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Home My WebLink About205780 01/31/2012 CITY OF CARMEL, INDIANA VENDOR: 360668 Page 1 of 1 ONE CIVIC SQUARE ASCAP a CARMEL, INDIANA 46032 21678 NETWORK PLACE CHECK AMOUNT: $766.00 y'..orY CHICAGO IL 60673 -1216 CHECK NUMBER: 205780 CHECK DATE: 1/31/2012 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1091 4358300 100003417220 766.00 OTHER FEES LICENSES PO BOX 331608 -7515 Page: 1 of 1 Nashville, TN 37203 -9998 Attn: Account Services Phone: 1 -800- 505 -4052 Fax: 1- 615 -691 -7795 A S C A P c Michael Klitzing Re: Carmel Clay Dept Of Parks Recreation S Carmel Clay Dept Of Parks Recreation Carmel Clay Dept Of Parks Recreation a+ 1411 E 116th St 1411 E 116th St Carmel, IN 46032 -3455 Carmel, IN 46032 -3455 If You Have Already Made Payment, Please Disregard This Invoice. In I Case Of Error In Amount Of Bill Or Payment, Contract Terms Shall Govern. ACCOUNT NO. BILLING DATE7 CURRENT PAST DUE BALANCE DUE 500640093 12/20/2011 $766.00 $0.00 $766.00 CONTRACT RATE $766.00 Charges per applicable operating policy and rate schedule "copies available on request IMLA ASCAP .TRANSACTION 'REFERENCEAO'. DATE CHECK NO. EXPLANATION OF CHARGES &CREDITS'. FOR THE PERIOD AINOUNT REMAINING BALANCE. PREVIOUS BALANCE $0.00 100003417220 12/20/2011 License Fee 01/01/2012 to 12/31/2012 $766.00 $766.00 Thank you in advance for your timely payment. Securely manage your account on line at www.as la .com /m license P Y Happy Holidays and Best Wishes for the New Year!!! I I I Page: 1 of 3 LOCAL GOVERNMENT ENTITIES 2012 Rate Schedule and Report Form AS CA 1' Account No.: 500640093 I Premise Name: Carmel Clay Dept Of Parks Recreation; Carmel, IN Report Due: 12/30/2012 SCHEDULE A: Base License Fee 'W Base License PopulatiorifSize e i o 1 to 50,000 $320.00 50,001 to 75,000 $637.00 75,001 to 100,000 $766.00 100,001 to 125,000 $1,021.00 125,001 to 150,000 $1,276.00 150,001 to 200,000 $1,660.00 200,001 to 250,000 $2,042.00 250,001 to 300,000 $2,426.00 300,001 to 350,000 $2,809.00 I 350,001 to 400,000 $3,192.00 400,001 to 450,000 $3,574.00 450,001 to 500,000 $3,958.00 500,001 Plus' $4,850.00 `plus $500.00 for each 100,000 of population above 500,000 to a cpi -able maximum fee ($500.00 not CPI able) of $63,825.00 SCHEDULE B: Special Events I The rate for Special Events shall be 1 of Gross Revenue. "Special Events" means musical events, concerts, shows, pageants, sporting events, festivals, competitions, and other events of limited duration presented by LICENSEE forlwhich 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. I 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 $320.00 License Fee for Year 2013 and Thereafter For each calendar year commencing 2013, 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 2012 Rate Schedule and Report Form A S C A P Account No.: 500640093 I Premise Name: Carmel Clay Dept Of Parks Recreation; Carmel, IN Report Due: 12/30/2012 SCHEDULE A: Base License Fee (Due upon execution of Agreement and within 30 days of the Agreement's Renewal Date.) Population Size: 73, Z4 3 Base License Fee: 0 �G• (Per current U. I 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 Date (mmlddlyyyy) Gross If:More:than 1 ''Revenue of If the Event is =vent Per ",Day Event Is a Program of Co'= Sponsored Please Report (Must Applies MusicaLWorks (Please Identify The As Separate Performers) or Exceed to Gross Attached Co sponsors`Name address Rhone Entries ,Grou s Appearing $25,000 Revenue :Event Fee Yes %No Number'and ASCAP,'Account Number Name: Address: x .01 Phone No.: Account No.: Name: Address: x .01 Phone No.: Account No.: i Name: Address: x .01 Phone No.: Account No.: Name: Address: x .01 Phone No.: Account No.: "'Special Events" means musical event I, 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. ASCAP, P. O. Box 331608 -7515, Nashville, TN 37203 -9998 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 Page: 3 of 3 LOCAL GOVERNMENT ENTITIES (continued): (Please complete form in its entirety.) SCHEDULE C: State Municipal and /or County Leagues or State Associations of Attorneys Report Year: Annual License Fee: $320.00 (Due within 30 days of Renewal Date.) Total Fees Reported From Any or All of Schedules A, B or C: Base Licensee Fees accompanied by a completed Report Form are due and. payable withiwM days of the License Agreement's renewal date. 'The Report along ;vith•payment mailed to the ASCAP address below: Contact Person: (Please print Contac ame.) (Please print Contact's Title.) Phone No.: 3( I I) S -9 a t t Fax No.: tl SZ 1-if Email: Ml- 1, 4z,� o c, e—I c!,y &to.sv Website: certify that the above information is true and correct. Signature: Dated: C 1 Z't ase print Name and Title of Signature name above.) ASCAP, P. O. Box 331608 -7515, Nashville, TN 3720M9998 1- 800 505 -4052 1- 615 691 -7795 (FAX) Epayment Websites: http: /www.ascap.com /mylicense or http: /www.ascap.com 12/20/2010 F0166_0112 A S C A P Account No.: 500640093 Carmel Clay Dept Of Parks Recreation ASCAP IMLA 1411 E 116th St Account Services Carmel, IN 46032 -3455 P. O. Box 331608 -7515, Nashville, TN 37203 -9998 t ACCOUNTS PAYABLE VOUCHER CITY OF CARMEL An invoice of 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. 360668 ASCAP Terms 21678 Network Place Chicago, IL 60673 -1216 Invoice Invoice Description Date Number (or note attached invoice(s) or bill(s)) PO Amount 12120111 100003417220 License to rebroadcast music 30350 766.00 Total 766.00 1 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. 360668 ASCAP Allowed 20 21678 Network Place Chicago, IL 60673 -1216 4 In Sum of 766.00 ON ACCOUNT OF APPROPRIATION FOR 109 Monon Center PO# or INVOICE NO. ACCT #/TITLE AMOUNT Board Members Dept 1091 100003417220 4358300 766.00 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 26 -Jan 2012 Signature 766.00 Accounts Payable Coordinator Cost distribution ledger classification if Title claim paid motor vehicle highway fund