192772 12/15/2010 CITY OF CARMEL, INDIANA VENDOR: 355565 Page 1 of 1
ONE CIVIC SQUARE BUILDERS ASSOC OF GREATER INDPLg
CHECK AMOUNT: $670.00
CARMEL, INDIANA 46032 PO BOX 44670
INDIANAPOLIS IN 46244 -0670 CHECK NUMBER: 192772
CHECK DATE: 12115/2010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1192 4355300 50040 670.00 ORGANIZATION MEMBER
s Builders Association of Greater Indianapolis Page I
P.O. Box 44670
Indianapolis, Indiana. 46244 -0670
(317) 236 -6330
Bill to: Invoice
City of Carmel, Dept. of Community Services Invoice Date: December 2, 2010
1 Civic Square Invoice 50040
Carmel, IN 46032
Date Due: January 1, 2011
Contact: Jim Blanchard
Department: Dues
Job Order
Quantity Description (See below for details...) Rate Amount
l Associate Dues $570.00 $570.00
1 Marketing Assessment $100.00 $100.00
SubTotal $670.00
Total Invoice Amount $670.00
Turn over to fill out Council Application Worksheet: Council Fees
Details Final Balance Due
2011 Membership Dues
After reviewing your invoice and schedule if you believe you have not been assessed correctly please
feel free to call the office to discuss. Also do not hesitate to contact us about establishing a payment
plan if it helps you with your cash flow.
TAX RULING: Lobbying expenses as defined in the Omnibus Budget Reconcilation Act of 1993 are no longer
deductible as a "Business Expense Therefore, when you calculate your "business deduction" for your
Association Dues you must subtract $27 for (NAHB) and $8.50 for (IBA), a total of $35.50 from you dues as
nondeductible. T
COUNCIL APPLICATION FOR 2011
Company:
Address:
City: State: Zip:
Phone: Fax:
Main Contact Person: Email:
Member Status: Builder Associate
Model phone: Model fax:
SMC should fill out a separate form for each person
Additional names who want to receive faxes or emails please include email addresses and any committee they
want to sign up for.
CONTACT NAMES EMAIL ADDRESSES COUNCIL(S) COMMITTEE(S
Circle which council(s) you are signing up for:
Hamilton Hancock Hendricks Johnson Remodelors Sales Marketing
S50 per Co. $50 per Co. $50 per Co. $50 per Co. $60 per person $80 for 1 -5, 6 -10 $75
11+ $70 per person
Discounts:
Pick 3 councils that are bolded and pay only $135, pick 4 and pay only $180, pick 5 councils and pay only $210 (SMC
is not included in the discount package)
Committees that are available to serve on: For the Main Contact, circle which committee(s) you would like to serve
on. All others contacts write in the designated committee across from the name above.
Hamilton Co.:
Government Affairs, Membership, Programs, Golf,
Hancock Co.:
Government Affairs, Golf, Public Relations, Membership, New Home Preview
Hendricks Co.:
Government Affairs, Membership, Programs, Golf, Public Relations
Johnson Co.:
Government Affairs, Membership, Golf, Holiday Party
Remodelors:
Membership, Programs
Sales Marketing:
Membership, Programs, MAME
Make checks payable to: BAG1, PO Box 44670, Indpls, IN 46244 Make sure this farm is attached to payment.
biJcoun61s/ /201 I applications /oneapplication
VOUCHER NO. WARRANT NO.
ALLOWED 20
BAG I
IN SUM OF
P.O. Box 44670
Indianapolis, IN 46244 -0670
$670.00
ON ACCOUNT OF APPROPRIATION FOR
Carmel DQCS Department
PO# Dept. INVOICE NO. ACCT /TITLE AMOUNT Board Members
1192 50040 43- 553.00 $670.00 1 hereby certify that the attached invoice(s), or
bill(s) is (are) true and correct and that the
jmaterials or services itemized thereon for
which charge is made were ordered and
received except
Monday, December 13, 2010
Dir or, DOCS
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund
Prescribed by State Board of Accounts City Form No. 201 (Rev. 1995)
ACCOUNTS PAYABLE VOUCHER
CITY OF CARMEL
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.
Payee
Purchase Order No.
Terms
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoices) or bill(s))
12/02/10 50040 Yearly dues $670.00
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
Clerk- Treasurer