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HomeMy WebLinkAboutENCORE ENTERTAINMENT- 002925- 6/12/2012 CARMEL REDEVELOPMENT COMMISSION 0 0 2 9 2 5 Encore Entertainment, Inc. Check: 2925 J J 212 W 10th st., Suite 8450 Date: 6/12/2012 Indianapolis, IN 46202 Vendor: ENCOREEN Prior Invoice P.O. Num, Invoice Amt Balance Retention Discount Amt. Pail 102 600.00 600.00 0.00 0.00 600.0( Jazz on the Monon 600.00 600.00 0.00 0.00 600.0( • 1 THE KEY TO DOCUMENT SECURITY•HEAT ACTIVATED THUMB PRINT.•ADDITIONAL SECURITY FEATURES INCLUDED•SEE BACK FOR DETAILS„ .s•6DEi• Carmel Redevelopment Commission X REGIONS r, �°ti i aREGIONS 002925 , 30 West Main Street , ;:26.,7,2,-;74. , O Suite 220 ,f- f ,ri CARMEL Jam ' ' / _� - R J —' . °tiling' Carmel IN 46032 r _�,;- , < •(„ °( . d 4. • DATE ' AMOUNT 2925• 2 6/12/2012 600:00 PAY THE SUM OF SIX HUNDRED DOLLARS AND NO CENTS _ TO THE ORDER f �� OF , Encore Entertainment,Inc.' r�' r 212 VV 10thsf., Suite'B450 '' Indianapolis; IN 46202 ,i 30 ' ' c� t.,.. ", I , f Al 11'00292511' I:0740 IL, 2i3I: 008750411111' CARMEL REDEVELOPMENT COMMISSION 0 0 2 9 2 5 , Encore Entertainment, Inc. Check: 2925 212 W 10th st., Suite 8450 Date: 6/12/2012 Indianapolis, IN 46202 Vendor: ENCOREEN Prior Invoice P.O. Num. Invoice Amt Balance Retention Discount Amt. Paid 102 600.00 600.00 0.00 0.00 600.00 Jazz on the Monon 600.00 600.00 0.00 0.00 600.00 y • %-11.52 COMPUTEREASE FORMS DIVISION 077)5774791 T-37228 - J`12e1'+ D XM©UCE Encore Entertainment DATE: June 6, 2012 INVOICE.# 102 FOR: Jazz on the Monon 212 West 10th Street B450 16-Jun-12 Indianapolis, IN 46202 BILL TO: 317.753.5590 Carmel Redevelopment Commission 30 W. Main St, Suite 220 Carmel, IN, 46032 DESCRIPTION AMOUNT Band performance for Jazz on the Monon 6/16/12 $ 600.00 SUBTOTAL $ 600.00 TAX RATE 0.00% Make all checks payable to Encore Entertainment. SALES TAX - OTHER - THANK YOU FOR YOUR BUSINESS! TOTAL $ 600.00 • Form W-9 Request for Taxpayer Give form to the (Rev.January 20031 Identification Number and Certification requester. Do not Department Cl the Treasury send to the IRS. Internal Revenue service Name Business name.it dillerent horn above Ga/LC �1xTkr-E1 r✓M Ervf' rt/ o Sole pvaV L� Exempt horn backup 15 u me,appropriate box: ❑ Sole proprietor 1SJ Corporation ❑ Partnership ❑ Other ► ❑ withholding `0 2 t.w Address(number,street.and apt.or suite no.l Requester's name and address teptionaq -y w, /ih.. ct Shirt 8YbD v City.state.and ZIP code a I t—s /rte 6d.049- • List account numeertsl here to ptionall Lan Taxpayer Identification Number(TIN) Enter your TIN in the appropriate box. For individuals,this is your social security number(SSNI. Social security number However,for a resident alien,sole proprietor,or disregarded entity,see the Pan I instructions on I I .I. I + I I I page 3. For other entities,it is your employer identilication number(EIN).II you do not have a number, see How to got a TIN on page 3. or Note:II the account is in more than one name,see the chart on page 4 for guidelines on whose number Employer Identification number to enter. 3ICtiIUIr'1213-Io Una 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 numher to be issued to me),and 2. I am not subject to backup withholding because:(a)I am exempt Tram backup withholding,or(b)I have not been notified by the Internal Revenue Service(IRS)that I am subject to backup withholding as a result of a failure to report all interest or dividends, Of (c)the IRS has notified me that I am no longer subject to backup withholding,and 3. I am a U.S. person(including a U.S.resident alien). Certification instructions.You must cross out item 2 above it you have been notified by the IRS that you are currently subject to backup withholding because you have tailed to report all interest and dividends on your tax return. For real estate transactions,item 2 does not apply. For mortgage interest paid,acquisition of abandonment of secured property.cancellation of debt,contributions to an individual retirement arrangement(IRA),and generally, payments other than interest and dividends,you are not required to sign the Certification, hut you must provide your correct TIN.(See the instructions on page 4.) Sign signature of I sJ Here u.s.person ►I A,', /1 Data • .- , , Purpose of Form Nonresident alien who becomes a resident alien. Generally, only a nonresident alien individual may use the A person who is required to file an information return with terms at a tax treaty to reduce or eliminate U.S. tax on the IRS, muss obtain your correct taxpayer identification certain types of income. However, most tax treaties contain a number(TIN)to report, for example, income paid to you, real provision known as a `saving clause." Exceptions specified estate transactions. mortgage interest you paid, acquisition in the saving clause may permit an exemption from tax to or abandonment of secured property, cancellation of debt, or continue for certain types of income even after the recipient contributions you made to an IRA. has otherwise become a U.S. resident alien for tax purposes. U.S. person. Use Form W-9 only it you are a U.S. person If you are a U.S. resident alien who is relying on an (including a resident alien). to provide your correct TIN to the exception contained in the saving clause of a tax treaty to person requesting it (the requester)and, when applicable, to: claim an exemption Irons U.S. tax on certain types of income. 1. Certify that the TIN you are giving is correct(or you are you must attach a statement that specifies the following live wailing for a number to be issued), items: _ 2. Certify that you are not subject to backup withholding, 1. The treaty country. Generally, This must be the same or treaty under which you claimed exemption from lax as a 3. Claim exemption from backup withholding if you are a nonresident alien. U.S. exempt payee. 2. The treaty article addressing the income. Note:If a requester gives you a form other than Form W-9 3. The article number for location) in the lax treaty that to request your TIN,you must use the requester's form it it is contains the saving clause and its exceptions. substantially similar to this Form W-9. 4. The type and amount of income that qualifies for the Foreign person. If you are a foreign person, use the exemption from tax. appropriate Form W-8 (see Pub. 515, Withholding of Tax on 5. Sufficient facts to justify the exemption from lax under Nonresident Aliens and Foreign Entities). the terms of the treaty article. Cat.No. 10231?: form W-9 (Rev. 620031 Prescribed by State Board of Accounts City Farm No.201(Rev.19951 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 Fn ore I1En}P rk- lnmje�l ll�l Purchase Order No. 2\Z W 1 `` leb S+A,' V /5O Terms 1 jlt inn e\ t 0I 1 S1 I 1*(101 Date Due Invoice Invoice Description Amount Date Number v (or note attached invoice(s) or bill(s)) ( V 1)—10 2- U01 1 rPrht'mlhre G-16 -)2 (()o " ..1 Cl r Total b dd. Co I hereby certify that the attached invoice(s), or bill(s), is (are) true and correct anc(_I-h ve: ited same in accor- dance with IC 5-11-10-1.6. Cr-1d , 20 /g _GlerkrTreasurer