248642 08/25/15 i u!.�4q�
ii �•^. CITY OF CARMEL, INDIANA VENDOR: 364409
® Il ONE CIVIC SQUARE A T &T NATIONAL COMPLIANCE CENT�I4ECK AMOUNT: $......*175.00*
?� CARMEL, INDIANA 46032 11760 US HIGHWAY 1,SUITE 600 CHECK NUMBER: 248642
9M��'UN�� NORTH PALM BEACH FL 33408_3029 CHECK DATE: 08/25/15
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
911 4344000 200008 175.00 TELEPHONE LINE CHARGE
Invoice Date: August 10,2015aw
Invoice Number: 200008
Bill To: National Compliance Center
Phone: 1-800-635-6840
HAMILTONBOONE COUNTY DTF Fax: 1-888-938-4715
3 CIVIC SQ. 11760 US HIGHWAY 1,
CARMEL,IN 46032 SUITE 600
NORTH PALM BEACH,
FL 33408-3029
Tax ID Number-91-1379052
D&B Number- 130598238 SUPO
Invoice
LEA TRACKING NUMBER(S)
3030
File Code
1819289 Court Issued Number:
LEA Tracking Number:
Component Target
Number Description/Duration Units/Days Price Amount
Location Daily-Fee- 3 Qt —
; , - --
�--303(3��...:_ :$25.0.0 - $75.00
Location
Activation Fee 3030 8/4/15- 8/7/15 1.0 $100.00 $100.00
Subtotal $175.00
Payments Received _$0.00
Total Due $175.00
ACM
' Invoice Date: August 10,2015
Invoice Number: 200008
File Code: 1819289
National Compliance Center
Phone: 1-800-635-6840 Due Date Amount Due Amount Paid
Upon Receipt $175.00 $
Federal Tax ID:91-1379052
Please mail payment to:
Remitted By: HAMILTON/BOONE COUNTY DTF
11760 US HIGHWAY 1, SUITE 600 3 CIVIC SQ.
NORTH PALM BEACH,FL 33408-3029 CARMEL,IN 46032
Tax ID Number-91-1379052
D&B Number- 130598238 SUPO
We accept Credit Card Payments.If paying by credit card please fill out the form below and email to ATTMOBILITY.NCC@ATT.COM or
send payment via US Mail to our address listed above
If paying by any other method please return this remittance slip with your payment.
PI'EASE NOTE: Transactions=on your credit:card statement will appear as,'-'AT&T POS
E DATE
.Credit Card Number Credit Card:Type(Visa,XhsterCanl,Amex,etc)
Printed-Name Name As It Appears on the Credit Card
'Address for Credit-Card City/State/Zip Code for Credit Card.
_Signature Date.
VOUCHER NO. WARRANT NO.
ALLOWED 20
AT&T National Compliance Center
IN SUM OF$
11760 US Highway 1, Suite 600
North Palm Beach, FL 33408-3029
$175.00
ON ACCOUNT OF APPROPRIATION FOR
Prosect 2015-911 Task 2015-2
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
911 I 200008 I 43-440.00 I $175.00 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
Thursday, August 20, 2015
av� px�!
Major
Title
I
Cost distribution ledger classification if
claim paid motor vehicle highway fund
i
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.
Payee
Purchase Order No.
Terms
Date Due
Invoice Invoice Description Amount
Date Number (or note attached.invoice(s) or bill(s))
08/10/15 200008 $175.00
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
120
Clerk-Treasurer