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Home My WebLink About167981 01/21/2009 CITY OF CARMEL, INDIANA VENDOR: 362446 Page 1 of 1 ONE CIVIC SQUARE EVERYTHING DISPLAYS, INC 0 i CHECK AMOUNT: $805.98 CARMEL, INDIANA 46032 151 WEST 46TH STREET SUITE 1201 off `o NEW YORK NY 10036 CHECK NUMBER: 167981 CHECK DATE: 1/21/2009 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 853 5023990 1922 805.98 OTHER EXPENSES Everything Displays, Inc. Invoice 151 'West 46th Street Suite 1201 New York, NY 10036 Date Invoice 4/3/2007 1922 Bill To Ship To Caramel Clay Parks and Recreation Caramel Clay Parks and Recreation Tom Divan Tom Divan 1235 Central Park Drive East 1235 Central Park Drive East Caramel Indiana, 46032 Caramel Indiana 46032 P.O. Number Terms Rep Ship Via F.O.B. Project 16454/car040307 Net 30 AM 4/5/2007 UPS Ground Quantity Item Code Description Price Each Amount 1 LEC501 Prestige Floor Lectern Podium Non Sound 632.04 632.04 lecgsn Gooseneck Assemblies for Mics 34.99 34.99 LECMH Microphone Holder 8.95 8.95 UPS Ground 130.00 130.00 Pumhose Description —L e C r n P.O. e O.L it d So p- 3 9 X 10 Bud st Une Purchaser Date Approval pate f JAN 05 Please remit to above address. Total $805.98 Payments /Credits $0.00 Balance Due $805.98 uc :iip Carmel Narks Recreatn 317 571 -2468 p INDIANA RETAIL TAX EXEMPT PAGE IA a-% CERTIFICATE NO. 003120155 002 0 I PURCHASE ORDER NUMBER� s, o f u m FEDERAL EXCISE TAX EXEMPT c 35- 60000972 (9 J ONE CHIC SQUARE THIS NUMBER MUST APPEAR ON INVOICES, A CARMEL. INDIANA SQUARE VOUCHER, DEUVERY MEMO, PACKING SLIPS, SHIPPING LABELS AND ANY CORRESPONDENCE. ORM APPROVED BY STATE BOARD OF ACCOUNTS FOR CITY OF CARMEL 1997 1CHASE ORDER DATE DATE REQUIRED REQUISITION NQ. VENDOR NO. DESCRIPTION W O `tl+ 1 07 =NDOR 'i' poaaws c vw• SHIP TO r1 N e.,� 3 F L 1 a C T_A) q4ola flRMATWN BLANKET CONTRACT PAYMENTTERMS FREIGHT OUANTIn UNIT OF MEASURE DESCRIPTION UNIT PRICE EXT ENSION 1 ►r L'a", 1- E E Sty 3D. by 1 3 ,y r� Send Invoice To: PLEASE INVOICE IN DUPLICATE DEPARTMENT ACCOUNT PROJECT PROJECT ACCOUNT AMOUNT PAYMENT AIP VOUCHER CANNOT BE APPROVED FOR PAYMENT UNLESS THE P.O. NUMBER IS MADE A PART OF THE VOUCHER AND EVERY INVOICE AND VOUCHER HAS THE PROPER SWORN AFFIDAVIT ATTACHED. SHIPPING INSTRUCTIONS I HEREBY CERTIFY THAT THERE IS AN UNOBLIGATED BALANCE IN SHIP REPAID. THIS APP 50 p SUFFICIENT T�O PAY FOR THE ABOVE ORDER. C.O.D. SHIPMENTS CANNOT BE ACCEPTED. l �j ORDERED BY PURCHASE ORDER NUMBER MUST APPEAR ON ALL SHIPPING LABELS. THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99, ACTS 1945 TITLE AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. CLERK- TREASURER DOCUMENT CONTROL NO. VENDOR COPY Firm Request for Taxpayer Give form to the (Rev. October 20W Identification Nu mbe r and Certification requester. Do not Nparrrnn; of the Troa,ury send to the IRS Name (as shown on }our ln;ome tax ieium) N Everything Displays, Inc. Id Business name. it ditterant from above CL c 0 o c Check appropriate box: Individual/Sole proprietor Ccrporaiion Partnership Exempt O U(niWO liability company. Enter the l0% GIOSSrtiLOiit7rr (13= disregarded entity. C= corporOtiori. P= parlriC�•L -h 1P 1 P Cl p payee o fllfier tivBe inS400lirait,j Address fnumher, .street, anti ant. or suite no,) Requesier's name and iddress foptionall a v 151 W. 46 St, Suite 1201 'City state, and ZIP code New York, NY 10036 Q.1 List a=unt numbei(s) here ioptional) W Taxpayer Identification idumber (TIN) Enter your TIN in the appropriate box. The TIN provided rr :ust r :iair.:h the Herne coven t}rr I „tire 1 t(r av:)id soelsl security rourntier backup withholding. For individuals, this is your social security number (SSM. However. for a resident alien, Sole proprietor, or disregarded entity, see the Part I inStr uc1i0AS on page 3. For airier entities, it is your emplflyer identification number (EIN). If you do not have a number. see How to get a T1N on page 3: or Note. If the acrotent is in more than one name, see the chart on page 4 for gi ldelines on whose Ennptoyer Identltteatlon number number to enter, 20 1531490 Certification Under penalties of perjury, I certify that: 1. The number shown on this form is my correct taxpayer identification number (or I am waiting for a number to be issued to me), and 2. 