HomeMy WebLinkAbout189638 09/13/2010 CITY OF CARMEL, INDIANA VENDOR: 00350929 Page 1 of 1
0 ONE CIVIC SQUARE INDIANA DEPT OF REVENUE
CARMEL, INDIANA 46032 PO BOX 7218 CHECK AMOUNT: $3,157.76
INDIANAPOLIS IN 46207 -7218
CHECK NUMBER: 189638
CHECK DATE: 9/13/2010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1091 4359200 MONON SALES 3,157.76 MONON 08/10 TAXES
ST -103 0809
AuNOm.ed L /�7
SigimNre �GL
declare under enhie5 arperjury that t is a true, correct and complete return.
Date `T Phone (3" 57,3 -yDoZ f S Total Sal es 1. D
CARMEL CLAY PARKS AND RECREATION Exemptions/ Deductions 2
Taxable Sales (Line I 2).- 3. 'Sl
Taxpayer ID Number For Tax Period Total Tax Due (7% of Line 3) 4.
Discount (Collection Allowance
0119683083 001 7 AUG 2010 u
.73 /n of Line 4)
5• a
Use Tax Due (7% X Purchases) 6.
Filing Status Due on or Before Interest Due (Line 4 Line 6) x Int Rate* 7,
MONTHLY SEP 30 2010 'The 2010 Annual I nterea Rate is 4
Penalty Due S.
I�IIIIn�II��I�II��tlnll��nlllln�I Payment Previously Made (EFT) 9.
INDIANA DEPARTMENT OF REVENUE Amount Due
P.O. BOX 7218 (Add L 4 +6 +7 +8 minus 5 &9) 10
INDIANAPOLIS,IN 46207 -7218
080119683083001050210000015970831201010
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
918110 01 19683083 001 7 Sales tax paid Au '10 3,157.76
Total 3,157.76
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 46207 -7218
In Sum of
3,157.76
ON ACCOUNT OF APPROPRIATION FOR
109 Monon Center
PO# or INVOICE NO. ACCT I AMOUNT Board Members
Dept TITLE
1091 0119683083 001 7 4359200 3,157.76 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
9 -Sep 2010
Signature
3,157.76 Accounts Payable Coordinator
Cost distribution €edger classification if Title
claim paid motor vehicle highway fund