HomeMy WebLinkAbout190623 10/12/2010 CITY OF CARMEL, INDIANA VENDOR: 00350929 Page 1 of 1
ONE CIVIC SQUARE INDIANA DEPT OF REVENUE
!4 0 CHECK AMOUNT: $1,011.62
CARMEL, INDIANA 46032 Po Box 7218
4 oM INDIANAPOLIS IN 46207 -7218 CHECK NUMBER: 190623
CHECK DATE: 10/12/2010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1091 4359200 1,011.62 SALES TAX PAID -MONON
ST-103 0 8 0 9
S�gretu e
Z L
I declare under penalties orperjury that thi a true. correct a c nplete return.
Date Phone 3 3 D S
Total Sales I 'V Ssg D S
CARMEL CLAY PARKS AND RECREATION Exemptions Deductions 2
Taxable Sales (Line 1 2) 3. 5� O
Taxpayer ID Number For Tax Period Total Tax Due (7% of Line 3) 4.
Discount (Collection Allowance
0119683083 001 7 SEP 2010 .73% of Line 4) 5. rI L�
Use Tax Due (7% X Purchases) 6.
Filing Status Due on or Before Interest Due (Line 4 Line 6) x Int Rate* 7.
MONTHLY NOV 01 2010 'The 2010 Annual I nterest Rate is 4
PenaltyDue 8.
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Payment Previously Made (EFT) 9.
INDIANA DEPARTMENT OF REVENUE Amount Due
P.O. BOX 7218 (Add Lines 4 6 7 8 minus 5 9) 10.$
INDIANAPOLIS,IN 46207 -7218
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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
1,011.62
1011110 0119683083 001 7 Sales tax paid Sep'10
Total 1,011.62
I hereby certify that the attached invoice(s), or bill(s) is (are) true and correct and I have audited same in accordance
with IG 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
1,011.62
ON ACCOUNT OF APPROPRIATION FOR
109 Monon Center
PO# or INVOICE NO. ACCT AMOUNT Board Members
Dept TITLE
1091 0119683083 001 7 4359200 1,011.62 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
7 -Oct 2010
Signature
1,011.62 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund