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Home My WebLink About332238 11/13/18 CITY OF CARMEL, INDIANA VENDOR: 372915 • ONE CIVIC SQUARE RAYGUN WORKSHOP'INC CHECK AMOUNT: $*****3,150.00* faa; CARMEL, INDIANA 46032 5335 WINTHROP AVE CHECK NUMBER: 332238 INDIANAPOLIS IN 46220 CHECK DATE: 11/13/18 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1401 4355100 012714-506 3,150.00 PROMOTIONAL FUNDS VOUCHER NO. WARRANT NO. Prescribed by State Board of Accounts City Form No.201(Rev.1995) Vendor# 372915 ALLOWED 20 ACCOUNTS PAYABLE VOUCHER RAYGUN WORKSHOP INC IN SUM OF$ CITY OF CARMEL 5335 WINTHROP AVE 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 46220 Payee $3,150.00 Purchase Order# ON ACCOUNT OF APPROPRIATION FOR Council 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 012714-506 43-551.00 $3,150.00 1 hereby certify that the attached invoice(s),or 11/6/18 012714-506 WEEPAGE DESGN/DEVELOPMENT FOR $3,150.00 1401 101 1401 101 LETS TALK CARMEL 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 Tuesday, November 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 20Cost distribution ledger classification if claim paid motor vehicle highway fund. Clerk-Treasurer Raygun Workshop Inc. Invoice 01271 4- RAYGUN 5335 Winthrop Ave. Invoice V • WORKSHOP Indianapolis, IN 46220 US 506 madeline@raygunworkshop.com BILL TO c City of Carmel ( A y DATE 'A ;DUE DATE 11/03/2018 $3,150.00 £`11/03%2018 ACTIVITY AMOUNT Web 3,150.00 Design and development additions for letstalkcarmel.com (21 hrs) TOTAL DUE $3,150.00 THANK YOU. Taylor, Karen E. From: Taylor, Karen E. Sent: Tuesday, November 06, 201811:02 AM To: 'MADELINE@RAYGUNWORKSHOP.COM' Subject: W-9 FORM Good morning Madeline, I will be preparing a claim for the payment of your invoice(for a web design to the City of Carmel City Council). In order to do so,we will need to add you to our vendor list,which will require your W-9 Form. Please attach an electronic copy and send it back to me, so we can proceed with the payment of your invoice#012714- 506. Thank you. qr"� S Office Administrator Clerk-Treasurer's Office 1 Civic Square Carmel, IN 46032 317-571-2453 317-571-2510 - fax 4 CONT IDEWTIALITY NOTICE: This E mail(including attachments)is covered by the Electronic Communications Privacy Act, 1 S U.S.C.§ 2510- 2521. is confidential and nary be legally privileged. Ifyou are not the intended recipient,you are hereby notified that any retention,dissemination, distribution, or copying of'this communication is strictly prohibited, and may be subject to criminal and civil penalties. If you have received this transmission in error,please immediately call its at(317)571-2453,delete the transmission from all forms of electronic storage,and destroy all hard copies.DO NOT FOR TYARD this transmission. Receipt of this electronic mail message by anyone other than the intended recipients)is not a waiver of any attorney-client work product, investigatory law enforcement privilege or any other applicable privilege. Thank you. Please consider the environment before printing this email. 1 Form W-9 Request for Taxpayer Give Form to the Department heT Identification Number and Certification requester. IR not DepartmentoftheTreasury send to the IRS. Internal Revenue Service Name(as shown on your'ncome tax return) Business name/disregarded entity name,if different from above m Raygun Workshop Inc. °- Check appropriate box for federal tax classification: Exemptions(see instructions): C ° ❑Individual/sole proprietor C Cor oration ® S Corporation ❑ Partnership ❑Trust/estate a ,,, Exempt payee code(if any) Z, o ❑ Limited liability company.Enter the tax classification(C=C corporation,5=5 corporation, P=partnership) ► Exemption from FATCA reporting ° code(if any) c CL ❑ other(see instructions) ► Address(number,street,and apt.or suite no.) Requester's name and address(optional) OJ 5335 Winthrop Ave CL `n City,state,and ZIP code Ln Indianapolis, IN 46220 List account number(s)here(optional) 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 numberHowever,for a page -1:11 - 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 [H] TIN on page 3. Note. If the account is in more than one name,seethe chart on page 4 for guidelines on whose number to enter. 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(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 3. Sign Signature of Here U.S.person ► Date ► 1 / 0 1 / 1 8 General Instructions withholding tax on foreign partners'share of effectively connected income,and 4.Certify that FATCA code(s)entered on this form(if any)indicating that you are Section references are to the Internal Revenue Code less otherwise noted. exempt from the FATCA reporting,is correct. Future developments .The IRS has created a page on IRS.gov for or Note. Ifyou area U.S.person and a requester gives you a form other than Form about Form W-9,at www.irs.gov/w9.Information about any future developments W-9 to request your TIN,you must use the requester's form if it is substantially affecting Form W-9(such as legislation enacted after we release it)will be posted similar to this Form W-9. on that page. Definition of a U.S.person. For federal tax purposes,you are considered a U.S. Purpose of Form person if you are: A person who is required to file an information return with the IRS must obtain your An individual who is a U.S.citizen or U.S.resident alien, correct taxpayer identification number(TIN)to report,for example,income paid to A partnership,corporation,company,or association created or organized in the you,payments made to you in settlement of payment card and third parry network United States or under the laws of the United States, transactions,real estate transactions,mortgage interest you paid,acquisition or An estate(other than a foreign estate),or abandonment of secured property,cancellation 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 Special rules for partnerships. Partnerships that conduct a trade or business in provide your correctTlN to the person requesting it(the requester)and,when the United States are generally required to pay a withholding tax under section applicable,to: 1446 on any foreign partners'share of effectively connected taxable income from such business.Further,in certain cases where a Form W-9 has not been received, 1.Certify that the TIN you are giving is correct(or you are waiting for a number the rules under section 1446 require a partnership to presume that a partner is a to be issued), foreign person,and pay the section 1446 withholding tax. Therefore,ifyou are a 2.Certify that you are not subject to backup withholding,or U.S.person that is a partner in a partnership conducting a trade or business in the 3.Claim exemption from backup withholding if you are a U.S.exempt payee.If United States,provide Form W-9 to the partnership to establish your U.S.status applicable,you are also certifying that as a U.S.person,your allocable share of and avoid section 1446 withholding on your share of partnership income. any partnership income from a U.S.trade or business is not subject to the Cat.No.10231 X Form W-9 (Rev.8-2013)