1 am nr)t subject to backrep witlihniding because: 4a} I ain exempt farm hwAup withholding, or (b) I have not been notified by the Inlernal Revenue Service (IRS) that I am subject to backup withholding as a result of a failure to report all interest or dividends, or (c) the IRS has notifies) nip that I am no longer subiect to backup withholding, and 3. I am a U.S. citizen or other U.S_ person (defined belovi). Certification instructions. You roust cross out ilein 2 above if you have been ncrfified by the IRS that you are Currently subject io backup withholding because you have failed to report all interest and dividends on your tax return. For real estate transactions, item 2 does not apply. For iroortgage interest paid, acquiSiiicn or abarrdownenf of Securest property, cancellation of debt, contributions to an kidividual reiirernent arrangement (IRA), and generally, payments other than interest and dividends, you are not required to sign the Certification, but you must pro-Ade your correct TIN. See the instruCliorrs txl page 4. Sign Signaturo of 5/27/08 Here I U.S. person Date i General Instructions Definition of a U.S. person. For federal tax purposes, you are Section references are to the Internal Revenue Code unless considered a U.S. person if you are: otherwise Hated. An individual who is a U.S. citizen or U.S. resident alien, A partnership, corporation, company, or association created or Pu r po se of Form organized in the United States or under the law of the United .A person who is required to file an information return with the States, IRS must obtain your correct taxpayer identification number (TIN) An estate (other than a foreign estate), or to report, for example, income paid to you, real estate o A domestic trust (as defined in Regulations section transactions, mortgage interest you paid, acquisition or 301.7701 -7)_ abandonment of secured property. cancellation of debt, or Special rules for partnerships. Partnerships that conduct a contributions you made to an IRA, trade or business in the United States are generally required to Use Fon11 W -9 only if you are a U.S. person (including a pay a withholding tax on any foreign partners' share of income resident alien), to provide your correct TIN to the person from such business. Further, in certain cases where a Form W -9 requesting it (the requester) and, when applicable, to: has not been received, a partnership is required to presume that t. Certify that the TIN you are giving is correct for you are a partner is a foreign person, and pay the withholding tax, waiting for a number to be issued), Therefore, if you are a U.S. person that is a partner in a 2. Certify that you are not subject to backup withholding, or partnership conducting a trade•or business in the United States. provide Form W -9 to the partnership to establish your U.S. 3. Claim exemption from backup withholding if you are a U.S. status and avoid withholding on your share of partnership exempt payee. If applicable, you are also certifying that as a income_ U.S, person, your allocable share of any partnership income from The person who gives Form W -9 to the partnership for a U.S. trade or. business is not subject to the withholding tax on purposes of establishing its U_S_ status and avoiding withholding foreign partners' share of effectively connected income, on its allocable share of net income from the partnership Note. If a requester gives you a form other than Form W -9 to conducting a trade or business in the United States is in the request your TiN, you must use the requester's form if it is following cases; substantially similar to this Form W The U.S. owner of a disregarded entity and not the entity, Oai. No. iJ231X Form -9 (Rav, ip -20071 Malu Welton To whom it concern, This invoice is past due and this is our 4` attempt at collection. It was emailed repeatedly to the customer, Tom Divan, but no payment has been received. I would kindly appreciate your assistance in completing payment for this invoice. Please contact me if you have any questions. Take care, Malu Welton''?_ Sales Assistant JA N 0 5 2009. Toll Free 800.450.4582 ext. 707 Fax 212.658.9002 Email malu @lecternsandpodiums.com Web www.lecternsandpodiums.com L c�c Will 1'ac�iuE�7s S 1 ACCOUNTS PAYABLE VOUCHER CITY OF CARMEL An invoice ofbill to be properly itemized must show; kind of service, where performed, dates service rendered, by whore, rates per day, number of hours, rate per hour, number of units, price per unit, etc. Payee Everything Displays, Inc. Purchase Order No. 151 West 46th Street, Ste 1201 Terms New York, NY 10036 Date Due Invoice Invoice Description Date Number (or note attached invoice(s) or bill(s)) 4/3/07 Amount 1922 Lectern 805.98 Total 805.98 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. 'Everything Displays, Inc. Allowed 20 151 West 46th Street, Ste 1201 New York, NY 10036 In Sum of 805.98 ON ACCOUNT OF APPROPRIATION FOR 853 Gift Fund PO# or INVOICE NO. ACCT #/TITLE AMOUNT Board Members Dept 853 1922 5023990 805.98 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 14 -Jan 2009 Signature 805.98 Accounts Payable Coordinator Cost distribution ledger classification if Title claim paid motor vehicle highway fund