HomeMy WebLinkAbout188685 08/17/2010 CITY OF CARMEL, INDIANA VENDOR: 00350929 Page 1 of 1
ONE CIVIC SQUARE INDIANA DEPT OF REVENUE
CARMEL, INDIANA 46032
PO BOX 7218 CHECK AMOUNT: $3,441.00
�o INDIANAPOLIS IN 46207 -7218 CHECK NUMBER: 188685
CHECK DATE: 8/17/2010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1091 4359200 PARKS SALES 3,441.00 PARKS SALES 07/10
X gth -i,ed ST-103 0 8 0 9
declare under penalties orperjury that thid is.a.! ue. correct and complete return.
Date -/4 -/D Phone# 4 ?3 `fG J
S Total Sales 1• 9 S. y
CARMEL CLAY PARKS AND RECREATION Exemptions/ Deductions 2.
Taxable Sales (Line 1 2) 3.
5 /8'ti5'7.
Taxpayer ID Number For Tax Period Total Tax Due (7% of Line 3) 4.
Discount (Collection Allowance) 4
0119683083 001 7 JUL 2010 73% of Line 4) 5 8
Use Tax Due (7% X Purchases) 6.
Filing Status Due on or Before Interest Due (Line 4 Line 6) x Int Rate* 7.
"The 2010 Annual rntcrest Rate is 4%
ti I THLY AUG 30 2010
Penalty Due 8.
tl�lt�tllnl�l�Ittlnl�ln�llllntl Payment. Previousl Made (EFT), 9.
INDIANA DEPARTMENT OF REVENUE Amount Due
P.O. BOX 7218 (AddLines4+6+ 7+ 8 minus 5 9) 10.$ y ...00:
INDIANAPOLIS,IN 46207 -7218
tl t �Llir��tltllLt, Itt �II��tLJtl�te !!lttl,���lll�tLtl�tll 080119683083001050210000015970731201006
AUG l 2 01 0
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
8110110 0119683083001 7 Sales tax paid Jul'10 3,441.00
Total 3,441.00
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
Voucher No. Warrant No.
00350929 Indiana Department of Revenue Allowed 20
P.O. Box 7218
Indianapolis, IN 48207 -7218
In Sum of
3,441.00
ON ACCOUNT OF APPROPRIATION FOR
109 Monon Center
PO# or INVOICE NO. ACCT III AMOUNT Board Members
Dept TITLE
1091 0119683083 001 7 4359200 3,441.00 1 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
12-Aug 2010
Signature
3,441.00 Accounts Payable Coordinator
I
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund