY:TDEC22016 SCHEDULE A: Base License Fee (Due upon execution of Agreement and within 30 days of the Agreement's Renewal Date.) Population Size: ----Base License Fee: Per current U.S. Census Data) Please refer to attached Rate Schedule) SCHEDULE B: Special Events` (Report and Payment due 90 days after the conclusion of each Special Event) Event[,late mmldd/yyyy) Gross IfMore than''1 Revenue of If the Event Is.. Event Per Dir, Event 1% Is a Program of Co-Sponspred Please Report Must Applies Musical Works Please Identify The As Separate Performer(s)or!, Exceed to Gross Attached? Co-sponsor's Name,Address,Phone Entries)Groups)Appearing $25,000);; Revenue Event Fee (YiWNo) Number and ASCAP Account Number) Name: Address: x .01 $ Phone No: Account No: Name: Address: x .01 $ Phone No: Account No: Name: Address: x .01 $ Phone No: Account No: Name: Address: X .01 $ Phone No: Account No: Special Events"means musical events, concerts, shows, pageants, sporting events,festivals, competitions, and other events of limited duration presented by LICENSEE for which the"Gross Revenue"of such Special Event exceeds$25,000. Gross Revenue"means all monies received by LICENSEE or on LICENSEE'S behalf from the sale of tickets for each Special Event. If there are no monies from the sale of tickets, "Gross Revenue"shall mean contributions from sponsors or other payments received by LICENEE for each Special Event. GLCS@ascap.com 1-800-505-4052 1-615-691-7795(FAX) Epayment Websites: http://www.ascap.com/mylicense or http://www.ascap.com Report Form Continued On Reverse Side