HomeMy WebLinkAbout183139 03/16/2010 CITY OF CARMEL, INDIANA VENDOR: 00350929 Page 1 of 1
ONE CIVIC SQUARE INDIANA DEPT OF REVENUE CHECK AMOUNT: $4.08
CARMEL, INDIANA 46032 PO BOX 7229
.a INDIANAPOLIS IN 46207 CHECK NUMBER: 183139
CHECK DATE: 3/16/2010
DEPARTMENT ACCOUNT PO N INVOICE NUMBER AMOUNT DESCRIPTION
101 5023990 4.08 SALES TAX —GOLF 2/10
F —103 0809
V Aun��.i�ed
!1 signurtue
declare under eneare5 pl'perjury that this is true, correct an o�n ete n.
Date Phmre 4w F focal Sales of Food Beverages (Do Nor Include Tax)....... A.
Total Exempt Food Beverage Sales B.
B.
BROOKSHIRE GOLF CLUB t 2 r"
Net'I'a.xable Sales (Subtract Line B from Line A) Z
C.
(p
CARMEL UTILITIES
Taxpayer ID Number For Tax Period Tax Due 0 %of LineC) D. Z D
0003120155 004 n FEB 2010 Collection Allowance(.73 %efLineD)
Do Not Use this Line ifthe Payment is Late... E. C L
County /Town Due on or Before Net Tax Due (SubirnctLine o from Line D). F.
Penalty is Greater of 55 or 10% of Line F (Plus Interest)
Carmel MAR 30 2010 Use this line only if return is filed late G.
-The 2030 Annual Itnerea Rate is 9,
Adjustments (An explanation must be attached)• H.
Irrlrlrlrlrllrrrlrrlr lrinnrllllrul Total Amount Due (Total Lines F and G plus or minus H) I. �(D[�
INDIANA DEPARTMENT OF REVENUE
P.O. BOX 7229
INDIANAPOLIS,IN 46207 -7229
j Irlrrlrllrrrrlrll lrrrlrlrllrriLrlrl ,rlrllrlrrtrlrll lllllrrrl 08000011355495101 02529291115970228201010
ON
—10 3 0809
X.sian
I declare ut d penalties of perryq• that this is a tme. correct and comp r urn. �j
Date `'J I —,?4 F Total Sales offood Beverages (Do Not Include Tax)......... A.
Total Exempt Food Beverage Sales B. �J r
BROOKSHIRE GOLF CLUB N Taxable Sales (Subtract Line B from Line A)...._ C. `V 6 2-5
CARMEL UTILITIES 0
Taxpayer ID Number For Tax Period Tax Due (I %of Line C)_ D.
0003120155 004 0 FEB 2010 Collection Allowance (.73% of Line D)
Do Not Use this Line if the Payment is Late E,
County /Town Due on or Before Net Tax Due (Subtract Line E from Line D) F. �Q
Penalty is Greater of S5 or 10% of Line F (Plus Interest)"
Hamilton MAR 30 2010 Use zhis line only ifretumis filed late- G.
'The 2010 Annual Interest Rute is 4%
Adjustments (An explanation must be attached) H.
l rilllrl�lrllnrlrrlrlrinrrrllllnrl
Total Amoum Due (Total Lines F and G plus orminushl) 1. Z,
L INDIANA DEPARTMENT OF REVENUE 1
P.O. BOX 7229
INDIANAPOLIS,IN 462 07 -7229
Irlrrlell n nlrlllu rlrrrll a rlrrlrl n lrllrlr a rlrllrlrrllrrrl 080000113554950010252900015970228201010
Prescribed by State Board of Accounts City Farm No. 201 (Rev. 1995)
ACCOUNTS PAYABLE VOUCHER
CITY OF CARMEL
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.
Payee
Purchase Order No.
Terms
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
Lim
Total
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
Clerk- Treasurer
VOUCHER NO. WARRANT NO.
ALLOWED 20
IN SUM OF
ON ACCOUNT OF APPROPRIATION FOR
Board Members
F °T INVOICE NO. ACCT /TITLE AMOUNT I hereby certify that the attached invoice(s), or
D LTZ 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
20
Signature
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund