HomeMy WebLinkAbout234461 07/08/2014 �% ��p"�. CITY OF CARMEL, INDIANA VENDOR: 00350929
ONE CIVIC SQUARE INDIANA DEPT OF REVENUE CHECK AMOUNT: $*******232.73*
9� �=�; CARMEL, INDIANA 46032 PO BOX 7229 CHECK NUMBER: 234461
M(toN,`o� INDIANAPOLIS IN 46207 CHECK DATE: 07/08/14
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
101 5023990 GOLF 6/30 1 232.73 GOLF F & B 6/14
XAnthonzed FAB-103 0812
signature �
I declare der penalties of perjury that this is a true,correct and complet
return. 260Date Phone " 'l 1 fi Total Sales of Food&Beverages(Do Not Include Tax) A.: -3 I I
Total Exempt Food&Beverage Sales $.
CITY OF CARMEL BROOKSHIRE GOLF COUR `I `C
CARMEL UTILITIES Net Taxable Sales(Subtract Line B from Line A) C.' 0
Taxpayer ID Number For Tax Period Tax Due(1%of Line C) D.
JUN 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.
JUL 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 Hamilton-29000 *The 2014 Annual Interest Rate is 3%
Adjustments(An explanation must be attached) g
Irtltlrlil���l�l�r�ll�t�llrtrll�lr�ll Total Amount Due(Total Lines Fand Gplus orminus M_ I: 2'3 Z
INDIANA DEPARTMENT OF REVENUE
P-O- BOX 7229
INDIANAPOLIS, IN 46207-7229
080000113554950010252900015970630201409
XAnthoriud q, - F A B-10 3 0 812
signature d
I declare un•ler penal'es of perjury that this is a true"c7orrect and c mph urn.
Date t I Phone / II F Total Sales of Food&Beverages(Do Not Include Tax)_ A. Z �
Total Exempt Food&Beverage Sales B.
CITY OF CARMEL BROOKSHIRE GOLF COUR
CARMEL UTILITIES Net Taxable Sales(Subtract Line Bfrom Line A) C.
Taxpayer ID Number For Tax Period Tax Due(I%ofLine C) D.
JUN 2014 Collection Allowance(.7Ylo of Line D) I
0003120155 004 0 Due on or Before
Do Not Use this Line if the Payment is Late E. I
JUL 30 2014 Net Tax Due(Subtract Line E from Line D) F. Z J Z
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 2014 Annual Interest Rate is 3%
Adjustments(An explanation must be attached)
I�iltltltltnitln�lln�lln�ll�lnll
Total Amount Due(Total Lines Fand Gplus orminus H)_ I. 7-3 Z.73
INDIANA DEPARTMENT OF REVENUE
P-O- BOX 7229
INDIANAPOLIS, IN 46207-7229
Ll��l�ll��t�LIIL��I���II���I��I�LtLILI�t��I�ILI��II��tI 0800001135549510102529291,15970630201409
Prescribed by State Board of Accounts ACCOUNTS PAYABLE VOUCHER City Form 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.
Payeear-t)A� *� ak'mLLa__
Purchase Order No.
Terms
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
b
rl
`1
Total
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
i IN SUM OF $
�0)
1�r1 T1s I �j �o
ON ACCOUNT OF APPROPRIATION FOR
i
I
Board Members
or INVOICE NO. ACCT#!TITLE AMOUNT
DEPT,# I hereby certify that the attached invoice(s),
b U D -7J 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
0
Signature
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund