HomeMy WebLinkAbout186370 06/09/2010 *f CITY OF CARMEL, INDIANA VENDOR: 00350929 Page 1 of 1
0 ONE CIVIC SQUARE INDIANA DEPT OF REVENUE CHECK AMOUNT: $1,095.37
CARMEL, INDIANA 46032 PO BOX 7218
INDIANAPOLIS IN 46207 -7218 CHECK NUMBER: 186370
CHECK DATE: 6/9/2010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1091 4359200 1,095.37 SALES TAX PAID
ST -103 0809
X Authomrd Q
SignaNre a-,,�
I 7 declare.0 der penalties Ofperjuryt at is is a true c t nd complete return,
Date 3 /U Phone (-��s` 5�1�°7> Total Sales 1 l 6— `1 �P
CARMEL CLAY PARKS AND RECREATION Exemptions/ Deductions 2.
Taxable Sales (Line 1 2) 3. j 7 02
Taxpayer ID Number For Tax Period Total Tax Due (7% of Line 3) 4. 11
Discount (Collection Allowance
tl119683tlB3 001 7 MAY 201tl ,73% of Line 4) 5 8
Use Tax Due (7% X Purchases) 6.
.Filing Status Due on or Before Interest Due (Line 4 Line 6) x Int Rate* 7.. J
'The 2010 Annual Interest Rate is 4
MONTHLY JUN 30 2tl1tl r
Penalty Due 8.
lttl�l�ttlLttllletllt ,�lltttlllltttl Payment Previousl Made (EFT) 9.
INDIANA DEPARTMENT OF REVENUE Amount Due e�
P.O. BOX 7218 (Add Lines 4 6 7 8 minus 5 9) 10.$ JF
INDIANAPOLIS,IN 46207 -7218
Itl�titllttI till 111 1111 1111tt, 111111tt 1Illttlttt1111tt1.Jtt11 0801 196830830010502100 00015970531201009
,SUN G 3 20 10 D�
BY:.......................
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.
Terms
00350929 Indiana Department of Revenue Date Due
P.O. Box 7218
Indianapolis, IN 46207 -7218
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s)}
1,095.37
613110 0119683083 001 7 Sales tax aid Ma '10
Total 1,095.37
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
w
Voucher No. Warrant No.
00350929 Indiana Department of Revenue Allowed 20
P.O. Box 7218
Indianapolis, IN 46207 -7218
In Sum of
1,095.37
ON ACCOUNT OF APPROPRIATION FOR
109 Monon Center
PO# or INVOICE NO. ACCT AMOUNT Board Members
Dept TITLE
1091 0119683083 001 7 4359200 1,095.37 I 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
3 -Jun 2010
Signature
1,095.37 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund