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Home My WebLink About187646 07/20/2010 CITY OF CARMEL, INDIANA VENDOR: 364404 Page 1 of 1 0 f ONE CIVIC SQUARE STEVE LUDWIG CARMEL, INDIANA 46032 3081 WEATHERMAN ROAD CHECK AMOUNT: $480.00 BROOKVILLE IN 47012 CHECK NUMBER: 187646 CHECK DATE: 7/20/2010 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 902 4359003 2 480.00 ROCK DISTRICT From: EN OICE Steve Ludwig INVOICE #002 DATE: JULY 9,2010 TO: FOR: Carmel Redevelopment Commission Entertainment Rock The District 30 W. Main St., Suite 220 Camel, In 46032 DESCRIPTION AMOUNT Entertainment Rock The District (Renegades) $480.00 TOTAL 480.00 Make all checks payable to Steve Ludwig Payment is due within 30 days. If you have any questions concerning this invoice, contact [Name, phone number, e-mail] Thank you for your business! 07/1S/2010 08:52 FAX 513 542 8309 INTERSTATE TRAILER I� 010 Form W M9 Request for Taxpayer c ivq form to the Dop.i N en t Of1 he Ttea Id Number and Certification requester. Do not 6npartmert o1 te eury send to the IRS. rntpmgl RBVd�IIB 59r"iC0 Name (as shown on your Income tax return) rJ ail tw11 a t3ur:lnr~4g n+mo, if d 9rent From above c v 06 dlviduaV Exempt ream backup Chaoksppeopri.3te Co Gox: $p! proprietor poratlon El Partnership Cthar F withholding v 4 Address (number, street, and apt, or aulte no.) Rogomter's ime and address (optional) a Al -R 'V City, state, and 'LIP code a (lam c.�,'n Y 70 m Llsraocount number(a) here (optlonsl) m Taxpayer Identification Number TIN Enter your TIN In the approprlatc box. The TIN provided must match the name given an Line 1 to avoid �'or 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 d4 not have a number, see How to get a TIN on page 3, or Note. If the account is in more than one name, see the chart on page 4 for guidelines on whose l ,ployer Identification nurribor number to enter. r MIM 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 numb+ to be issued to me), and 2, 1 am not subject to backup wlthhoiding because: (a) I am exempt from backup withholding, or (b) I have I :t boon notified by the Internal Revenue Service (IRS) that 1 am subject to backup withholding as a result of a failure to report all Interes,l .r dividends, or (c) the IRS has notified me that I am no longer subject to backup withholding, and 3. I am e U.S. person (including a U.S. resident alien)_ Cerdficatlon Instructions. You must cross out Item 2 above If you have been notified by the IRS that you at currently subject to backup withholding because you have failed to report all interest and dividends on your tax return. For real estate tro ;actions, item 2 does not apply. For mortgage interest paid, acquisition or abandonment of secured property, cancellation of debt, contrlbutic a to an individual retirement arrangement (IRA), and generally, payments other than InN ®rest and dividends, you are not required to sign tV Certification, but you must provide your correct TiN. (See the instructions on page Sign Signature of Here U.S. rer:vn Ii c..� C 1%/ Data fS Purpose of Form An individual who is a citiz< or resident of the United A person who is required to file an information return with the states, IRS, must obtain your correct taxpayer identification number a A partnership, corporation, )mpany, or association TIN) to report, for example, income paid to you, real estate created or organized in the U led States or under the laws transactions, mortgage interest you paid, acquisition or of the United States, or abandonment of secured property, cancellation of debt, or Any estate (other than a for !gn estate) or trust, See contributions you made to an IRA. Regulations sections 341.770 6(a) and Y(a) for additional U.S. ,person. Use Form W -9 only If you are a U.S. person information. (including a resident alien), to provide your correct TIN to the Special rules for partnershil.:. Partnerships that conduct a person requesting it (the requester) and, when applicable, to: trade or business in the Unite States are generally regt.lired 1. Certify that the TIN you are giving is correct (or you are to pay a withholding tax on a foreign partners' share of waiting for a number to be issued), Income from such business, (.rher, in certain cases where a 2, Certify that you are not subject to backup withholding, or Form W -9 has not been recei :id, a partnership is required to presume that a partner is a fe .tign person, and pay the 3, Claim exemption from backup withholding If you are a withholding tax. Therefore, if u are a U-S. person that is a U.S. exempt payee. In 3 above, if applicable, you ara also certifying that as a partner in a partnership conch tint a trade or business in the United States, provide Form 1 •9 to the partnership to U.S. person, your allocable share of any partnership income establish your U.S, status anti .:void withholding on your from a U.S. trade or business Is not subject to the share of partnership income. withholding tax on foreign partners' share of effectively connected income. The person who gives Forn- 'N -9 to the partnership for Note. If a requester gives you a form other than Form w -9 to purposes of establishing its L status and avoiding request our TIN withholding on its allocable sl re of net income from the q y you must use the requester's form if it is partnership conducting a trad or business in the United substantially sfmllar to this Form w -9. States is in the following case For federal tax purposes, you are considered a person if you The U.S, owner of a disreg; led entity and not the entity, are, Cat. No. 10231x Form W-9 (Rev. 11 -20051 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 O; r hour, number of units, price per unit, etc. w Payee G 4 e Val wt o1 c, Purchase Order No. ;V Terms Date Due Invoice Invoice Description Amount Date. Number (or note attached invoice(s) or bill(s)) —1 a�' k Oe 913 4rid 49 0. 00 Total g Q 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 L a� IN SUM OF ON ACCOUNT OF APPROPRIATION FOR Pay from Cash �359W Board Members PO# or D PT. INVOICE NO. ACCT /T{TLE AMOUNT I hereby certify that the attached invoice 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 7-)2-2010 ignature D {rector of Redevelopment Title Cost distribution ledger classification if claim paid motor vehicle highway fund