HomeMy WebLinkAbout184113 04/13/2010 CITY OF CARMEL, INDIANA VENDOR: 00350929 Page 1 of 1
10J� ONE CIVIC SQUARE INDIANA DEPT OF REVENUE
CARMEL, INDIANA 46032 PO BOX 7216 CHECK AMOUNT: $975.12
INDIANAPOLIS IN 46207-7218 CHECK NUMBER: 184113
CHECK DATE: 4/13/2010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1091 4359200 975.12 SALES TAX PAID -PARKS
ST -103 0809
X 5A 9 ue, \f��
sign. �y
1 declaris is a true, c r and complete return. 1 r./ a3
Bate 17) .S t?� Total Sal es
Exemption s/ Deductions 2,
CARMEL CLAY PARKS AND RECREATION Taxable Sales (Line 1 2) 3. J- Q 3 7 3
G�
Total Tax Due (7% of Line 3) 4.
Taxpayer ID Nuelber For Tex Period Discount (collection Allowance 5 7, 17
011968383 001 7
MAR 2010 .73% of Line 4) I
Use Tax Due (7% X Purchases) 6.
Filing Status Due nn or Before Interest Due (Line 4 Line 6)xlntRate 7.
"The 2010 Annuat Interest Rate is 4%
MONTHLY APR 30 2010 Penalty Due 8.
Pa Previously Made (EFT) 9.
INDIANA DEPARTMENT OF REVENUE Amount Due 10.
(AddLm
es 4 +6 7 +8minus5 &9)
P.O, BOX 7218
INDIANAPOLIS,IN 46207 -7218
Ll,, l Llll,,, L„II, L II 08011968308300105021000
/OW-
a ��LUT3
APR Q 17 2O10
BY.. L f 3
t
ACCOUNTS PAYABLE VOUCHER
CITY OF CARMEL
An invoice of 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.
00350929 Indiana Department of Revenue Terms
P.O. Box 7218 Date Due
Indianapolis, IN 46207 -7218
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
417!10 011 9683083 001 7 Sales tax paid Mar'l0 975.12
Total 975.12
1 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.
00350929 Indiana Department of Revenue Allowed 20
P.O. Box 7218
Indianapolis, IN 46207 -7218
In Sum of
975.12
ON ACCOUNT OF APPROPRIATION FOR
109 Monon Center
PO# or INVOICE NO. ACCT AMOUNT Board Members
Dept TITLE
1091 0119683083 001 7 4359200 975.12 1 hereby certify that the attached invoice(s), or
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
8 -Apr 2010
Signature
975.12 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund