HomeMy WebLinkAbout229756 03/10/14CITY OF CARMEL, INDIANA
ONE CIVIC SQUARE
CARMEL, INDIANA 46032
VENDOR: 00350929
INDIANA DEPT OF REVENUE
PO BOX 7229
INDIANAPOLIS IN 46207
CHECK AMOUNT: $ * * * * * * ** *0.19*
CHECK NUMBER: 229756
CHECK DATE: 03/10/14
DEPARTMENT
101
ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
5023990 F & B -2/14 1 .19 GOLF -F & B FEB 2014
X Authorized
Signature
I declare der pe of perjury that this is a Irur, correct anl comp
Da Phone nt1 5
FAB-103 0812
CITY OF CARMEL BROOKSHIRE GOLF COUR
CARMEL UTILITIES
Taxpayer ID Number
For Tax Period
FEB 2014
0003120155 004 0 Due on or Before
MAR 31 2014
County/Town
Check if Amended Carmel-29291
IIIIIIuIIIIIIIIIIIIIIIIIIIIIIIIuIIuII
INDIANA DEPARTMENT OF REVENUE
P.O. BOX 7229
INDIANAPOLIS, IN 46207-7229
X Autboriud
Signature
1 declare u dirrnalties of perjury that this is a true, co ect and comp etum.
Date I) Phone (76 ( F
CITY OF CARMEL BROOKSHIRE GOLF COUR
CARMEL UTILITIES
Taxpayer ID Number For Tax Period
FEB 2014
Total Sales of Food & Beverages (Do Not Include Tax)
Total Exempt Food & Beverage Sales
Net Taxable Sales (Subtract Line B from Line A) C.
Tax Due (1% of Line C) D.
Collection Allowance (.73% of Line D)
Do Not Use this Line if the Payment is Late
E.
F.
G.
Net Tax Due (Subtract Line E from Line D)
Penalty is Greater of $5 or 10% of Line F (Plus Interest)*
Use this line only if return is filed late
The 2014 Annual Interest Rate is 3%
Adjustments (An explanation must be attached)
H.
Total Amount Due (Total Lines F and G plus or minus IT) I. ,
080000113554951010252929115970228201403
FAB-103 0812
0003120155 004 0 Due on or Before
MAR 31 2014
County/Town
Check if Amended Hamilton-29000
1.,1.1.1.1.11...1.1..11 11.1..11
INDIANA DEPARTMENT OF REVENUE
P • 0 • BOX 7229
INDIANAPOLIS, IN 46207-7229
1111111 Iu 1111111111111111111111111111111111111.11111111111111
Total Sales of Food & Beverages (Do Not Include Tax)
Total ExemptFood & Beverage Sales B.
Net Taxable Sales (Subtract Line B from Line A) C.
Tax Due (1% of Line C) D.
Collection Allowance (.73% of Line13)
Do Not Use this Line if the Payment is Late E.
Net Tax Due (Subtract Line E from Line D) F.
Penalty is Greater of $5 or 10% of Line F (Plus Interest)*
Use this line only if return is filed late G.
'The 2014 Annual Interest Rate is 3%
Adjustments (An explanation must be attached)
Total Amount Due (Total Lines F and G plus or minus I-1) 1.
0800130113554950010252900015970228201403
Prescribed by State Board of Accounts
ACCOUNTS PAYABLE VOUCHER
CITY OF CARMEL
City Form No. 201 (Rev. 1995)
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.
I hereby certify that the attached invoice(s), or bill(s), is (are) true and correct and I have audited same in accor-
dance with IC 5- 11- 10 -1.6.
, 20
Clerk- Treasurer
Payee
l � lv Pf cwe r 1
Purchase Order No.
Terms
Date Due
Invoice
Date
Invoice
Number
Description
(or note attached invoice(s) or bills-))
Amount
F' -r. - �a v2.0.14
.1
Total
I hereby certify that the attached invoice(s), or bill(s), is (are) true and correct and I have audited same in accor-
dance with IC 5- 11- 10 -1.6.
, 20
Clerk- Treasurer
VOUCHER NO. WARRANT NO.
we aver)
13D k
v*fs I ) Lt(0 zci
(6/
ON ACCOUNT OF APPROPRIATION FOR
PO# or
DEPT. #
INVOICE NO.
ACCT#fTITLE
AMOUNT
(bi
Cost distribution ledger classification if
claim paid motor vehicle highway fund
ALLOWED 20
IN SUM OF $
Board Members
I 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
20