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Home My WebLink About259431 06/10/16 i°�'F�Ny CITY OF CARMEL, INDIANA VENDOR: 369279 ",� ,� ONE CIVIC SQUARE TAYLOR'S BAKERY CHECK AMOUNT: $*******495.00* :9 ,a; CARMEL, INDIANA 46032 8395 E 116TH ST CHECK NUMBER: 259431 M,,�-roN.�o. FISHERS IN 46038 CHECK DATE: 06/10/16 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1091 4341991 9792 495.00 MARKETING & PROMOTION Voucher No. Warrant No. Taylor's Bakery Allowed 20 8395 E 116th St Fishers, IN 46038 In Sum of$ $ 495.00 ON ACCOUNT OF APPROPRIATION FOR 109 -Monon Center PO#or INVOICE NO. ACCT#/TITLE AMOUNT Board Members Dept# 1091 9792 4341991 $ 495.00 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 2, 2016 Signature $ 495.00 Accounts Payable Coordinator Cost distribution ledger classification if Title claim paid motor vehicle highway fund 05/07/2016 11:29AM FAX 3172519576 Taylors Bakery 00002/0002 -.cam i MAY 09 2010 For, M9 Request for Tax Byer ! Give form to the (Rev.October 2007) requester.Do not Identification N�e�bcr an _ Iat�arr-- Oepwnen[pr rho 7roasury �^ '�„---- send to the IRS. Intemal Revenv0$OMeO Nemo(as shown on your Income tax return) d Ta lot's Inc., Di3A Taylor's Bake Business name,if different from above Taylor's Bakery a Check approprlate box? ❑ Indlvidual/Salo proprietor 0 Corporation ❑ Partnerehip Exempt ❑ Limited Ilablllty company.Enter the tax claselficatlon(p-disregarded entity,C-corporatlon,PApartnsrahlp)b........ ❑ paee `o ❑ Cthar(aoo lretruotlons)W- Address Address(number,street,and apt,or suite no.) Requaater'a name and address(optionaq a 6216 Allisonville Road City of Carmel, IN chy,acace.antl XiP obda I I Parks Dept v, Indianapolis U(��'7 1-10 account numbers)hero(optional) Taxpayer Identification Number Ihl Enter your TIN In the appropriate box The TIN provided must match the name given on Line 1 to avoid Soolal security number backup withholding.For individuolu,this is your social security number(SSN).However,for a resident alien,sole proprietor,or disregarded entity,see the Part I instructions on page S.For other entities,it is your employer Identification number(EiN).If you do not have a number,Doe How to gel a TIN on page 3. or Note.If the account is In more than one name,see the Chart on page 4 for guidelines on whose Employer IdantNiaatlon number number to enter. 35 1176696 KRM 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. I am not subject to backup wlthholdinq because:(e)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(0 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), Certification instructions.You must Cross out Item 2 above If you have been notified by the IRS that you are curron0y subject to backup withholding because you have failed to report all Interest and dividends on your tax return.For real*state transactions,Item 2 does not apply. For mortgage Interest paid,acquisition or abandonment of securod property,cancollation of debt,contributions to an individual retirement arraneomont(IRA),and generally,payments thor than interest and dividends,you aro not required to sign the Certiflcatlon,but you must provide your correct TIN,So "0. Potion on page 4. Sign signature or Here U.S.person I► Del ii. General Instruction S Definition of a U.S. porson. For federal tax purposes, you are considered a U.S.person If you oro: otherwise notedted.. Section references aro to the I e al Revenue Code unless a An Individual who is a U.S.citizen or U.S,resident alien, . • A partnership,corporation,Company,or association created or Purpose of Form organized in the United States or under the laws of the United A porson who Is required to fila an Information return with the States, IRS must obtain your Correct taxpayer Identification number(TIN) 0 An estate(other than a foreign estate),or to report,for example, income paid to yau,real estate a A domestic trust(as defined in Regulations section transactions,mortgage Interest you paid,acquisition or 301.7701-7), abandonment of secured property,cancellation of debt,or Special rules for partnerships.Partnerships that Conduct a contributions you made to an IRA trado or business in the United States are generally required to Use Form W-9 only if you are a U.S, person(including a pay a withholding tax on any foreign partners'shard of income resident alien),to provldo your Correct TIN to the person from such business.Further,In certain cases where it Form W-9 requesting It(the requester)and,when applicable,to: has not been received,a partnership is required to presume that 1.Certify that the TIN you are giving is correct(or you aro a partner Is a foreign person,and pay the withholding tax, waiting for a number to be issued), Therefore,if you are a U.S,porson_that is a partner in a 2.Certify that you are not subject to backup withholding,or partnership Conducting a trade or business In the United States, provide Form W-9 to the partnership to establish your U.S. 3,Claim exemption from backup withholding if you are a U.S. status and avoid withholding on your share of partner-,.hip exempt payee.If applicable,you are also certifying that as a income. U.S.porson,your allocable share of any partnorship income from The porson who gives Form W-9 to the partnership for a U.S.trade or business Is not subject to the withholding tax on purposes of establishing its U.S.status and avoiding withholding foreign partners share of effectively connected income. on Its allocable share of net income from the partnership Rote.If a requester gives you a form other than Form W-9 to conducting a trade or business in the United States is in the request your TIN,you must USO the requester's form if It Is following cases: substantially similar to this Form W-9. a The U.S.owner of a disregarded entity and not the entity, Cat No,10231K Form W-9 (Rev.10.2007) Ta Owl-" IndianapolisFisherst Invoice `' 6216 Allisonville Rd. 8395E1'161h�t Iz Invoice No B� Indianapolis IN 46220 r Ftsfier's 46038 2 Date Re uied.Ma ON 6 'raylormadeforyousmce791a 317-251-9575 317-596-2253 ` q y ' .. Time Require P1Vt 05°:6 Pickup-Fishers Bill To: Carmel Clay Parks&Recreations Taken By:Drew =MAAYv,"j31 ........Charge Account........Kylie Bradbury1235 Central Park Dr E Carmel,IN 46032 3178487275 Description Quantity Price Discount Total Cookie-Small Fluted w/3"Scanned 180 3.00 45.00 495.00 Subtotal 495.00 State Delivery Charge Total 495 X00 Signature