HomeMy WebLinkAbout187643 07/20/2010 CITY OF CARMEL, INDIANA VENDOR: 00350929 Page 1 of 1
0 ONE CIVIC SQUARE INDIANA DEPT OF REVENUE CHECK AMOUNT: $3,470.04
sa CARMEL, INDIANA 46032 PO BOX 7218
o� INDIANAPOLIS IN 46207 -7218 CHECK NUMBER: 187643
CHECK DATE: 7120/2010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1091 4359200 PARKS 3,470.04 PARKS TAX 06/10
ST -103 0809
.4utharir.cd J
X
I declare under penalties or perjury that t Ks. g a true. correct and complete return. q
Date 7 /vl /L3 Phone (3 6 Yp o 2 Total Sales 1 9 3
CARMEL CLAY PARKS AND RECREATION Exemptions Deductions 2
Taxable Sales (Line 1 2) 3. 9 g 3 lo.
Taxpayer ID Number For Tax Period Total Tax Due (7% of Line 3) 4. 5
Discount (Collection Allowance
0119683083 001 7 JUN 2010 .73% of Line 4) 5.
Use Tax Due (7% X Purchases) 6.
Filing Status Due on or Before Interest Due (Line 4 Line 6)xlntRate* 7.
'The 2010 Annual Interest Rate is 4°4.
MONTHLY JUL 30 2010
Penalty Due 8
IiiIllinll tililtnlinllltttlllliill Payment Previously Made (EFT) 9.
INDIANA DEPARTMENT OF REVENUE Amount Due
P.O. BOX 7 218 (Add Lines 4+ 6+ 7+ 8 minus 5& 9) 10.$
INDIANAPOLIS,IN 46207 -7218
I�I��Illltt ��I�Illttt l���Ilt ��I��I�I� tlllitti��t�lll��l��lttll 080119683083001050210000015970630201007
Purchase 0 1
Description
P.O. P or F
G.L. g t In �I G I L�35q 5 520 0
Una 1cr ax�U �G rx 1
Purchaser Date
Approv Date
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
7112110 0119683083 0017 Sales tax paid Jun'10 3,053.12
r
Total 3,053.12
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.
00350929 Indiana Department of Revenue Allowed 20
P.O. Box 7218
Indianapolis, IN 46207 -7218
In Sum of
3,053.12
ON ACCOUNT OF APPROPRIATION FOR
109 Monon Center
PO# or INVOICE NO. ACCT AMOUNT Board Members
Dept TITLE
1091 01196830830017 4359200 3 312 i hereby certify that the attached invoice(s), or
bill(s) is (are) true and correct and that the
V materials or services itemized thereon for
which charge is made were ordered and
received except
15 -Jul 2010
T
Signature
3,053.12 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund