The URL can be used to link to this page

Home My WebLink About186111 06/07/2010 CITY OF CARMEL, INDIANA VENDOR: 363048 Page 1 of 1 ONE CIVIC SQUARE A G H PRODUCTIONS CHECK AMOUNT: $500.00 (CARMEL, o INDIANA 46032 ARTHUR G HAAN II oN ion 6006 SUNSET LANE CHECK NUMBER: 186111 INDIANAPOLIS IN 46228 CHECK DATE: 6/7/2010 DEPARTMENT ACCOUNT PO NUMB INVOICE NUMBER AMOUNT DESCRIPTION 902 4359003 060410 -1 500.00 ART OF WINE INVOICE 6006SUNsETLANE PHONE: 317-590-4663 INDPLS., IN 46228 EMAIL AHAAN2 @COMCAST.NET W W W .UPTO W NOUARTE'r.CO M BILL TO: CARMEL REDEVELOPMENT COMMISSION 30 WEST MAIN ST STE 220 CARMEL, IN 46032 JUNE 19 PERFORMANCE CARMEL ARTS DISTRICT THE ART OF WINE $500 FEE REM /T TO: AGH PRODUCTIONS 6006 SUNSET LANE INDIANAPOLIS, IN 46228 Farr, W°9 Request for Taxpayer Give form to the (Rev. October 2007) Identification Number and Certification requester. Do not Department or the Treasury send to the IRS. Internal Revenue Service Name (as shown on your income tax return) D Arthur G. Haan II a Buoineso name, if different from above o AGH Productions v c Check appropriate box: Individual/Sole proprietor Corporation El Partnership U3 Limited liability company. Enter the tax clasoiflcalion (D =disregarded entity, C= corporation, P= partnerahip) Exempt U `o 11 Other (see instructions) is payee Address (number, street, and apt or suite no.) Requeater'o name and address (optional) a 6006 Sunset Lane City, state, and ZIP code In Indianapolis, Indiana 46228 N List account number(e) here (optional) Tax a er Identification Number IN Enter your TIN in the appropriate box. The TIN provided must match the name given on Line 1 to avoid Social security number backup withholding. For individuals, this is your social security number (SSN). However, for a resident alien, Bole 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 T1N on page 3. or Note. If the account is in more than one name, see the chart on page 4 for guidelines on whose Employer identification number 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). 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, acquisiti or abandonment of secured property, cancellation of debt, contributions to an individual retirement arrangement (IRA), and generally, yments other than interest and dividends, you are not required to sign the Certification, but you must provide your correct TIN. See th Instructions on page 4. Sign ei0naturo of Here U.S. person Date 0- General Instruc Ons Definition of a U.S. pereon. or federal tax purposes, you are Section references are to the Internal Revenue Code unless considered a U.S. person if you are: otherwise noted. a An individual who is a U.S. citizen or U.S. resident alien, A partnership, corporation, company, or association created or Purpose of Form organized in the United States or under the laws of the United A person who is required to file an information return with the States, IRS must obtain your correct taxpayer identification number (TIN) An estate (other than a foreign estate), or to report, for example, income paid to you, real estate C A domestic trust (as defined in Regulations section transactions, mortgage interest you paid, acquisition or 301.7701 -7). abandonment of secured property, cancellation of debt, or Special rules for partnerships. Partnerships that conduct a contributions you made to an IRA. p trade or business in the United States are generally required to Use Form W -9 only if you are a U.S. person Including a resident alien), to provide your correct TIN to the person pay a withholding tax on any foreign partners' share of income requesting it (the requester) and, when applicable, person from such business. Further, in certain cases where a Form W -9 has not been received, a partnership is required to presume that 1. Certify that the 11N you are giving is correct (or you are a partner is a foreign person, and pay the withholding tax. waiting for a number to be issued), Therefore, if you are a U.S. person that is a partner in a 2. Certify that you are not subject to backup withholding, or partnership conducting a trade or business in the United States, provide Form W -9 to the partnership to establish your U.S. 3. Claim exemption from backup withholding if you are a U.S. status and avoid withholding on your share of partnership exempt payee. If applicable, you are also certifying that as a income. U.S. person, your allocable share of any partnership income from The person who gives Form W -9 to the partnership for a U.S. trade or business is not subject to the withholding tax on foreign partners' share of effectively connected income. purposes of establishing its U.S. status and avoiding withholding on its allocable share of net income from the partnership Note. If a requester gives you a form other than Form W -9 to conducting a trade or business in the United States is in the request your TIN, you must use the requester's form if it is following cases: substantially similar to this Form W -9. o The U.S. owner of a disregarded entity and not the entity, Cat No. 10231X Farm W -9 (Rev. 10 -2007) Prescribed by State Board of Accounts City Form 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 V pro L C J 1 4 n s Purchase Order No. b 0 0 S nse L Terms h Apolrs, lN Date Due Invoice Invoice Description Amount Date Number (or note attached invoice(s) or bill(s)) N d W n f ef in Tan `I 1' �l�•Qt� i 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 A G H IN SUM OF Suknse� Lkl ON ACCOUNT OF APPROPRIATION FOR Pay from Cash Board Members PO# or INVOICE NO. ACCT /TITLE AMOUNT DEPT. I hereby certify that the attached invoice(s), or '!G'L 06M 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 ;y -20 ID Signature r o ve opment Cost distribution ledger classification if claim paid motor vehicle highway fund