HomeMy WebLinkAbout233397 06/09/14 (9,
CITY OF CARMEL, INDIANA VENDOR: 00350929
ONE CIVIC SQUARE INDIANA DEPT OF REVENUE CHECKAMOUNT: $*******174.57*
CARMEL, INDIANA 46032 PO BOX 7229 CHECK NUMBER: 233397
INDIANAPOLIS IN 46207 CHECK DATE: 06/09/14
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
101 5023990 GOLF-5/14 2 174.57 F & B TAX-GOLF 2
FAB-103 0812
FTotal Sales of Food&Beverages(Do Not Include Tax)_ A.
Total Exempt Food&Beverage Sales B,
LOUR
Net Taxable Sales(Subtract Line B from Line A) C. c (�
Tax Due(1%of Line C) D. l 1 J b 5
Collection Allowance(.73%of Line 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. I}
`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 11)_
080000113554950010252900015970531201400
FAB-103 0812
c
F Total Sales of Food&Beverages(Do Not Include Tax)
Total Exempt Food&Beverage Sales B.
:.OUR b
Net Taxable Sales(Subtract Line B from Line A)
Tax Due(1%of Line C)
Collection Allowance(.73%of Line D) I
Do Not Use this Line if the Payment is Late D,
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 ifretum is Fled late G.
*The 2014 Annual Interest Rate is 3
Adjustments(An explanation must be attached) g
Total Amount Due(Total Lines F and G plus or minus H)_ I. I -7
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.
Payee n
Purchase Order No.
Terms
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) 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
VOUCHER NO. WARRANT NO.
1 ALLOWED 20
�`{ UYL IN SUM OF $
v 166 s l f J LkoU 7_- 7RR
ON ACCOUNT OF APPROPRIATION FOR
bey, - N0
Board Members
PO#or INVOICE NO. ACCT#/TITLE AMOUNT
DEPT.# I hereby certify that the attached invoice(s),
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
I
I
Signature
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund