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Home My WebLink About230674 03/26/14 ��'Cgq'I <y. CITY OF CARMEL, INDIANA VENDOR: 362584 ii ONE CIVIC SQUARE WORD QUE CHECK AMOUNT: $*****1,568.00* ,? CARMEL, INDIANA 46032 5282 E 156TH STREET CHECK NUMBER: 230674 't�,�.ow. NOBLESVILLE IN 46062 CHECK DATE: 03/26/14 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1120 4350900 1,568.00 OTHER CONT SERVICES WORDQUE CAPTIONING & TRANSCRIPTION Owner: Charles M. Ferguson Contact: Glenda S. Ferguson 5282 East 156`x' Street Office: 317-846-0900 Noblesville, Indiana 46062 Cell: 317-439-1160 E-mail: cgfer usongsbcglobal.net Fax: 317-846-0909 INVOICE Invoice Date: February 10, 2014 Due Date: March 12, 2014 Tax ID #315581749 Chief Matt Hoffman City of Carmel Carmel, IN 46032 Transcription of one recording of and Interview of Douglas Callahan By Sandra Long (77 pages @$7.00/page) $ 539.00 TOTAL AMOUNT DUE $ 539.00 If above amount is not paid by the due date,the amount due will be an additional 5%,which is$565.95. CARMEL6 WORDQUE CAPTIONING & TRANSCRIPTION Owner: Charles M. Ferguson Contact: Glenda S. Ferguson 5282 East 156`x' Street Office: 317-846-0900 Noblesville, Indiana 46062 Cell: 317-439-1160 E-mail: ccfer ug son@a sbcglobal.net Fax: 317-846-0909 INVOICE Invoice Date: March 11, 2014 Due Date: April 10, 2014 Tax ID #315581749 Chief Matt Hoffman City of Carmel Carmel, IN 46032 Transcription of one recording of an Interview of Doug Carter by Sandra Long (10 pages @$7.00/page) $ 70.00 TOTAL AMOUNT DUE $ 70.00 If above amount is not paid by the due date,the amount due will be an additional 5%,which is$73.50. CARMEL8 1 WORDQUE CAPTIONING & TRANSCRIPTION Owner: Charles M. Ferguson Contact: Glenda S. Ferguson 5282 East 156"' Street Office: 317-846-0900 Noblesville, Indiana 46062 Cell: 317-439-1160 E-mail: cafer uson@sbcalobal.net Fax: 317-846-0909 INVOICE Invoice Date: March 10, 2014 Due Date: April 9, 2014 Tax ID 9315581749 Chief Matt Hoffman City of Carmel Carmel, IN 46032 Transcription of one recording of an Interview of Gary Carter by Sandra Long (17 pages @$7.00/page) $ 119.00 Transcription of one recording of an Interview of Jace Platt by Sandra Long (15 pages @$7.00/page) $ 105.00 Transcription of one recording of an Interview of Steve Reeves by Sandra Long (20 pages @$7.00/page) $ 140.00 Transcription of one recording of an Interview of Jay Leinhos by Sandra Long (20 pages @$7.00/page) $ 140.00 Transcription of one recording of an Interview of Bill Kehl by Sandra Long (14 pages @$7.00/page) $ 98.00 Transcription of one recording of an Interview of Sally LaFollette by Sandra Long (16 pages @$7.00/page) $ 112.00 Transcription of one recording of an Interview of Dale Randall by Sandra Long (12 pages @$7.00/page) $ 84.00 1 Transcription of one recording of an Interview of Gary Dufek by Sandra Long (23 pages @$7.00/page) $ 161.00 TOTAL AMOUNT DUE $ 959.00 If above amount is not paid by the due date,the amount due will be an additional 5%,which is$1,006.95. CARMEL7 2 Form iD1/=9 Request for Taxpayer Give Form to the (Rev.January 2011) Identification Number and Certification requester. Do not Department of the Treasury send to the IRS. Internal Revenue Service Name(as shown on your income tax return) Charles M. Ferguson ni Business name/disregarded entity name,if different from above rn WordQue Captioning and Transcription m a Check appropriate box for federal tax 0 classification(required): 21 Individual/sole proprietor ❑ C Corporation ❑ S Corporation ❑ Partnership ❑ Trust/estate H C O Limited liability company.Enter the tax classification C-C corporation,S=S corporation,P=partnership)► Exempt payee ❑ ty P Y ( - P - P -P P) C i ❑ Other(see instructions)► U !� Address(number,street,and apt.or suite no.) Requester's name and address(optional) U CL 5282 East 156th Street m City,state,and ZIP code ID Noblesville,IN 46062 List account number(s)here(optional) 93 Ma Taxpayer Identification Number(YIN) Enter your TIN in the appropriate box.The TIN provided must match the name given on the"Name"line social security number to avoid backup withholding.For individuals,this is your social security number(SSN). However,for a resident alien,sole proprietor,or disregarded entity,see the Part I instructions on page 3.For other 3 1 5 -M58 - 1 7 4 9 entities, it is your employer identification number(EIN).If you do not have a number,see How to get a TIN on page 3. Note.If the account is in more than one name,see the chart on page 4 for guidelines on whose Employer identification number number to enter. M -1 I I I FM Certification Under penalties of perjury, I certify that: 1. The number shown on this form is my correct taxpayer identification number(or I am waiting for a number to be issued to me),and 2. 1 am not subject to backup withholding because:(a)I am exempt from backup withholding,or(b)I have not been notified by the Internal Revenue Service(IRS)that I am subject to backup withholding as a result of a failure to report all interest or dividends,or(c)the IRS has notified me that I am no longer subject to backup withholding,and 3. 1 am a U.S.citizen or other U.S.person(defined below). Certification instructions.You must cross out item 2 above if you have been notified by the IRS that you are currently subject to backup withholding because you have failed to report all interest and dividends on your tax return.For real estate transactions,item 2 does not apply.For mortgage interest paid,acquisition or abandonment of secured property,cancellation of debt,contributions to an individual retirement arrangement(IRA),and generally,payments other than interest and dividends,you are not required to sign the certification,but you must provide your correct TIN.See the instructions on page 4. Sign Signature of Here U.S.person► Date► A 1 General Instructions Note.If a requester gives you a form other than Form W-9 to request your TIN,you must use the requester's form if it is substantially.similar Section references are to the Intemal Revenue Code unless otherwise to this Form W-9. noted. Definition of a U.S.person.For federal tax purposes,you are Purpose of Form considered a U.S.person if you are: A person who is required to file an information return with the IRS must •An individual who is a U.S.citizen or U.S.resident alien, obtain your correct taxpayer identification number(TIN)to report,for •A partnership,corporation,company,or association created or example,income paid to you, real estate transactions,mortgage interest organized in the United States or under the laws of the United States, you paid,acquisition or abandonment of secured property,cancellation .An estate(other than a foreign estate),or of debt,or contributions you made to an IRA. •A domestic trust(as defined in Regulations section 301.7701-7). Use Form W-9 only if you are a U.S.person(including a resident alien),to provide your correct TIN to the person requesting it(the Special rules for partnerships.Partnerships that conduct a trade or requester)and,when applicable,to: business in the United States are generally required to pay a withholding tax on any foreign partners'share of income from such business. 1.Certify that the TIN you are giving is correct(or you are waiting for a Further,in certain cases where a Form W-9 has not been received,a number to be issued), partnership is required to presume that a partner is a foreign person, 2.Certify that you are not subject to backup withholding,or and pay the withholding tax.Therefore,if you are a U.S.person that is a 3.Claim exemption from backup withholding if you are a U.S.exempt partner in a partnership conducting a trade or business in the United payee.If applicable,you are also certifying that as a U.S.person,your States,provide Form W-9 to the partnership to establish your U.S. allocable share of any partnership income from a U.S.trade or business status and avoid withholding on your share of partnership income. is not subject to the withholding tax on foreign partners'share of effectively connected income. Cat.No.10231X Form W-9(Rev.1-2011) VOUCHER NO. WARRANT NO. ALLOWED 20 WordQue Captioning & Transcription IN SUM OF $ 5282 E. 156th Street Noblesville, IN 46062 $1,568.00 ON ACCOUNT OF APPROPRIATION FOR Carmel Fire Department PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members 1120 43-509.00 $70.00 1 hereby certify that the attached invoice(s), or 1120 43-509.00 $959.00 bill(s) is (are) true and correct and that the 1120 I I 43-509.00 I $539.00 materials or services itemized thereon for which charge is made were ordered and received except WAA%I MAR a ' Fire Chief Title Cost distribution ledger classification if claim paid motor vehicle highway fund rescribed by State Board of Accounts City Form No.201 (Rev.1995) ACCOUNTS PAYABLE VOUCHER CITY OF CARMEL m invoice or bill to be properly itemized must show: kind of service,where performed, dates service rendered, by ✓hom, 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)) $70.00 $959.00 II I $539.00 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