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Home My WebLink About259406 06/10/16 CITY OF CARMEL, INDIANA VENDOR: 370667 ONE CIVIC SQUARE KIRK LUTTRELL CHECK AMOUNT: $*****2,645.00* CARMEL, INDIANA 46032 1748 PAXTON DRIVE CHECK NUMBER: 259406 NAPERVILLE IL 60563 CHECK DATE: 06/10/16 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1091 4341991 2016-18 2,645.00 MARKETING & PROMOTION Voucher No. Warrant No. Luttrell, Kirk Allowed 20 1748 Paxton Drive Naperville, IL 60563 In Sum of$ $ 2,645.00 ON ACCOUNT OF APPROPRIATION FOR 109 -Monon Center PO#or INVOICE NO. ACCT#/TITL AMOUNT Board Members Dept# 1091 201618 4341991 $ 2,645.00 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 $ 2,645.00 Accounts Payable Coordinator Cost distribution ledger classification if Title claim paid motor vehicle highway fund W% 4� Form W9 Request for Taxpayer, APR 2.0 2016 Give Form to the (Rev.December 2014) Identification Number and Cerk.Ification equester.Do not Department of the Treasury send to the IRS. internal Revenue Service `f': 1 Name(as shown on your income tax return).Name is required on this line;do not leave this line blank. ,_ N 2 Business nameldisregarded entity name,if different from above rn co a 3 Check appropriate box for federal tax classification;check only one of the following seven boxes: 4 Exemptions(codes apply only to c O XIndividuaVsole proprietor or ❑ C Corporation ElS Corporation ❑ Partnership ❑TNst/estate certain onsentiton not individuals;see ® c single-member LLC instructions on page 3): o Exempt payee code(if any) ❑Limited liability company.Enter the tax classification(C=C corporation,S=S corporation,P=partnership)► p 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 the tax classification of the single-member owner. code(d any) IL ❑Other(see instructions)► MWAes to aacomis nWhbih douWde@e u.3) Z 5 Address(number,street,and apt.or suite no.) Requester's name and address(optional} a 17 8 /-Ax OO /?,QZVE W 6 City,state,and ZIP code 74 6 056 3 7 list account number(s)here(optional) JMH Taxpayer Identification Number IN 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(SSN).However,for a D 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 TIN 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. I I ITFL 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(IRP),and generally,payments other than interest and dividends,you are not required to sign a certification,but you must provide your correct TIN.Seethe instructions on page 3. Sign signature of i Here I U.S.person► Date► `�' (� ZD�� 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 it)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 71N,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(SSM,individual taxpayer identification By signing the filled-out form,you: number QTIN),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 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.12-20`14) V 1748 Paxtonn Dnv IVapervill, ,,IL 60563 630MIA384- kirkluttrellC@gmail.com Date - May 25 201 "` Y MAY 3 1 2016 Client: .Lindsay LabasBY: Marketing Director Carmel Clay Parks 8 Recreation Monon Community Center 1235 Central Park Drive East, Carmel,IN 46032 317.573.4020 PO#: 39898 Project: CCPR ActiveNet export setup and Fall 2016 Download Fees: Project 1:Set up ActiveNet export and post-export.processing; .. Create new InDesign style sheets in layout template($75/hr)............... $1,500.00 20 hours from 4/14/16 through 5/19/16. Project 2:Graphic Design($90/hr) .......................................$495.00 5.5 hours from 4/28/16.through 5/11/16. Project 3:Fall 2016 ActiveNet download(flat fee). ......................$650.00 Includes:Download content sections in catalog order and unite into single file;post-export text processing to change ActiveNet content into CCPR style;Flow processed/styled content into InOesign template;Manually compress Activity Records with multiple Locations into approved CCPR style;Compress and apply correct style sheets to Activity Records that have Themes;Submit final content to client. Total..... ................................................. §14;5:001 . Terms:. Net 15 PII EL trell ease„makemcheck.payable tot_Kir '