HomeMy WebLinkAbout198885 07/05/2011 a CITY OF CARMEL, INDIANA VENDOR: 00350929 Page 1 of 1
t ONE CIVIC SQUARE INDIANA DEPT OF REVENUE
CARMEL, INDIANA 46032 PO Box 7226 CHECK AMOUNT: $192.25
INDIANAPOLIS IN 46207 CHECK NUMBER: 198885
CHECK DATE: 715/2011
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
101 5023990 1 192.25 F B TAX -6/11
Auhor; c� FAB -10 3 0 810
X Sign;,are
I declare u ,der p n: e. pepu tt a ruu correct and compete �'"1 �f
I I phone I T 111 Total Sales of Food Beverages (Do Not Include Tax)......... A. I C
Date gg
'Total Exempt Food Beverage Sales B.
BROOKSH IRE GOLF CLUB Net Taxable Sales (Subtract Line B from Line A) C. l C
CARMEL UTILITIES 6
Taxpayer ID Number For Tax Period Tax Due (I of Line C) D.
0003120155 009 0 JUN 2011 Collection Allowance (.73% ofLine D) 1 4 I
Do Not Use this Line if the Payment is Late E.
County /Town Due on or Before Net Tax Due (Subtract Line ofrom Line D) F. 7— Z
Penalty is Greater of S5 or 10%of Line F (Plus Interest)
Carmel AUG 01 2011 Use this line onl if return is filed late G.
'The 2011 Annual Interest Rate is 9%,
Adjustments (An explanation must be attached) H.
Irllrlrlrlrrilrlrrrllirllrrrrllrrrlll Total Amount Due (Total Lines F and G plus or minus 14) I. l Z Zrj
INDIANA DEPARTMENT OF REVENUE
P.0- BOX 7229
INDIANAPOLIS,IN 46207 -7229
1111 1111111111111111111111111 11111 1 080000113554951010252929115970630201106
Authar; FAB —10 3 0 810
X Sign
I declare under penalties ofperjuq• that this is 7 a true. correct an com le re irn. n
3a �t phone I 1 L Total Sales of Food &Beverages (Do Not Include Tax) A. I L
Date
Total Exempt Food Beverage Sales B.
BROOKSHIRE GOLF CLUB -3 (c Q Z
Net Taxable Sales (Subtract Line B from Line A) C.
CARMEL UTILITIES 3 Lo
ID Number For Tax Period Tax Due of Line C) D.
0003120155 004 0 JUN 2011
Collection Allowance (.73% of Line D) I 4
Do Not Use this Line ifthe Payment is Late E. q
County /Town Due on or Before
Net Tax Due (Subtract Line E from Line D) F. 2- Z
Penalty is Greater of S5 or 10% of Line F (Plus Interest)*
Hamilton AUG 01 2011 Use this line only ifretum is filed late G.
'The 2011 Annual Interest Rate is 9%
Adjustments (An explanation must be attached) H.
Irrlrlrlrl�r�lrlrr�llrrllrrrrllrrrlll Total Amount Due (Total Lines F and G plus or minus H) I.
INDIANA DEPARTMENT OF REVENUE
P.O. BOX 7229
INDIANAPOLIS,IN 46207 -7229
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Prescribed by State Board of Accounts ACCOUNTS PAYABLE VOUCHER City Form No. 201 (Rev. 1995)
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.
Pay e
I Purchase Order No.
Terms
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
Total
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.
ALLOWED 20
IN SUM OF
43o 4
ON ACCOUNT OF APPROPRIATION FOR
&4q Rncl- Q0
Board Members
PO# or INVOICE NO. ACCT #/TITLE AMOUNT
DEPT. I 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
20
Signature
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund