HomeMy WebLinkAbout156018 01/30/2008 CITY OF CARMEL, INDIANA VENDOR: 00350929 Page 1 of 1
ONE CIVIC SiZUARE INDIANA DEPT OF REVENUE
CARMEL, INDIANA 46032 PO Box 7218 CHECK AMOUNT: $41.00
INDIANAPOLIS IN 46207 -7218 CHECK NUMBER: 156018
CHECK DATE: 113012008
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1047 4359200 0119683083 41.00 0119683083 -001 -7
ST:7. 10]` 0807
Total Sales..........
�rAd —izal Exemptions/ Deductions ..............................2
11 Signalure U L
I Aeclare erpenallia ofpMwy aunt Abi is Me, cared mhl complet— ouclter. Taxable Sales (line 1 2) 3
Date Q phone (31 %1 a �3 —'Z}Oa Total Tax Due (6% of line 3) 4
Discount (Collection Allowance) 5 r g
CARMEL CLAY PARKS AND RECREATION
Use Tax Due {6% X Purchases) 6
Taxpayer ID Number For Tax Period
0119683083 001 7 JAN THRU DEC 2007 Interest Due (Line 4 Line 6 x Int Rate) 7
'The 2007 Attnual interest Rate is 5 4,
Filing Status Due on or Before Penalty Due S :57�
ANNUAL JAN 31 2008
Payment Previously Made (EFT) 9
I I 1 IIII II IIII III
Amount Due
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INDIANA DEPARTMENT OF REVENUE (Add Lines4+6+7 8 minus 5 &9) 10.$ Y- 1
P.O. Box 7218
INDIANAPOLIS, IN 46207 -7218
1 1 r lrll�ii I�IIIrr�1, �IIii, Irililr�illl ,rlriirlllrrlirl,ill 04011968308300105021123120070131200807
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Carrel e Clay
Parks &Recreation CHECK REQUEST
Date: f 2 ti U 8 RECEIVED
JAN 2 4 2008
Check payable to BY: IZ a44r
Name: 04 ,&n
Address: Po /30 u
City, State, Zip -•_,ru o �-s T►�� 7 a l
V Mail check to payee Return check to requestor
Check Amount Date Required "Ot S'q
Check needed for n f s
I Q
so
Q
Supporting documentation or receipt(s) MUST be attached.
To be paid from
PO
Budget account GL
Budget Line Description "�4.3 s 9 a DD �a_� az i
ly
Requested by (print): q.
i
Requested by (signature): o
Approved by (signature of Division Manager):
on this date /a /a
Form revised 1 -21 -08
Carmel CIcy Parks Recreation RecTrac Administrator Page: 1
Run Date: 01/21/08 POS BOTTOM LINE REPORT
Run Time: 10:58A User: ABK
t
I TC Description
Item Description Count Fees Discount' Paid.: Refunds Net Inc /Exp
r
BASHAT Monon Center Hat 3 30.00 0.00 30.00 0.00 30.00
H2OBOT Water Bottle 3 36.00 0.00 36.00 0.00 36.00
LSTEE Long Sleeve T -Shirt 6 84.00 0.00 84.00 0.00 84.00
MCGBAG Monon Center Gym Bag 11 253.00 0.00 253.00 0.00 253.00
PEDO Pedometer 3 15.00 0.00 15.00 0.00 15.00
SWDIAP Swim Diaper 6 12.00 0.00 12.00 0.00 12.00
SWSHRT Monon Sweatshirt 6 224.00 0.00 224.00 32.00 192.00
TSHIRT Monon Center T Shirt 2 14.00 0.00 14.00 0.00 14.00
TOTAL QUANTITY SOLD FOR RANGE SELECTED: 40
TOTAL FEES CHARGED FOR TRANSACTIONS: 668.00
TOTAL DISCOUNT APPLIED AGAINST FEES: 0.00
NET AMOUNT STILL DUE: 0.00
TOTAL AMOUNT REFUNDED: 32.00
TOTAL AMOUNT PAID FOR ALL FEES LESS DISCOUNT 668.00
NET INCOME /EXPENSE FOR RANGE SELECTED 636.00
SELECTION CRITERIA:
Sales Date Range 01/01/07 Thru 12/31/07
Individual Selections: PEDO, LSTEE, HEADPH, SWDIAP ,TSHIRT,SWSHRT,DISCAM,H2O...
Item Range: Thru ZZZZZZZZZZZZZZZ
Ticket Range: Thru ZZZZZZZZZZ
Tran Code Wildcard:
Item Wildcard:
Ticket Wildcard:
i
t 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.
Indiana Dept. of Revenue Date Due
PO Box 7218
Indianapolis, IN 45207 -7218
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
1/24/08 1/9683083 Sales tax for goods sold 41.00
Total 41.00
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.
r Allowed 20
Indiana Dept. of Revenue
PO Box 7218
Indianapolis, IN 46207 -7218 In Sum of
41.00
ON ACCOUNT OF APPROPRIATION FOR
104 Program Fund
PO# or INVOICE NO. ACCT #/TITLE AMOUNT Board Members
Dept
1047 119683083 4359200 41.00 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
24 -Jan 2008
Sig ti rvices
41.00 Business Manager
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund