HomeMy WebLinkAbout233396 06/09/14 �''�,q CITY OF CARMEL, INDIANA VENDOR: 00350929
js t i ONE CIVIC SQUARE INDIANA DEPT OF REVENUE CHECK AMOUNT: $*******174.57*
: ?� CARMEL, INDIANA 46032 PO BOX 7229 CHECK NUMBER: 233396
tMiroN"�� INDIANAPOLIS IN 46207 CHECK DATE: 06/09/14
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
101 5023990 GOLF-5/14 1 174.57 F & B TAX—GOLF 5/14
r
FAB-103 0812
FTotal Sales of Food&Beverages(Do Not Include Tax)_ A.
Total Exempt Food&Beverage Sales B.
COUR
Net Taxable Sales(Subtract Line B from Line A) C.
Tax Due(1%of Line C) D.
Collection Allowance(.73%ofLine D) '2-9Do Not Use this Line if the Payment is Late Fi,
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) H.
Total Amount Due(Total Lines F and G plus or minus II)_ I. I I q.
�IL�tI 080000113554950010252900015970531201400
FAB-103 0812
FTotal Sales of Food&Beverages(Do Not Include Tax) A. I v V
Total Exempt Food&Beverage Sales B.
-OUR �
Net Taxable Sales(Subtract Line B from Line A) C.
Tax Due(1%of Line C) D. ' _I_..✓.V
Collection Allowance(.73%ofLine D) I ��
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. 1
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 I .L I -7 q .57 '
II���I 080000113554951010252929115970531201400
Prescribed by State Board of Accounts ACCOUNTS PAYABLE VOUCHER City Forth No.201(Rev.1995)
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.
Paye
I � Purchase Order No.
Terms
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
— b 1_74 5
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
,CI IC IN SUM OF $
✓�, s � 07-�1 �
ON ACCOUNT OF APPROPRIATION FOR
Board Members
Po#or INVOICE NO. ACCT#!TITLE AMOUNT
DEPT.# I hereby certify that the attached invoice(s),
60O �7 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
Val-
Signatur
Zr
Cost distribution ledger classification if
Title
claim paid motor vehicle highway fund