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Home My WebLink About165054 10/16/2008 CITY OF CAkMEL•,?NDIANA VENDOR: Page 1 of 1 ONE CIVIC SQUARE INDIANA DEPT OF REVENUE CHECK AMOUNT: $339.30 CARMEL, INDIANA 46032 PO BOX 7229 o� INDIANAPOLIS, IN 46207 -7229 CHECK NUMBER: 165054 CHECK DATE: 10/16/2008 D EPARTME NT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 101 5023990 339.30 F B TAX AUG 2008 4/ 1 FAB -103 0807 (D o Total Sales of Food &Beverages (Do Not Include Tax) A. I J 0 0 XAnm.r;,ed �r Total Exempt Food Beverage Sales B. Signature ae q' C /1 x I •J iciarenn�erp navies r .n iete.nnenet. Net Taxable Sales (Subtract Line B from Line A) C. q Date I 11•: Phone Tax Due I of Line C) D. 1 t_..' BROOKSH IRE GOLF CLUB Collection Allowance (.83% of Line D) CARMEL UTILITIES Do Not Use this Line if the Payment is Late E. Taxpayer ID Number For Tax Period C 2 11003120155 004 0 Alt(; 2008 Net Tax Due (Subtract Line E from Line D) F. Penalty is Greater of $5 or 10% of Line D (Plus Interest)* c County /Town Due on or Bef Use this line only if return is filed lat e G. CARINIEL. SEP 30, 2008 ewnne am—i mtr. cs; :aie rc,: ia:.r :,av::,en, i:,s 71 Adjustments (An explanation must be attached) H. Total Amount Due (Total Lines F and G plus or minus H)L t J INDIANA DEPARTMENT OF REVENUE P. 0. BOX 7229 INDIANAPOLIS, IN 46207 -7229 04000011355495101025083120080930200810 Fold on perforation before tearing FAB -103 0807 `r Total Sales of Food Beverages Do Not Include Tax m XAnihnmeJ Total Exempt Food Beverage Sales B. signature x I (declare unJe penalties of pu, at iris rsatrue,c rand complete vouc ar. Net Taxable Sales (Subtract Line B from Line A) C. Date Phone 3 Tax Due 1 of Line C) D. I r. BROOKSH IRE GOLF CLUB Collection Allowance (.83% of Line D) CARMEL UTILITIES Do Not Use this Line if the Payment is Late E. Taxpayer ID Number For Tax Period 0003120155 004 0 Alit 2008 Net Tax Due (Subtract Line E from Line D) F. I J �J v b County/ Town 1 due on or Before Penalty is Greater of $5 or 10% of Line D (Plus Interest)* Use this line only if return is filed late G. H,��1IL;1'ON SF,I' 30, 211118 7,,,• eni a: t a n:e ::a« iate Adjustments (An explanation must be attached) H. Ir�l�l�lrl� „Irll�„I�I�tllitt�l��l�l �j Total Amount Due Total Lines F and G plus or minus H 1. INDIANA DEPARTMENT OF REVENUE P. 0. BOX 7229 INDIANAPOLIS, IN 46207 -7229 0 Fold on perforation before tearing AR -80 PROPOSED ASSESSMENT 117 SF 43430 (Rev. 1/2001) INDIANA DEPARTMENT OF REVENUE REFER TO THIS NUMBER ON ANY CONTACT WITH THE DEPARTMENT Liability Number: 2008 08808444 Notice Number: 08024214261 Date Issued: 11/10/2008 Taxpayer TID: 0003120155 004 FID:35- 6000972 Form Number: FAB -103 0800057607669 DLN: 08S0004315451 CARMEL UTILITIES f Account ID: 113554951 BROOKSHIRE GOLF CLUB V Liability Period: August 31, 2008 1 CARMEL CIVIC SQ Tax Type: Food Beverage CARMEL, IN 46032 County: Hamilton City: Carmel A review of your Indiana Food &Beverage tax return(s) for the period ending August 31, 2008 has determined you may owe $1,061.35. This amount includes penalty and interest required by state law. If you agree with the explanation given on the reverse side of this notice, the amount must be paid by December 29, 2008. If you do not agree, you have 45 days to submit a written protest with supporting documentation. Your protest must be received by the due date. If this business is closed, you must file form BC -100 with the Department and attach supporting documents. You can find the BC -100 at www.in.gov /dor, or visit any district office. You can also call us at (317) 233 -4015 and have one mailed to you. SUMMARY OF AMOUNT DUE Original Tax (Food Beverage) 950.00 Penalty 95.00 Interest Daily Amount $0.18 16.35 Amount you owe Due Date: December 29, 2008 1,061.35 DETACH AND MAIL BOTTOM PORTION WITH YOUR PAYMENT (MADE PAYABLE TO THE INDIANA DEPARTMENT OF REVENUE). Continued from previous page. Notice Number: 08024214261 Issued 11/10/2008 Explanation of proposed assessment: CARMEL UTILITIES YOU HAVE FAILED TO SUBMIT THE APPROPRIATE TAX FORM AND THEREFORE THIS NOTICE IS AN ESTIMATED AMOUNT DUE BASED UPON THE BEST INFORMATION AVAILABLE. IF YOU DO NOT OWE THIS FOR ANY OF THE REASONS LISTED, YOU MUST SUBMIT ONE OF THE FOLLOWING IN ORDER TO CLEAR THIS: 1. A COPY OF THE TAX RETURN AND THE FRONT AND BACK OF YOUR CANCELLED CHECK, IF PAID. 2. IF THERE WAS NO ACTIVITY THAT OCCURRED WITH YOUR BUSINESS, YOU ARE STILL REQUIRED TO FILE TAX RETURNS FOR THE PERIODS INDICATED. IF YOU NEED TAX FORMS, PLEASE CONTACT US AT (317) 233 -4015 OR VISIT OUR WEBPAGE AT HTTP: /WWW.INTAX.IN.GOV. 3. IF THE BUSINESS WAS CLOSED, THE RESPONSIBLE OFFICER OF THE CORPORATION, PARTNER, OR SOLE PROPRIETORSHIP MUST SUBMIT A COMPLETED INDIANA FORM BC -100. YOU MAY DOWNLOAD THIS FORM FROM OUR WEBPAGE AT HTTP:// WWW. IN. GOV /DOR/TAXFORMS /PDFS /BC- 100.PDF, OR CALL (317) 233 -4015. CARMEL UTILITIES Taxpayer TID: 0003120155 004 Liability Number: 2008 08808444 Notice Number: 08024214261 AMOUNT Due Date: December 29, 2008 1 PAID Indiana Dept. of Revenue PO Box 1028 Indianapolis, IN 46206 -1028 AMOUNT YOU OWE: $1,061.35 I. I. IIIIIIIIIIIIIIIIIIIII�III 01 00031201 55002Q98O8BD8444090000000106135 If you have any questions about WHY this -tax is due, you may call between 8:15 AM and 4:30 PM Monday through Friday Eastern Standard Time or write to: CUSTOMER CONTACT PO BOX 1028 INDIANAPOLIS, IN 46206 -1028 (317)232 -2240 t AR -80 PROPOSED ASSESSMENT 116 SF43430(Rev. 1/2001) INDIANA DEPARTMENT OF REVENUE REFER TO THIS NUMBER ON ANY CONTACT WITH THE DEPARTMENT Liability Number: 2008 08808443 Notice Number: 08024214260 Date Issued: 11/10/2008 Taxpayer TID: 0003120155 004 FID: 35- 6000972 Form Number: FAB -103 0800057607668 111111111111 1111111111111111111111111111111111111111111111111111111111111111l DLN: 08S0004315443 CARMEL UTILITIES Account ID: 113554950 BROOKSHIRE GOLF CLUB Liability Period: August 31, 2008 1 CARMEL CIVIC SQ Tax Type: Food Beverage CARMEL, IN 46032 County: Hamilton C Ity: NA A review of your Indiana Food Beverage tax return(s) for the period ending August 31, 2008 has determined you may owe $1,061.35. This amount includes penalty and interest required by state law. If you agree with the explanation given on the reverse side of this notice, the amount must be paid by December 29, 2008. If you do not agree, you have 45 days to submit a written protest with.supporting documentation. Your protest must be received by the due date. If this business is closed, you must file form BC -100 with the Department and attach supporting documents. You can find the BC -100 at www.in.gov /dor, or visit any district office. You can also call us at (317) 233 -4015 and have one mailed to you. SUMMARY OF AMOUNT DUE Original Tax (Food Beverage) 950.00 Penalty 95.00 Interest -Daily Amount $0.18 16.35 Amount you owe Due Date: December 29, 2008 1,061.35 DETACH AND MAIL BOTTOM PORTION WITH YOUR PAYMENT (MADE PAYABLE TO THE INDIANA DEPARTMENT OF REVENUE) Continued from previous page. Notice Number: 08024214260 Issued 11/10/2008 Explanation of proposed assessment: CARMEL UTILITIES YOU HAVE FAILED TO SUBMIT THE APPROPRIATE TAX FORM AND THEREFORE THIS NOTICE IS AN ESTIMATED AMOUNT DUE BASED UPON THE BEST INFORMATION AVAILABLE. IF YOU DO NOT OWE THIS FOR ANY OF THE REASONS LISTED, YOU MUST SUBMIT ONE OF THE FOLLOWING IN ORDER TO CLEAR THIS: 1. A COPY OF THE TAX RETURN AND THE FRONT AND BACK OF YOUR CANCELLED CHECK, IF PAID. 2. IF THERE WAS NO ACTIVITY THAT OCCURRED WITH YOUR BUSINESS, YOU ARE STILL REQUIRED TO FILE TAX RETURNS FOR THE PERIODS INDICATED. IF YOU NEED TAX FORMS, PLEASE CONTACT US AT (317) 233 -4015 OR VISIT OUR WEBPAGE AT HTTP: //WWW.INTAX.IN.GOV. 3. IF THE BUSINESS WAS CLOSED, THE RESPONSIBLE OFFICER OF THE CORPORATION, PARTNER, OR SOLE PROPRIETORSHIP MUST SUBMIT A COMPLETED INDIANA FORM BC -100. YOU MAY DOWNLOAD THIS FORM FROM OUR WEBPAGE AT HTTP:// WWW. IN. GOV /DOR/TAXFORMS /PDFS /BC- 100.PDF, OR CALL (317) 233 -4015. i CARMEL UTILITIES Taxpayer TID: 0003120155 004 Liability Number: 2008 08808443 Notice Number: 08024214260 AMOUNT Due Date: December 29, 2008 PAID Indiana Dept. of Revenue PO Box 1028 Indianapolis, IN 46206 -1028 AMOUNT YOU OWE: $1,061.35 il�l�ll��l�lll��llllll��lll��llll�l��lll 01000312015500200808808443010000000106135 If you have any questions about WHY this tax is due, you may call between 8:15 AM and 4:30 PM Monday through Friday Eastern Standard Time or write to: CUSTOMER CONTACT PO BOX 1028 INDIANAPOLIS, IN 46206 -1028 (317)232 -2240 Prescribed by State Board of Accounts City Form No. 201 (Rev. 1995) ACCOUNTS PAYABLE VOUCHER 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. Payee 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 V I IN SUM OF ON ACCOUNT OF APPROPRIATION FOR Ru 4 -PY0- 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 Signature Cost distribution ledger classification if Title claim paid motor vehicle highway fund