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Home My WebLink About327111 07/06/18 a`("��"''F. CITY OF CARMEL, INDIANA VENDOR: 00352612 .: CHECK AMOUNT: $********50.00* ONE CIVIC SQUARE ALCOHOLIC BEVERAGE COMMISSION :'� ?�; CARMEL, INDIANA 46032 302 W WASHINGTON ST#E114 CHECK NUMBER: 327111 9,(TON.�.� INDIANAPOLIS IN 46204 CHECK DATE: 07/06/18 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1207 4239040 50.00 FOOD & BEVERAGES VOUCHER NO. WARRANT NO. Prescribed by State Board of Accounts City Form No.201(Rev.1995) Vendor# 355486 ALLOWED 20 ACCOUNTS PAYABLE VOUCHER INDIANA ALCOHOL &TOBACCO COMM IN SUM OF$ CITY OF CARMEL 302 W WASHINGTON ST ROOM E114 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. INDIANAPOLIS, IN 46204 Payee $50.00 Purchase Order# ON ACCOUNT OF APPROPRIATION FOR Brookshire Golf Course Terms Date Due PO# ACCT# DATE INVOICE# DESCRIPTION DEPT# INVOICE# Fund# AMOUNT Board Members DEPT# FUND# (or note attached invoice(s)or bill(s)) AMOUNT Extension 2018 43-553.00 $50.00 1 hereby certify that the attached invoice(s),or 7/6/18 Extension 2018 Permit Extenison $50.00 1207 101 1207 101 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 Friday,July 06,2018 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 Cost distribution ledger classification if claim paid motor vehicle highway fund. Clerk-Treasurer s �.. 302 West Washington Street �A,�"� '` IGCS Room E114 STATE OF INDIANA Indianapolis, IN 46204 :z 317 M-2430 -,, ALCOHOL AND TOBACCO COMMISSION Telephone Fax 317/234-1520 kLL �l�! www.[N.gov/atc r1a1� June 27,2018 CITY OF CARMEL 12120 BROOKSHIRE PKWY Carmel IN 46033 Notice of Missing information from the Alcohol and Tobacco Commission Permit Number RR2903542 Your application is missing the following item(s) indicated below. Please submit the requested information along with any forms attached to this notice. The following missing items must be filed in sufficient time to process the application. Failure to submit the following can result in delay or denial of your permit. • Your permit renewals were not submitted 90 days prior to the expiration date. Please complete the request for extension with the fee of 50.00 per 905 IAC 1-26-2 If the Request for Extension is not submitted within 30 days after the expiration date you will need to contact your local Excise office and schedule an inspection before an extension will be granted. • Please attach a copy of your Indiana Retail Merchant Certificate, attached to this letter. If this letter is not sent back to our agency along with the Retail Merchant Certificate, it will not be processed, resulting in delay or denial of your permit. If you have any questions, please contact us at(317)232-2430. Thank you in advance for your cooperation. / Please return a copy of this letter with correspondence. Indiana Alcohol and Tobacco Commission 302 W. Washington Street Room E 112 Indianapolis, Indiana 46204 Phone: (317) 232-2430 Fax: (317) 234-1520 AN EQUAL OPPORTUNITY EMPLOYER Form Revised 06/23/2010 surF REQUEST FOR EXTENSIONABCUSE ONLY o` er n State Form 4125(R2/10-00 _o-oo Renewal Filed •..,w ,� Approved by State Board of Accounts,z000 _Fee paid •.t�" + _Sales tax paid 7 777 M,4 ^_ ... . �.. STIP.9.,.,PERMWINFORMATION.:d M. x PenL*Jame Permit number Expiration date Doibusine s as Telephone number 6011-5 iz 66 e iLao Premise address(numberand street,city,state,ZIP code) rt STEP,2APPL1CANT tNFORMATiON' .. .. _ _ ._ Nam applicant Addrass(numberand street,city,sta code) D 4`7 oS -# 2216 Telephone#1 Telephone#2 Fax Number Check one ❑ Sole-proprietor ❑ Corporate officer ❑ Partner Manager STE";REA$ON,FOREXTTNSION Check"one,analp;rovldereason),, 2phe need for an extension(or its renewal)is occasioned by the act or omission of the permittee or his agent thereof(eg.Attorney,accountant, reparer,etc.). A$50.00 extension fee is required. PAY BY CASHIER'S CHECK,CERTIFIED CHECK,BUSINESS CHECK,OR MONEY ORDER TO THE"INDIANA ALCOHOLIC BEVERAGE COMMISSION" (PERSONAL CHECKS CANNOT BE ACCEPTED) Reason: , S v o The need for an extension or the renewal of an existing extension is occasioned by the act or omission of the Alcoholic Beverage Commission,a local board,or an unrelated third party who is not an employee of the permittee nor under the control of the permittee. Reason: I affirm gpdeTWalties of perjury that all statements in this request are true and that all sales taxes have been paid. Signature cf ap ' nt Date(month,day,year) Ad-- I -�— 0' t i d 1 rrmr rrvtC[R;yvU d1S'CJ Ld17 l7Tdfld E' gered taxes. It also gives you 24/7 access to business-tax records, lets yolu fileci and pay online right up toithe last dead)net, " ter ,, REGISTERED RETAIL MERCHANT CERTIFICATE CONTROL-NUER' c a~ == Indiana Department of Revenue y ib, Government Center North 17001381Q6911 G :v *` Indianapolis,Indiana 46204 (317)615-2700 CITY OF CARMEL BROOKSHIRE GOLF COURSE TID:0003120155 12120 BROOKSHIRE PKWY LOC: 004 CARMEL, IN 46033-3314 FID: 35-6000972/0 IS AUTHORIZED TO COLLECT INDIANA RETAIL SALES TAX ISSUED: .01/02/2017 r AT THE ADDRESS ABOVE IF DIFFERENT FROM BELOW. EXPIRES: 01/31/2019 �~ r THIS LICENSE: 0 D 0 7 91 IS NOT TRANSFERRABLE TO ANY OTHER PERSON. '. IS NOT SUBJECT TO REBATE. I INII'IIS HIS VIII�iq�f��"III'I III91IIOII I1ll113 B�III I�I�I II��I III I�tll IS VOID IF ALTERED. .. CARMEL UTILITIES s 30 W MAIN ST STE 220 . CARMEL, IN 46032-1938 MUM I COMMISSIONER J PLAYED BY M R HANT IN AT , , _ . .`1 '"r.�-..�._..r...:,.�_oaay.,+e c...::.dd� s- - .�xv',. �..:E__LiL_._.......•s.....�.:h.�,s.ve.a..�-:;..•.c..�......�.r ..��.a..___r c.,.;1.�i£:ys-....ti_...bt4.a._..`e.f.'.:.-.w_�.,.