The URL can be used to link to this page

Home My WebLink About259926 06/24/16 9,4y'.�qMf CITY OF CARMEL, INDIANA VENDOR: 370705 ONE CIVIC SQUARE HAMILTON COUNTY TUTORING CHECK AMOUNT: $*******225.00* FISHERS CARMEL, INDIANA 46032 PO BOX 7072 CHECK NUMBER: 259926 °M,�TON..�a` FISHERS IN 46038 CHECK DATE: 06/24/16 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1096 4340800 6022016 225.00 ADULT CONTRACTORS Voucher No. Warrant No. Hamilton County Tutoring Allowed 20 P.O. Box 7072 Fishers, IN 46038 In Sum of$ $ 225.00 ON ACCOUNT OF APPROPRIATION FOR 109 -Monon Center PO#or INVOICE NO. ACCT#/TITLE AMOUNT Board Members Dept# 1096-35 6022016 4340800 $ 225.00 1 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 June 16, 2016 Signature $ 225.00 Accounts Payable Coordinator Cost distribution ledger classification if Title claim paid motor vehicle highway fund (�� ,-a --�T�—.. L. �f p i,jD JUN 15 2016 INVOICE y "tr1s-,�r;. Pull1W,+[�^..,[- _ Id To(Ni Description Hours Rate Total * 150 cn Total vesGnpuorr-�� xvk-enl ce P.O.# gdcb _ P G.L. Budget Con �- .,,C,jcv-- ; Pxyrme - Line Descir g PUiCSic:-�- Dated i4� Approval Date (D (Sl VEI Form M9 Request for Taxpayer NOV 4 9 2015 G e Form to the (Rev.December 2014) tncd uester.Do not Department of the Treasury Identification Number and Cert! cation to the IRS. Internal Revenue Service 1 Name(as shown o pur income tax return).Name is required on this line;do not leave this line blan . — - - --_-----•---____ I hC r1Cx d n N 2 Business na /disregarded a thy name,if differ nt from above _4 I -� �r. �► C jar C:L 3 Check appropriate box for federal tax classification;check only one f the following seven boxes. 4 Exe ions(codes apply only to ndividuaVsoleproprietor or certain entities,not individuals;see ❑ C Corporation ❑S Corporation ❑ Partnership ❑Trust/estate instructions on page 3): d C single-member LLC v ❑Limited liability company.Enter the tax classification C=C corporation,S=S co Exempt payee code(if any) tY P Y• ( rp corporation,P.partnership)► o` 2 Note.For a single-member LLC that is disregarded,do not check LLC;check the appropriate box in the line above for Exemption from FATCA reporting Z the tax classification of the single-member owner. code(d any) Q, ❑ Other(see instructions)► /AW1wtoecown4mainftmdarfsi*me U.S.) t 5 ddress(number,street,and apt.or suite no)^ Requester's name and address(optional) MCA if) L to i 6 City,state,anra_r code (��1 (o 7 List account number(s)here(optional) • Taxpayer Identification Number(TIN) Enter your TIN in the appropriate box.The TIN provided must match the name given on line 1 to avoid Social security number backup withholding.For individuals,this Is generally your social security number(SSM.However,for a 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 identification number guidelines on whose number to enter. 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 1 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 0- General General Instructions •Form 1098(home mortgage interest),1098-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 k)is at www.irs.gov/fw9. Use Form W-9 only if 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(ITIN),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(Elm,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 returns include,but are not limited to,the following: 2.Certify that you are not subject to backup withholding,or •Form 1099-INT(interest earned or paid) 3.Claim exemption from backup withholding if you are a U.S.exempt payee.If •Form 1099-DIV(dividends,including those from stocks or mutual funds) applicable,you are also certifying that as a U.S.person,your allocable share of 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 1099-8(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 brokers) 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-K(merchant card and third party network transactions) Cat.No.10231X Form W-9(Rev.12-2014) /