HomeMy WebLinkAbout230820 04/03/14 (9,
CITY OF CARMEL, INDIANA VENDOR: 00350929
ONE CIVIC SQUARE INDIANA DEPT OF REVENUE CHECK AMOUNT: $ .MRM....6.25*
CARMEL, INDIANA 46032 PO BOX 7229 CHECK NUMBER: 230820
INDIANAPOLIS IN 46207 CHECK DATE: 04/03/14
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
101 5023990 GOLF 3/14 1 6.25 F & B TAX-3/14
Xs.th.,i ed } FA B-103 0 812
1 declare. der enalnes of perjury that this is a true, orrect and complete M.
Date pf I Phone �❑1❑� l �� Total Sales of Food&Beverages(Do Not Include Tax) A. (I� (T'j
Total Exempt Food&Beverage Sales B.
CITY OF-CARMEL BROOKSHIRE GOLF COUR
CARMEL UTILITIES Net Taxable Sales(Subtract Line B from Line A) C.
Taxpayer ID Number For Tax Period Tax Due(1%of Line C) D. 7
MAR 2014 Collection Allowance(.73%of Line D)
0003120155 004 0 Due on or Before Do Not Use this Line if the Payment is Late E. L7
APR 30 2014 Net Tax Due(Subtract Line E from Line D) F.
Penalty is Greater of$5 or 10%of Line F(Plus Interest)* A 7
County/Town Use this line only if return is filed late G. ((/ Z, .D
❑ Check if Amended Hamilton-29000 *The 2014 Annual Interest Rate is 3%
Adjustments(An explanation must be attached) H.
Initl�l�lnl�IlEPARTMEN IIIIIII �lltll Total Amount Due(Total Lines Fand Gplus orminus 11)^
INDIANA DEPARTMENT OF REVENUE
P.O. BOX 7229
INDIANAPOLIS, IN 46207-7229
080000113554950010252900015970331201403
s
XAuthor,zed FAB-103 0 812
Signature
I declare a de, enaltie�o perjury th`�at+this is a tme,Icor�rjecit and c�plete t
Date 14
l 2— )`' Phone Jl t v�V Total Sales of Food&Beverages(Do Not Include Tax) A.
Total Exempt Food&Beverage Sales B.
CITY OF CARMEL BROOKSHIRE GOLF COUR
CARMEL UTILITIES Net Taxable Sales(Subtract Line B from Line A) C. I 2
Taxpayer ID Number For Tax Period Tax Due(I%of Line C) D.
MAR 2014 Collection Allowance(.73%of Line D)
0003120155 004 0 Due on or Before Do Not Use tlris Line if the Payment is Late E.
APR 30 2014 Net Tax Due(Subtract Line E from Line D) F.
Penalty is Greater of$5 or 10%of Line F(Plus Interest)*
County/Town Use this line only if return is filed late G.
❑Check if Amended Carmel-29291 *The 2014Annual Interest Rate is3%
Adjustments(An explanation must be attached) H.
Initl�l�lnl�llnitllluul�ll�lull Total Amount Due(Total Lines Fand Gplus ormmusli)_ I.
INDIANA DEPARTMENT OF REVENUE
P.O. BOX 7229
INDIANAPOLIS, IN 46207-7229
I�I�II�II���tlt►Il���lt�tlitl�I�tl�l��l�ll�l��l�l�ll�l��ll���l 080000113554951010252929115970331201403
Prescribed by State Board of Accounts City Forth No.201(Rev.1995)
ACCOUNTS PAYABLE VOUCHER
CITY OF CARMEL
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
GK� Purchase Order No.
Terms
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoices or bill(s))
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
r
VOUCHER NO. WARRANT NO.
ALLOWED 20
IN SUM OF $
$
ON ACCOUNT OF APPROPRIATION FOR
t)w f�t a- Nv
Board Members
PO#or INVOICE NO. ACCT#/TITLE AMOUNT
DEPT.# I hereby certify that the attached invoice(s),
d ( 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
A"it(��
Signature
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund