311980 05/30/17 '�� "�`' CITY OF CARMEL, INDIANA VENDOR: 371693
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ONE CIVIC SQUARE INTERNATIONAL LANGUAGE CONNECTI'FN�CK AMOUNT: $""""""295.00'
�1 a° CARMEL, INDIANA 46032 719 VIRGINIA AVE,SUITE 101 CHECK NUMBER: 311980
' T���o INDIANAPOLIS IN 46203 CHECK DATE: 05/30/17
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1081 4357003 62 147.50 INTERNAL INSTRUCT FEE
1091 4357003 62 147.50 INTERNAL INSTRUCT FEE
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Form W-9 Request for Taxpayer owe Form to vie.
.Ptev.Decernber aril) requester.bo not
Do (111e Identification Number and Certification
h,tWW=.S1
.=FY 96M to thelft
1 Name(as shown rie tax retum).Name is required on tWs.line;do not leave this Iina bfank
Az- ".6 U A rfJ OU I a� Lac
2.Business-name/diaregarded entity nam if different from'above
ro
3 Check appropriate box f6r fed"lax classification;oheclt only one of the folloyfing:Goven boxed; 4 Exempt"#-dae-applyorily to
not individuals;am
proprtetor or El 0 CorPoMtion El 6 Corporation Q Partnership T* =a P896.4
o ample-member[lc
❑LknRW liability company.Enter the tax dassi�icatlon(C=C ourpore:don.Ste'corporat.loM..P-partroshlp)0- Bwrnq3t P"gods Qftny) tj1A
86.
0 Nate.For a singly inomber LLc that is disnqii&rded,,do nalcheck-U.0;check the appropriate box in the One above for Exemption f1`0M FATrA reporting
the tax d"silk5stion of the Zile-member.owner.
.61 code#afty)
E1.0ther(see.instruct".10- F!VMS to&CCMMftaViVWWOM*ft USj
S.Address(nu"..street'and apt.at suite nod Requester's name and address
(optional
-711 V02(oPtA AVel S(Jlrr 101
6 City,.state,and ZIP'DDde
Co I ODI WAR11.1-.5 I
7 List a000untnumbe*)here-(WwnaD
Te?pa"r iamtificaflon Number(TIN)
Enter Your TIN In the appropriate box:The TIN prbvkled must match the name given on'Brie'l to avoid. I Social seburft number
res)tiertt.alien,sols proprtelor,or,kfisregarded erti�y,see the Part 1 instriietions on.page 3..For other amities, is your employer iderstification rtuntber .ff you da riot have.a number;see Flow to gel s
= _M
7TlY'on page 3. or
Note.If the account is.fit,more than om name.-see the instructions for line land the chart.on page 4 for Empkryw klantlicawis number
giuildelinis on whoseniumber to enter. M91 --1 / 1917171-tM�
ISOM CSMceffon
UrAferpenattles of Perim,I ceffy that:
1. The nurri1xv stiown on.#ft form Is my correct taxpayer 1CWWWW number(or I am'waiting for a number to be issued to me),and
2. 1.am..n.ot:subject to backup withtnkgrigbecausk(a)I.am exempt-from backup v4ftolft,or(b)I have not beery notified by the hterna]RevenueService(IRS)VW fani subject to bickW withholding.as.a result of fallure to report all interest ordividgilds,or(c)the IRS.has I.am
no IoW subject to badquP withholOng;and
3, [sma,U.Scftken.orother US.,pe.,r-nw(defined-below);aW
4.The FATCA code(s)..entefed icoh this4bri-n(I fAhy)lrObating that I am exempt from-FATCA reportiuvis-correct.
Cwff=UM Inabuctlarts.You must cross.out item 2 abo4e it you have been noffied bylthe IRS that you are cuffai*a to ba.dcup,withholdirg
ubject
because you ham failed to reportal interest and dv:derids on your tax.
return'.For*,real estals transactRihs,item 2 doej jxA:aoy..For mortgage
interest paid.,Acquisition or abandonment.of secured,:Orop" cance killon of debt,contributions toter Indiv(duai re6kWn6n1,wran
gement,ORA)*,and.
genamly.payrrients offier than Interest"and dividends:.yop are not requited to sign the.certification,but you must.piovide your correct TIN.Seie'ft
instructions on page S.
Sig,7nSionst.,of.
0 1 -
Here parson Q Date. TVJJ,*Y
General WForm iO98(hoim*morto&oturesi),1098-r-*LFWloan inter*,log"
Section references are'to the Inter?W'Revenue Code L.irdess othorw1bo'rioted. • debt)
.1090 (canceibd,de
Future developmwils.Informstlian:about developawnts affecting Form W-9(such Form 099-A kALdsffpon or abandonment of secured property)property)property)as legislation enacted:after we release it}is at www*&goo".
Use Form W-0 Only.3fYOU-6re a U.S,.Per-ldn(nducling-a resident-man},to
Purpose of Form provide your correct TIN.
.
Aqindividual orwyftr—W-Bmqmdedwho.rs-required to.fileaninformation Myon dDcwt mourn Farm W-9toMe.req.uoster.with aTIN,.you a*U:besubject.
retprn-With1he ft must obtain Y60correltOxPayerldentificetion hUmberM to badw wiMd&V.See A%at is b&chip.wAVwOWaqj page P_
wwcti.mWtip ycwsocias sew ftnuni.ber(SSM.kocUduallaxpWwgWntMmtion siodrig thkfdlad-out form.YOU.,
=nu adaption taxpayer ider0cation number(TIM,or employer -it t
n munber(SM,tb report on An 1rdbmvdio.n return thournowd.pald to 1-Cartifyft he TIN you wagivirig is comect(aryou ara-wa"for*nwriber.
your.or otheraMount reportable on an trihmWon' to hi!-104
return,Example.s of information
2.-Codify tWkup wilhholdingi,Lor
VO!J are not subje.0 to bac
•Form 1099-INT(Interest earned.or pout) Claim exemption from backup withhold inp If you are a U.S:%exem
ptp6ye6..1f
-Form iOWDIV(cOvidends,Including those from stocks or mutual funds) appl! are also corwrij that."a U.S.person,youir allqozbleahiva of
Y IYMWZ�pp!noomefroin.i%LLS.trad-corbWnewis'notsLtodiothL-
-Form w1thhol alb on foreign partners'share Of efWDh*covinocted incomii�,and
•Form,1099-8.O*kk or mutual fund sales and certain
ather transactions by 4.Codify
._ . MKon11#fbn #fh
#,at-
rebroker4 ingiscorrectbie;nJ,7VCAZ=
•Form JOWK(merchant cardmidtNrdparty.network transactions)
APR 2 8 2017 11
Cat.No.102WX j Form.*9(R"..12-2014)
Invoice
International Language Connection
719 Virginia Ave
Suite 101
Indianapolis, IN 46203
5/16/2017 62
Phone# 317.712.6443 John@ILanguageConnection.com
Fax# 317.318.0600 www.InternationalLanguageConnec...
Carmel Clay Parks and Recreation
1235 Central Park Drive East
Carmel, IN 460322 201
BY:
7M rPrinted
ural Training,May 15,2017 295.00 295.00
aterials for 60 participants,TBA 0.00
Total $295.00