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Home My WebLink About176051 08/18/2009 CITY OF CARMEL, INDIANA VENDOR: 00350929 Page 1 of 1 0 ONE CIVIC SQUARE INDIANA DEPT OF REVENUE CHECK AMOUNT: $405.12 CARMEL, INDIANA 46032 PO BOX 7229 INDIANAPOLIS IN 45207 CHECK NUMBER: 176051 CHECK DATE: 8/18/2009 DEPART A PO NUMBER INVOICE N UMBER AM D 101 5023990 F B -GOLF 7 405.12 F& B -GOLF 7/09 FAB-103 0808 &0 r� Tmn- ,r. ,n,tar ¢eA C s�grunn Sales of Food Beverages (Do Not Include Tax). n n A. Z- 0 Z I declare under penalties o ('perjury that dris is a true. correct and co 1� l�� Z Total Exempt Food &Beverage Sales t3. Date phone;i 3t 6� t -8 Net Taxable Sales (Subtract Line B from Line A). C. 2 Q i 'I d BROOKSHIRE GOLF CLUB Tax Due ll% ofLineL') D. CARMEL UTILITIES Collection Allowance (.73 %ofLineD) Taxpayer ID Number For Tax Period Do Not Use this Line ifthe Payment is Late.. E. 0003120155 004 0 JUL 2009 Net Tax Due (Subtract Line E from Line D).. F. Before Penalty is Greater oCS5or10 %ofLineF (Plus Interest)* County /Town Due on or Carmel AU 31 2Be Use this line onlyi£ retumisfiledlate Z G. Z 0 s "The 2009 Annual nnual Interest Rate is 7% Adjustments (An explanation must be attached)...__ H. Ir�lrlrl�ltttl�l�l�rlrrllrll�t�l�l��l Total Amount Due (Total Lines F and G plus or m inus H) I.$ L" 0 Z-5 INDIANA DEPARTMENT OF REVENUE P.O. BOX 7229 INDIANAPOLIS,IN 46207 -7229 l �It�l111rI��l�lllrr�l��tll��l�rltlltl�Il�I��J�il�l��11��t1 04000011355495101025073120090831200907 FAB-103 0808 X 4urh°rivcd s.¢mrurr Total Sales of Food &Beverages (Do Not Include Tax)......... A- 2- I declare under penalties o rperj ury that thi s is a true. correct and complete ret I Total Exempt Food &Beverage Sales Q. v� Da a Phone r Net Taxable Sales (Subtract Line B from Line A) C. V Z BROOKSHIRE GOLF CLUB Tax Due (I %of Line C D. z_ I S CARMEL UTILITIES Collection Allowance (.73 %ofLineD) Taxpayer ID Number For Tax Period Do Not Use this Line ifthe Payment is Late E. 0003120155 004 0 JUL 2009 Net Tax Due (Subtract Line E from Line D) F. County/Town Penalty is Greater of S5 or 10% of LineF(PlusInterest)• Conty/ Town Due on or Before o AUG 31 2 Use this line only ifretumisfledlate G- Z 0 2- 'The 2009 Annual Interest Rate is 7% Adjustments (An explanation must be attached) H. lultltl�l�l�l�lrlitlr�llrllirtltlr�l 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 I�I�J�11�t��l�lll�t�l��tll��rl�Ilrl ,�I�I11l��ttl�ll�I��ilr��l 04000011355495001025073120090831200901 i I f CITY OF CARMEL Brookshire Golf Course Calculation of Sales and Food Beverage Taxes Owed July 31, 2009 Total Non Taxable Taxable Sales Sales Sales Green Fees 54,641.54 54,641.54 0.00 Membership Fees 0.00 0.00 0.00 Cart Fees 48,928.38 48,928.38 Member Cart Fees 7,588.73 7,588.73 Gift Cards Sold 584.00 584.00 0.00 Pro Shop Non Taxable 1,053.50 1,053.50 0.00 Pro Shop Taxable 8,010.08 8,010.08 Food and Beverage Non Taxable 1,170.00 1,170.00 0.00 1 Food and Beverage Taxable 20,405.25 20,405.25 Total 142,381.48 57,449.04 84,932.44 Total Non Taxable Taxable Tax Sales Sales Sales Payable Sales Tax 142,381.48 57,449.04 84,932.44 5,945.27 Interest 0.00 Penalty 0.00 Collection Allowance (43.40) 5,901.87 Carmel Hamilton Total Non Taxable Taxable FAB Tax FAB Tax Sales Sales Sales Payable Payable FAB Tax 20,405.25 0.00 20,405.25 204.05 204.05 Interest 0.00 0.00 Penalty 0.00 0.00 Collection Allowance (1.49) (1.49) 202.56 202.56 Total Period Sales Taxes Owed 5,901.87 Total Period FAB Taxes Owed 405.12 6,306.99 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. Payye 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 No hp Board Members PO# or INVOICE NO. ACCT #/TITLE AMOUNT DEPT. I hereby certify that the attached invoice(s), or W I,;�- 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 1 y 20 >s Signature Cost distribution ledger classification if Title claim paid motor vehicle highway fund