HomeMy WebLinkAbout244032 04/08/15 y u,C�q�
CITY OF CARMEL, INDIANA VENDOR: 369235
j ® i ONE CIVIC SQUARE NEXT STEP REALTY CHECK AMOUNT: $*****2,000.00*
CARMEL, INDIANA 46032 10804 EIRAEWICK DRIVE CHECK NUMBER: 244032
?+r��roN.EO CARMEL IN 46033 CHECK DATE: 04/08/15
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
102 4352500 00001 2,000.00 RENT PAYMENTS
e
NEXT STET' Next Step Y Realt INVOICE
10804 Braewick Dr
Carmel, IN 46033 DATE 4/1/2015
Phone: (317) 674-6683 INVOICE # 00001
CUSTOMER ID Carmel FD
DUE DATE 4/5/2015
Denise Snyder
Carmel City Fire Department
2 Civic Square Drive
Carmel, IN 46032
(317) 571-2600
April Rent (4/l/15-4/30/15) 2,000.00 1 2,000.00
3708 Barrington Dr, Carmel, IN 46033 -
Subtotal 2,000.00
Taxable -
® ® ;1,. = knr ,: Tax rate —�
Please include the invoice number on your check Tax due
Other F }
TOTAL $ 2-,000.00
Make all checks payable to
[Next Step Realty]
If you have any questions about this invoice, please contact
[Shawn Sullivan, (317)674-6683, smsulli96Cgmail.com]
Thank You For Your Business!
Invoice Template C(,)2013-2014 Vertex42.com
FonnW-9 Request for Taxpayer Give Form to the
(Rev.December 2014) Identification Number and Certification requester.Do not
Department of the Treasury
ury send to the IRS.
Internal Revenue Service
1 Name(as shown on your income tax return).Name Is required on this line;do not leave this line blank.
2 Business name/disregarded entity name,If different from above
Ria L-r
0 3 Check appropriate box for federal tax classification;check only one of the following seven boxes: 4 Exemptions(codas apply only to
c certain entities,not individuals;see
o ❑individual/sole proprietor or ❑ C Corporation ❑ S Corporation ❑ Partnership ❑Trust/estate instructions on page 3):
m c single-member LLCQ Exempt payee code(f any)
y Limited liability company.Enter the tax classification(C=C corporation,S=S corporation,P=partnership)® f
u Exemption from FATCA reporting
p Note.For a single-member LLC that is disregarded,do not check LLC;check the appropriate box in the line above for
the tax classification of the single-member owner. code(if any)
IL El Other(see Instructions)® (MMes toaccounts mintained ou(sid•theU.S.)
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� 5 Address(number,street,and apt.or suite no.) Requester's name and address(optional)
6 City,Asia,and ZIP code
U) 0-3
7 List account number(s)here(optional)
DEW Taxpayer Identification Number(TIN)
Enter your TIN in the appropriate box.The TIN provided must match the name given on line 1 to avoid Lsocial security number
backup withholding.For individuals,this is generally your social security number(page However,fora +m _
resident alien,sole proprietor,or disregarded entity,see the Part I instructions on page 3.For other
entities,it is your employer identification number(EIN). If you do not have a number,see How to get a
77N on page 3. or
Note.If the account is in more than one name,see the instructions for line 1 and the chart on page 4 for Employer identffication number
guidelines on whose number to enter. I
Certification
Under penalties of perjury,I certify that:
1. The number shown on this form is my correct taxpayer identification number(or I am waiting for a number to be issued to me);and
2. 1 am not subject to backup withholding because:(a)I am exempt from backup withholding,or(b)I have not been notified by the Internal Revenue
Service(IRS)that I am subject to backup withholding as a result of a failure to report all interest or dividends,or(c)the IRS has notified me that I am
no longer subject to backup withholding;and
3. 1 am a U.S.citizen or other U.S.person(defined below);and
4.The FATCA code(s)entered on this form(if any)indicating that I am exempt from FATCA reporting is correct.
Certification instructions.You must cross out item 2 above if you have been notified by the IRS that you are currently subject to backup withholding
because you have failed to report all interest and dividends on your tax return.For real estate transactions,item 2 does not apply.For mortgage
interest paid,acquisition or abandonment of secured property,cancellation of debt,contributions to an individual retirement arrangement(IRA),and
generally,payments other than Interest and dividends,you are not required to sign the certification,but you must provide your correct TIN.See the
instructions on page 3.
Sign Signature of
Here U.S.person► Date go, 7 �
General Instructions •Form 1098(home mortgage interest),109+++8-E(student loan interest),1098-T
(tuition)
Section references are to the Internal Revenue Code unless otherwise noted. •Form 1099-C(canceled debt)
Future developments.Information about developments affecting Form W-9(such .Form 1099-A(acquisition or abandonment of secured property)
as legislation enacted after we release it)is at www.irs.gov/fw9.
Use Form W-9 only it you are a U.S.person(Including a resident alien),to
Purpose of Form provide your correct TIN.
An individual or entity(Form W-9 requester)who is required to file an information If you do not return Form W-9 to the requester with a TIN,you might be subject
return with the IRS must obtain your correct taxpayer identification number(TIN) to backup withholding.See What is backup withholding?on page 2.
which may be your social security number(SSN),individual taxpayer Identification By signing the filled-out form,you:
number"N),adoption taxpayer Identification number(ATIN),or employer 1.Certify that the TIN you are giving is correct(or you are waiting for a number
identification number(EIN),to report on an information return the amount paid to to be issued),
you,or other amount reportable on an information return.Examples of information
but are not limited to,the following: 2.Certify that you are not subject to backup withholding,or
returns include,b
•Form 1099-INT ut arOntee
earned t paid) 3.Claim exemption from backup withholding if you are a U.S.exempt payee.If
•Form 1099-DN(dividends,including those from stocks or mutual funds) applicable,you are also certifying that as a U.S.person,your allocable share of
9 any partnership income from a U.S.trade or business is not subject to the
•Form 1099-MISC(various types of income,prizes,awards,or gross proceeds) withholding tax on foreign partners'share of effectively connected income,and
•Form 1099-B(stock or mutual fund sales and certain other transactions by 4.Certify that FATCA code(s)entered on this form(if any)indicating that you are
Ityrokers) exempt from the FATCA reporting,is correct.See What is FATCA reporting?on
•Form 1099-S(proceeds from real estate transactions) page 2 for further information.
•Form 1099-C(merchant card and third party network transactions)
Cat.No.10231X Form W-9(Rev.12-2014)
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
Purchase Order No.
Terms
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
00001 Sta.43 Rental House $6,000.00
I hereby certify that the attached invoice(s), or bill(s), is(are)true and correct and I have audited same in accordance
with IC 5-11-10-1.6
, 20
Clerk-Treasurer
VOUCHER NO. WARRANT NO.
ALLOWED 20
Next Step Realty
IN SUM OF $
10804 Braewick Drive
Carmel, IN 46033
ON ACCOUNT OF APPROPRIATION FOR
Carmel Fire Department
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
00001 ��5 1 hereby certify that the attached invoice(s), or
7� 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
MAR 3 0 2015
B d 9
Fire Chief
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund