157781 03/25/2008 CITY OF CARMEL, INDIANA VENDOR: 359268 Page 1 of 1
ONE CIVIC SQUARE MATT LARSON
I? CHECK AMOUNT: $122.00
CARMEL, INDIANA 46032 4618 BROOKSHIRE PARKWAY
'i', CARMEL IN 46033 CHECK NUMBER: 157781
CHECK DATE: 3/25/2008
DEP ARTMENT ACCOUNT PO NUM INVOICE NUMBER AMOUNT DESCRIPTION
905 5023990 122.00 TAXES
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Office of the
Clerk- Treasurer
March 25, 2008
R. Michael Larson
4618 Brookshire Parkway
Carmel, IN 46033
Dear Mr. Larson,
Enclosed please find the City's check in the amount of $122.00 for taxes you claim are due to
Matt. When I figure the actual amount due to Matt using "dummy" paychecks, the calculations
total $66.22. Employers are only required to match FICA taxes paid by the employee. Federal
income taxes totaling $52.50, State income taxes totaling $29.43, and Local income taxes
totaling $8.67 totaling $90.60 are the responsibility of the employee. I have enclosed copies of
the dummy checks to further illustrate what the spreadsheet below summarizes.
Malt's Matt's Matt's Matt's Matt's CRC CRC Net
Pay Date Wages SS Medicare Federal State Local SS Medicare Pay
4/30/2007 34.50 2.14 0.50 1.17 0.35 2.14 0.50 30.34
5/30/2007 253.50 15.72 3.68 15.15 8.62 2.54 15.72 3.68 $207.79
6/14/2007 268.50 16.65 3.89 16.65 9.13 2.69 16.65 3.89 $219.49
6/27/2007 309.00 19.16 4.48 20.70 10.51 3.09 19.16 4.48 $251.06
53.67 12.55 52.50 29.43 8.67 53.67 12.55
Total of taxes to be paid by Matt for Social Security 53.67
Total of taxes to be paid by Matt for Medicare 12.55
Total due from Matt for FICA taxes 66.22
Total of taxes to be paid by Matt for Federal Taxes 52.50
Total of taxes to be paid by Matt for State Taxes 29.43
Total of taxes to be paid by Matt for Local Income Taxes 8.67
Total due from Matt for Income taxes 90,60
ONE CIVIC SQUARE CARMEL, INDIANA 46032 317/571.2414
Income plus FICA taxes due from Matt 156.82
Total of taxes to be matched by CRC for Social Security 53.67
Total of taxes to be matched by CRC for Medicare 12.55
Total due from CRC for ER matching FICA 66.22
Please let me know if you have any questions.
Sincerely,
Cindy Sheeks
Finance Manager
317 -571 -2428
csheeks @carmel.in. gov
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Prescribed by State Board of Accounts ACCOUNTS PAYABLE VOUCHER City Farm No. 201 (Rev. 1995)
F
CITY OF CARMEL
An inyoice 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
IN SUM OF
ON ACCOUNT OF APPROPRIATION FOR
q
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 61
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund