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Home My WebLink About187649 07/20/2010 c CITY OF CARMEL, INDIANA VENDOR: 364405 Page 1 of 1 ONE CIVIC SQUARE BRIAN NOBLE CHECK AMOUNT: $480.00 CARMEL, INDIANA 46032 28741 DUNEVANT DRIVE WEST HARRISON IN 47060 CHECK NUMBER: 187649 CHECK DATE: 7120/2010 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 902 4359003 1 480.00 ROCK DISTRICT From: E54YONCE Brian Noble INVOICE #001 DATE: JULY 9,2010 TO: FOR: Carmel Redevelopment Commission Entertainment Rock The District 30 W. Main St., Suite 220 Carmel, In 46032 DESCRIPTION AMOUNT Entertainment Rock The District (Renegades) $480.00 TOTAL 480.00 Make all checks payable to Brian Noble 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%19/2010 08:53 FAX 523 542 8309 INTERSTATE TRAILER X011 Form W Request for Taxpayer Give form to the (I;ev. na mmb a Tieesu Identification Number and Certification In r ®a uest er. Do not On 'roar qn asve or the umc. ry send to the IRS. mrnel nue Snn�o ni Name as Shown on your income tax mturn) CL Business nama, if different frorl) 0b4�e C [J m r ndivldual! Corpora Partnership Dtlter lion Exempt from DaCkup Check e eck appropriate box: Sole prop rotor withholding Address number, stroot, and apt, or sole no.) Requaatar'ti :one and addrus; (optional) o r�f5i'7�f/ l7u,vcai•4. Alp. City, state, and ZIP code t CL i 7060 I.lat account number(a) here (optional) N Taxpayer IdentiPiCation Number ('TIN) Enter your TIN in the appropriate box, The TIN provided must match the name given an Line f to avoid f alien, S01e proprietor, or disregarded entity, see the Part i Instructions on page S. For other entities, It is your employer Idondfitation number (EIN). if you do not have a number, see NOW to get a 77N on page 3, or Note. If the account is in more than one name, see the chart on page 4 for guidelines on whose (plover identification nurnher number to enter_ C�rt Under penalties of perjury, I certify that: 1. The number shown on this form is my correct taxpayer Identiflcatlon number (or I am waiting for a numb 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 it been notified by the Internal Revenue Service (iRS) that I am subject to backup withholding as a result of a failure to report all Interou it dividends, or (c) the IRS has notified me that I am no longer subject to backup withholding, and 3. I am a U.g. person (including a U.S. resident alien). Certification Instructions. You must cross out item 2 above if you have been notified by the IRS that you al currently subject to backup withholding because you have failed to report all interest and dividends on your tax return. For real estate trw :'actions, item 2 does not apply. For mortgage interest paid, acquisition or abandonment of secured property, cancellation of debt, contrlbutl: s to an individual retirement arrangement ([RA), and generally, paym other then interest and dividends, you are not required to sign tt Certification, but you must provide your correct 71N. (Sea ft ructf s on page 4.) Sign Signature of Here V.S. person R Y na6o /5' 44 PU1 ppS An Individual who is a ciirvl or resident of the United A person is r uired t n information return with the States, IRS, must obtain correct taxpayer identification number A partnership, corporation, cmpany, or association (TIN) to report, for example, income paid to you, real estate created or organized in the U ted 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 a Any estate (other than a fc -i gn estate) or trust. See contributions you made to an IRA. Regulations sections 301.77(' 6(a) and 7�(a) for additlonal 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 Unit- States are generally required Certify that the TIN you are giving is correct (or you are to pay a withholding tax on a i foreign partners' share of waiting for a number to be issued), income from such business. I ether, In certain cases where a 2. Certify that you are not subject to backup withholding, or Form W -9 has not been recei :d, a partnership is required to 3. Claim exemption from backup withholding if you are a presume that a partner is a fc sign person, and pay the withholding tax, Therefore, if ru are a U.S, person that is a U.S. exempt payee partner in a partnership coed :ring a trade or business in the In 3 above, if applicable, you are also certifying that as a 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 an( avoid withholding on your from a U.S, grade or business is not subject to the share of partnership income. withholding tax an foreign partners' share of effectively connected income. The person who gives Fora N -g to the partnership for Note. If a requester gives you a form p'i'ne' Chary Form W -9 to purposes of establishing its t_ 3. status and avoiding withholding on its allocable ,I ,re of net income from the request your TIN, you must use the requester's form if it is partnership conducting a trac or business in the United substantially similar to this Form W -9. States is in the following case For federal tax purposes, you are considered a person if you a The U.S. owner of a disreq Jed entity and not the entity, are: Ciat. No. 10231X Form w 9 (Rev. 11 -2005) Rescribed 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. I Payee B r i m N� D Purchase Order No. Terms Date Due Invoice Invoice Description Amount Date Number (or note attached invoice(s) or bill(s)) 7 Total I hereby certify that the attached invoice(s), or bill(s), is (are) true and correct and l have audited same in accordance with IC 5- 11- 10 -1.6. 20 Clerk- Treasurer VOUCHER NO. WARRANT NO. t ALLOWED 20 rl Q nO D�P IN SUM OF q M a ON ACCOUNT OF APPROPRIATION FOR Pay from Cash 9p2 /�3sgoo3 Board Members PO# or INVOICE NO. ACCT #!TITLE AMOUNT DEPT. 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 20 1 Direct or% Redeve lopment Title Cost distribution ledger classification if claim paid motor vehicle highway fund