216626 01/29/2013 CITY OF CARMEL, INDIANA VENDOR: 360668 Page 1 of 1
t ONE CIVIC SQUARE ASCAP
4 CHECK AMOUNT: $783.00
CARMEL, INDIANA 46032 21678 NETWORK PLACE
o�aa:r CHICAGO IL 60673-1216 CHECK NUMBER: 216626
CHECK DATE: 1/29/2013
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1091 4358300 100003640795 783 . 00 OTHER FEES & LICENSES
PO BOX 331608-7515 Page: 1 of 1
F1Nashville, TN 37203-9998
Attn: Account Services
Phone: 1-800-505-4052
Fax: 1-615-691-7795
A S C A P
a
a
i DEC 2 2012
> Michael Klitzing Re: Carmel Clay Dept Of Parks & Recreation LL
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
�'urchase
P. cription
F.O.# 2930`?44 P(orF
G.L.# ZD9/- 4-35'306
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If You Have Already Made Payment, Please Disregard This InvO%Fhaser Date
In Case Of Error In Amount Of Bill Or Payment, Contract Terms Shalt/pQveQ7.1 Date-F ACCOUNT NO. BILLING DATE CURRENT PAST DUE BALANCE DUE
500640093 12/20/2012 $783.00 $0.00 $783.00
CONTRACT RATE P giro
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$783.00 �ZKK'��
Charges per applicable operating policy and rate schedule'copies available on request".
IMLA
ASCAP TRANSACTION
REFERENCE NO. DATE CHECK NO. EXPLANATION OF CHARGES&CREDITS FOR THE-PERIOD AMOUNT: REMAINING BALANCE
PREVIOUS BALANCE $0.00
100003640795 12/20/2012 License Fee 01/01/2013 to 12/31/2013 $783.00 $783.00
Thank you in advance for your timely payment.
Securely manage your account on line at www.ascap.com/mylicense
Happy Holidays and Best Wishes for the New Year!!!
...........................--------------------------------------------------------------------------.---.----TCA.RA_/_1AL_TI_Ir
PO BOX 331608-7515
F1Nashville, TN 37203-9998
Attn: Account Services
Phone: 1-800-505-4052
Fax: 1-615-691-7795
A S C A P
a
December 20, 2012
G2E3B1001000882-4
Michael Klitzing Re: Account No. - 500640093 Cr
Carmel Clay Dept Of Parks & Recreation Carmel Clay Dept Of Parks & Recreation u
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
Dear Michael Klitzing:
Your 2013 ASCAP Rate Schedule is attached. Based on the Consumer Price Index, All Urban Consumers-(CPI-U)
between October 2011 and October 2012, the 2013 Rate Schedule increased by 2.16234% over the 2012-Rate
Schedule. We recommend that you attach the Rate Schedule to your License Agreement for future reference.
In accordance with the terms of the Agreement, Base Licensee Fees are due and payable within 30 days of the renewal
date, and shall be accompanied by a statement confirming whether any Special Events were presented during the
previous calendar year. Please complete and return the enclosed report form, along with your payment within 30 days of
the renewal date of your License Agreement, which is 12/31/2012. You may also copy this form to report any Special
Events you have during the year.
Should you prefer to make a payment via Electronic Check or Credit Card, and/or view your account balance and
payment history, you may visit us at our secure ASCAP website: www.ASCAP.com/mylicense. Your account
information is encrypted for maximum security. It is our strict policy not to make any individual customer data available
to third parties for any reason. You may continue to send your report form by mail, via fax(1-615-691-7795)or to us via
email at glcs @ascap.com.
We at ASCAP are proud to serve your licensing needs and would like to take this opportunity to extend our best wishes
to you for a successful new year.
Sincerely,
d'a e�J;:
Account Services
Enclosures:
Rate Schedule
Report Form
Return Envelope
F0166_0113
IMLA
ASCAP, P. O. Box 331608-7515, Nashville, TN 37203-9998 1-800-505-4052 1-615-691-7795(FAX)
Website: http://www.ascap.com
Page: 1 of 3
LOCAL GOVERNMENT ENTITIES
2013 Rate Schedule and Report Form
AS C A P
c
Account No.: 500640093 Premise Name: Carmel Clay Dept Of Parks & Recreation; Carmel, IN
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Report Due: 12/30/2013
SCHEDULE A: Base License Fee
Base License;
T _ z z
PopulationSize Fee`
1 to 50,000 $327.00
50,001 to 75,000 $651.00
75,001 to 100,000 $783.00
100,001 to 125,000 $1,043.00
125,001 to 150,000 $1,304.00
150,001 to 200,000 $1,696.00
200,001 to 250,000 $2,086.00
250,001 to 300,000 $2,478.00
300,001 to 350,000 $2,870.00
350,001 to 400,000 $3,261.00
400,001 to 450,000 $3,651.00
450,001 to 500,000 $4,044.00
500,001 Plus' $4,955.00
L J
*plus $500.00 for each 100,000 of population above 500,000 to a cpi-able maximum
fee($500.00 not CPI able)of$65,205.00
SCHEDULE B: Special Events
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 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$327.00
License Fee for Year 2014 and Thereafter
For each calendar year commencing 2014, 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
a� LOCAL GOVERNMENT ENTITIES
2013 Rate Schedule and Report Form
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Account No.: 500640093 Premise Name: Carmel Clay Dept Of Parks & Recreation; Carmel, IN
Report Due: 12/30/2013
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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 Date
(minlddlyyyy) Gross
If More than 1_ .''Revenue of , Ifthe Everit is
=vent Per!Day, Event % Is a Program of Co-Sponsored
Please Report (Must Applies -Musical;Works (Please Identify The
As Separate, Performer(s)or Exceed ,'to Gross Attached Co sponsor's NameAddress;:Rhone
Entiies Grou s A' `eanng $25;000 Revenue EyenfFee -(Yes/No Number and?ASCAP Ac.count'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.
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: $327.00 (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 payablemithin 30 days of the License Agreement's renewal date.
The Report 31ong,withxpaymentmaybe mailed to-the.ASCAP address below: '-
Contact Person: /
(Please print Contact's Name.) (Please print Contact's Title.)
Phone No.: Fax No.:(�) Email: Website:
I certify that the above information is true and correct. Signature:
Dated: (Please print Name and Title of Signature name above.)
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
12/20/2010 F0166_0113
W1
ASCAP
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
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.
Terms
360668 ASCAP
21678 Network Place
Chicago, IL 60673-1216
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s)) PO#
29324 $ 783.00
12120112 100003640795 License to rebroadcast music
Total $ 783.00
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
120—
Clerk-Treasurer
Voucher No. Warrant No.
360668 ASCAP Allowed 20
21678 Network Place
Chicago, IL 60673-121
In Sum of$
$ 783.00
ON ACCOUNT OF APPROPRIATION FOR
109 - Monon Center
PO#or INVOICE NO. ACCT#/TITL AMOUNT Board Members
Dept#
1091 100003640795 4358300 $ 783.00 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
24-Jan 2013
Signature
$ 783.00 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund