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Home My WebLink About327991 07/25/18 y �`� CITY OF CARMEL, INDIANA VENDOR: 371386 ONE CIVIC SQUARE RED DOOR PROPERTY MANAGEMENT CHECK AMOUNT: $........*20.00* �r_c�gM r: CARMEL, INDIANA 46032 4340 W.96TH ST STE 102 CHECK NUMBER: 327991 9M,�TON�`. INDIANAPOLIS IN 46268 CHECK DATE: 07/25/18 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 601 5023990 1331261004 20.00 OTHER EXPENSES VOUCHER NO. 182195 WARRANT NO. Prescribed by State Board of Accounts City Form No.201(Rev 1995) ALLOWED 20 Vendor # 371386 IN SUM OF$ ACCOUNTS PAYABLE VOUCHER RED DOOR PROPERTY MANAGEMENT CITY OF CARMEL 4340 W 96th St Ste 102 An invoice or bill to be properly itemized must show: kind of service,where performed, Indianapolis, IN 46268 dates service rendered, by whom, rates per day, number of hours, rate per hour, numbers of units, price per unit,etc. Payee 20.00 371386 Purchase Order No. ON ACCOUNT OF APPROPRATION FOR RED DOOR PROPERTY MANAGEMENT Terms Carmel Water Utility 4340 W 96th St Ste 102 Due Date BOARD MEMBERS I hereby certify that that attached invoice(s), Indianapolis,IN 46268 or bill(s)is(are)true and correct and that PO# ACCT# the materials or services itemized thereon for DATE INVOICE# Description DEPT# INVOICE# Fund# AMOUNT which charge is made were ordered and DEPT# FUND# (or note attached invoice(s)or bill(s)) AMOUNT 1331261004 01-4611-00 $20.00 and received except 7/19/2018 1331261004 $20.00 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 Cost distribution ledger classification if claim paid motor vehicle highway fund. 20 Clerk-Treasurer �o"imel Utilities '� �� 'J Account Number 1331261004 P.O. Box 109 Carmel, IN 46082-0109 Amount Due Customer Service www.carmelutilities.com (317) 571-2442 e a e Mon-Fri 8am-5pm Amount Due After Due Date RED DOOR PROP MGMT Ser,viqe Address 4340 W 96TH ST 11721 BENNETTWOOD PL INDIANAPOLIS, IN 46268 FINAL PeriodService Meter Meter Number 111111111111101116111 PAYMENT RECEIVED, THANK YOU (100.52) 04/13/18 05/11/18 76590622 3962 3962 PREVIOUS BALANCE CREDIT (50.26) WATER 0 12.47 STATE TAX 0.87 TRASH SERVICE 11.51 STORM WATER 5.41 a s U DocuSign Envelope ID:77F8F51D-48E8-473E-BD6F-5298BEOOD6EB F: pi Form W'9 Request for Taxpayer Give Form to the (Rev.December 2011) identification Number and Certification requester.Do not Department of the Treasury ury send to the IRS. Internal Revenue Service Name(as shown on your income tax return) Joseph and Suzanne EMling N Business name/disregarded entity name,if different from above a) m m a Check appropriate box for federal tax classification: C: ° ® Individual/sole proprietor ❑ C Corporation ❑ S Corporation ❑ Partnership ❑ Trust/estate CL 0 m c 0 ❑ Limited liability company.Enter the tax classification(C=C corporation,S=S corporation,P=partnership)Do ❑Exempt payee c2 C N C ❑ Other(see instructions)► '.r---- Address(number,street,and apt.or suite no.) Requester's name and address(optional) CL 11721 Bennettwood P1 Q) City,state,and ZIP code 05 Zionsville IN 46077 List account number(s)here(optional) 1711 Taxpayer Identification Number(TIN) Enter your TIN in the appropriate box.The TIN provided must match the name given on the"Name"line Social security number to avoid backup withholding.For individuals,this is your social security number(SSN).However,for a resident alien,sole proprietor,or disregarded entity,see the Part I instructions on page 3.For other 22 - 27 entities,it is your employer identification number(EIN).If you do not have a number,see How to get a TIN on page 3. Note.If the account is in more than one name,see the chart on page 4 for guidelines on whose Employer identification number -M number to enter. LiULU 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). 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 4. - Sign Signature of � I� 6/29/2016 HDocuslgned by: 0,ere U.S.person It✓ fAU Date 111- General General Instructi §6FE34FFD5E438.. Note.If a requester gives you a form other than Form W-9 to request your TIN,you must use the requester's form if it is substantially similar Section references are to the Internal Revenue Code unless otherwise to this Form W-9. noted. Definition of a U.S.person.For federal tax purposes,you are Purpose of Form considered a U.S.person if you are: A person who is required to file an information return with the IRS must •An individual who is a U.S.citizen or U.S.resident alien, obtain your correct taxpayer identification number(TIN)to report,for •A partnership,corporation,company,or association created or example,income paid to you,real estate transactions,mortgage interest organized in the United States or under the laws of the United States, you paid,acquisition or abandonment of secured property,cancellation .An estate(other than a foreign estate),or of debt,or contributions you made to an IRA. •A domestic trust(as defined in Regulations section 301.7701-7). .Use Form W-9 only if you are a U.S.person(including a resident alien),to provide your correct TIN to the person requesting it(the Special rules for partnerships.Partnerships that conduct a trade requester)and,when applicable,to: business in the United States are generally required to pay a withholding tax on any foreign partners'share of income from such business. 1.Certify that the TIN you are giving is correct(or you are waiting for a Further,in certain cases where a Form W-9 has not been received,a number to be issued), partnership is required to presume that a partner is a foreign person, 2.Certify that you are not subject to backup withholding,or and pay the withholding tax.Therefore,if you are a U.S.person that is a 3.Claim exemption from backup withholding if you are a U.S.exempt partner in a partnership conducting a trade or business in the United payee.If applicable,you are also certifying that as a U.S.person,your States,provide Form W-9 to the partnership to establish your U.S. allocable share of any partnership income from a U.S.trade or business status and avoid withholding on your share of partnership income. is not subject to the withholding tax on foreign partners'share of effectively connected income. Cat.No.10231X Form W-9(Rev.12-2011)