HomeMy WebLinkAbout229757 03/10/14 '��,q...
�'��'" ���^'� CITY OF CARMEL, INDIANA VENDOR: 00350929
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.;, d �1• ONE CIVIC SQUARE INDIANA DEPT OF REVENUE CHECK AMOUNT: $*;"******0.19*
}. ,= CARMEL, INDIANA 46032 Po eox�zzs CHECK NUMBER: 229757
.9�,,��,�`� INDIANAPOLIS IN aszo� CHECK DATE: 03/10/14
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DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
101 5023990 F & B-2/14 2 .19 GOLF F & B-FEB 2014
Authociaed �. � � .� . .. .�� F A B—10 3 0 812 .
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I declare i�e il i ofperjury t�t lhis is a tru�orrect and�mpl r m. � , � / /��^ ,�
Total Sales of Pood&Beverages(Do Noi Include Tax)_ A. 6 �1 L'
Dat Phone ,li � � � � �-
Total Exempt Food&Beverage Sales B. .
CITY OF CARMEL BROOKSHIRE GOLF COUR NetTaXab�esales(sUbtra�tt,�nestTornL�ne.4) C. l � Z�p
CARMEL UTILITIES - �
Taxpayer ID Number For Tax Period TaxDue(1%ofLineC) D.. 1
FEB 2 019 Collection Allowance(.73%of Line D)
Do Not Use this Line if the Payment is L.ate �i,
0003120155 004 0 Due on or Before
MAR 31 2 014 Net Tax Due(Subtract Line E from Line D) R. �
Penalty is Greater of$5 or]0%of Line I'(Plus Interest)* i
County/Town Use tliis line only if return is filed late G. I
`The 20I4 Annual Interest Rate is 3% �
Check if Amended Carmel-29291
Adjustments(An explanation must be attached) g.
�„�,�,�,�,��,,,�,�„��,,,,,,��,�„�� � q
Total Amount Due(Total Lines P and G plus or minus In_ I. -
INDIANA DEPARTMENT OF REVENUE
P.O. BOX 7229
INDIANAPOLIS, IN 46207-7229
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xs,g`na u�� � ,���� � F A B-1 D 3 0 812
I declare u d r penal ies¢f perjury that this is a true,corzect and comp etum. �
Date � �U I�Phone ✓'�� �' (1 � To[al Sales ofFood&Beverages(Do Not Include Tax)_ A. � � �J
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Total Exempt Food&Beverage Sales B.
CITY OF CARMEL BROOKSHIRE GOLF COUR
CARMEL UTILITIES NetTa�cableSales(SubtractLineBfromLineA) C. � � ?i�Q<
Taxpayer ID Number For Tax Period Tax Due(1%of Line C) ll. � q ,
FEB 2 019 Collection Allowance(.73%of Line D)
Do Not Use this Line if the Payment is I.ate Ei,
0003120155 009 0 Due on or Before
MAR 31 2 019 Net Tax Due(Subtract Line E from Line D) F.
Penalty is Greater of$5 or]0%of Line F(Plus Interest)* � �
County/Town Use this line only ifretum is filed late (',,
❑ Cheek if Amended Hamilton-29000 *The2014q�uaunieresixaie;s3i
Adj�stments(An explanatioi�must be attached) g,
I��I�I�I�I��'���I�I��'I������II�I��II Tota]AmountDue(TotalLinesFandGplusorminusH)_ I. 1 �
INDIANA DEPARTMENT OF REVENUE
P•0- BOX 7229
INDIANAPOLIS, IN 46207-7229
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Prescribed by State Board of Accounts City Fortn No.201(Rev.7995)
ACCOUNTS PAYABLE VOIJCHER
CITY OF CARiViEL
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
� � l�t� Purchase Order No.
Terms
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s)
� _ b � . l
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.
ALLOWED 20
� � IN SUM OF $
� � �� ����
I� �.�. � l� �4-��o�-- ���'I
� - ��
ON ACCOUNT OF APPROPRIATION FOR
�i� �;�d-N�
Board Members
PO�or INVOICE NO. ACCT#lTITLE AMOUNT
DEPT.# I hereby certify that the attached invoice(s),
� . I 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
' Signatu
Cost distribution ledger classification if Tltle
claim paid motor vehicle highway fund