HomeMy WebLinkAbout232672 05/14/14 �d"��AA
;� CITY OF CARMEL, INDIANA VENDOR: 00350929
j; ONE CIVIC SQUARE INDIANA DEPT OF REVENUE CHECK AMOUNT: $""*"""**80.94*
,� CARMEL, INDIANA 46032 PO sox 7229 CHECK NUMBER: 232672
.y��TON�° INDIANAPOLIS IN 46207 CHECK DATE: 05/14/14
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
101 5023990 F & B-4/14 2 80.94 F & B-GOLF 4/14
XAathe„�d A FAB—10 3 0 812
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I declart e dePfperjury that this is a true,correct an c pl a return 1
�1
Date^' I•, I Phone H Total Sales of Food&Beverages(Do Not Include Tax) A.- 0
1 Total Exempt Food&Beverage Sales B.
CITY OF CARMEL BROOKSHIRE GOLF COUR Net Taxable Sales(Subtract Line B from Line A) C. 3' ,
CARMEL UTILITIES
Taxpayer ID Number For Tax Period Tax Due(1%of Line C) D.
APR 2014 Collection Allowance(.73%of Line D)
Do Not Use this Lure if the Payment is Late E. !(J 0
0003120155 004 0 Due on or Before
MAY 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 ifretum is filed late G.
❑Check if Amended Hamilton-29000 *The 2014 Annual Interest Rale is 3%
1 1 1 1 1 1 I I I I I Adjustments(An explanation must be attached) H
Total Amount Due(Total Lines F and G plus or minus IT)_ L S o -
INDIANA DEPARTMENT OF REVENUE
P-O- BOX 7229
INDIANAPOLIS, IN 46207-7229
080000113554950010252900015970430201401
XAgose�ture V FAB-103 0812
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I declare under p nal ies ofperjury tthhat this is/a true,correct nd complete _ i /
Date��I? Phone f7 1' F Total Sales of Food&Beverages(Do Not Include Tax) A.. . I
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. O I
APR 2014 Collection Allowance(.73%of Line D) O
0003120155 009 0 Due on or Before
Do Not Use this Line if the Payment is Late E..
'
MAY 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 ifretum is filed late G.
Check if Amended Carmel-29291 The 2014 Annual Interest Rate is 3%
Adjustments(An explanation must be attached) H.
Inl�l�l�innll�l�l�llnu�tllll��ll Total Amount Due(Total Lines Fand Gplus orminus I3)_ I.
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INDIANA DEPARTMENT OF REVENUE
P-O- BOX 7229
INDIANAPOLIS, IN 46207-7229
LL�LII����LIII���I���II���L�LI��LILIt��tI�ILl��ll�t�l 080000113554951010252929115970430201401
Prescribed by State Board of Accounts City Form 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
& OAFIALL Purchase Order No.
Terms
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
I )•q
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.
i
ALLOWED 20
I/ACLL)�a o7 �b� u� C IN SUM OF $
1
ON ACCOUNT OF APPROPRIATION FOR
AoupBoard Members
Po#or INVOICE NO. ACCT#/TITLE AMOUNT
DEPT.# I hereby certify that the attached invoice(s),
b) / 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
44 20
Signatu e
i
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund