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Home My WebLink About199022 07/06/2011 CITY OF CARMEL, INDIANA VENDOR: 359978 Page 1 of 1 ONE CIVIC SQUARE GOLF COURSE SUPER. ASSOC OF AMEERR1 CARMEL, INDIANA 46032 1421 RESEARCH PARK DR Gf CK AMOUNT: $390.00 LAWRENCE KS 66049 -3859 CHECK NUMBER: 199022 CHECK DATE: 7/612011 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1207 4355300 164825 390.00 ORGANIZATION MEMBER coax,u ESi,reanrtar+Dumasoo TWNOFAMENCA 164825 REMIT TO: 1421 Research Park Dr, Lawrence, KS 66049 -3859 Call: (800) 472 -7878 Fax: (785) 832 -3643 DUES INVOICE Due Upon Receipt Renew On -line Today WWW.GCSAA.ORG 230001 Your preferred mailing address: 7/1/2011-- 6/30/2012 164825 A Robert D. Higgins Other Address: 024887 16133 Hymera Gm Westfield, IN 46074 -8418 Brookshire Golf Course UNITED STATES 12120 Brookshire Pkwy .Carmel, IN 46033 -3314. UNITED STATES Would you like to continue to receiveSQNO Your Class A Renewal .Cyde is: .07/01/2003 04/05/2011 Golf Course Management magazine? CHAPTER MEMBERSHIP Use the spaces below to update your home and /or golf course information. NEW Home Mailing Address: (Provide ONLY if changed address.) Indiana GCSA, Mid�lana GCSA Street or P.O. Box (1) Vote is with: None Street or P.O. Box (2) City, State, Zip IF YOU WOULD LIKE TO CHANGE YOUR VOTE, PLEASE CONTACT MEMBER SOLUTIONS 1 -800- Country 472 -7878 FOR AN AFFIDAVIT. Phone Fax Current E -mail Information• If possible, please provide a mailing address that includes a street address. Fed Ex will not deliver to a PO Box. (GCSAA does not rent or sell email addresses.) NEW Golf Course Information: Date started (Provide ONLY if you have changed positions.) bhiggins @cannel.in.gov Golf Course Name Street or P.O. Box (1) Please update below, if needed: Street or P.O. Box (2) City, State, Zip Preferred E- mail -(To be used =for all GCSAA correspondence) Country PUBLISH E -mail address in the ❑YES NO Fax Membership Directory? Phone GOLF COURSE MANAGEMENT GIFT SUBSCRIPTION(S) You may, as a professional courtesy, send a.maximum of two Golf Course Management (GCM) subscriptions to your dub president, green chairman, employer or other appropriate party. To send complimentary subscriptions to a new /or different person, go to hitp://www.qcsaa.orci/profile/ciiftsub.asbx ®®CCpp��gg o e a o e e e 1 13 4 O NETIME 164825 A Robert D. Higgins 230001 7/1/2011 6/30/2012 To continually improve membership programs and resources, please provide the following information. Your participation enable your association to build the most comprehensive database•in the golf course management industry. 1. What is your annual maintenance budget? (circle one) a. Less than $250,000 d. $750,000 $999,999 g. $1,500,000 and over b. $2 00 999 e. $1,000,000 $1,249,999 c. $500,000 $749,999 f. $1,250,000 $1,499,999 2. What percentage of your annual maintenance budget is spent on the following categories? If necessary, provide an estimate. (Total mus add up to 100 a. Labor (include all payroll expenses: salaries, hourly wages and labor contracts) b. Water (include all water costs) c. OtheV (inddde all remaining items in your maintenance budget) 3. How many golf holes are maintained through your annual maintenance budget? Enter number of holes M 4. How much do you spend annually on maintenance equipment purchases and leases? ?0 5. What is your predominant turf:type on: tees a,,,, fairways greens 1" a.. 6. What percentage of your maintenance fleet is owned vs. leased? Own _'l�, 0 Lease (9 0 (Total must add up to 100 OM7 Environm*intal What is your gender? l./ Male Female Inathute for Golf Which of thee following best describes your ethnicity? U- White Black/African American Your $50 voluntary contribution is advancing the Hispanic/Latino Asian profession by. Multiracial American Indian /Native American /Alaskan Native enhancing environments recreational and economic aspects of golf courses: Birthdate 4'7 19 (mm /dd /yyyy) Are you a citizen of the United States ETY N For more information regarding the life insurance benefit, go to www.gcsaa.org and search for Affinity Programs. Visit www.eifg.org for more information. GCSAA Bylaws require that the following information be confirmed and returned with your annual dues remittance. Your current job title or position is: Check the box if•your job title or position has changed and,please use the enclosed GCSAA Reclassification Form to update your information. Golf Course Superintendent Tide I hereby certify that my information is correct. Semi private 18 X Member's Signature Y_� Date Fadlity Type Holes Please Make A Copy For Tax Purposes::. GCSAA dues are not deductible as a charitable contribution for federal income tax purposes, but maybe deductible as an ordinary and necessary business expense. GCSAA estimates that 8% 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 In_ temational Superintendent Member (ISM) 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. METHOD OF PAYMENT ❑Check Enclosed ❑American Express �zf f!lembershtp Dues' $340. Exp ]MasterCard Visa Prepaid Amount $0.00 U.S. Funds Only (US. dollars drawn on Us. bank) TOTAL DUES OWED $340.00 E Credit Carr# rVolvn Contntiuhon to The Environmental Institute for Golf= ._.x._- -w.... $50.00 Expiration Date Card Holder Name (please print) DUES and CONTRIEUTION $390.00 Join or renew the Golden Tee Club by contributing an additional', A Signature $50 here: Make checks payable to: GCSAA TOTAL AMOUNT ENCLOSED REMIT TO: 1421 Research Park Dr, Lawrence, KS 66049 -3M M Call: (800) 472 -7878 Fax: (785) 832 -3643 o o 0 0 o 0 0 0 0 66t` EN 164825 A Robert D. Higgins 230001 7/1/2011 6/30/2012 $340.00 f Prescribed by State Board of Accounts City Form No. 201 (Rev. 199: 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 invoice(s) or bill(s)) 06/21/11 164825 Dues $390.0 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 VOUCHER NO. WARRANT NO. ALLOWED 20 Golf Course Superintendents Assoc. of Americ IN SUM OF 1421 Research Park Dr. Lawrence, KS 66049 -3859 $390.00 ON ACCOUNT OF APPROPRIATION FOR Brookshire Golf Club PO# Dept. INVOICE NO. ACCT #/TITLE AMOUNT Board Members 1207 164825 43- 553.00 $390.00 1 hereby certify that the attached invoice(s), or 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 Tuesday, June 21, 2011 7 Director, Brooks ire Golf Club Title Cost distribution ledger classification if claim paid motor vehicle highway fund