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251655 11/18/15 ,C 1_q `�....,,f CITY OF CARMEL, INDIANA VENDOR: 369406 ® I ONE CIVIC SQUARE METRO FIBERNET LLC CHECK AMOUNT: $*****2,698.00* s. =a CARMEL, INDIANA 46032 PO BOX 630903 CHECK NUMBER: 251655 9MlT�N,�` CINCINNATI OH 45263-0903 CHECK DATE: 11/18/15 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1120 4344000 1331140 2,698.00 TELEPHONE LINE CHARGE Elm- , Account Information M E T R O N ET Customer Name CITY OF CARMEL-FIRE Account Number 1331140 THE POWER OF FIBER Invoice Date 11/01/2015 YOUR ACCOUNT SUMMARY ACCOUNT NUMBER 1331140 METRONET NEWS Previous Activity Important Notice-We have changed terms and conditions posted on our website regarding E911 and emergency services(see Additional Terms Previous Balance: $5,396.00 of Service Addendum(Business)).See the Additional Terms of Service Addendum(Business)for information on our Business Managed Router Applied Payments & Credits: -$5,396.00 Plan. ,Outs-tanding Balance: -$0.00 For changes regarding usage of your high speed internet,please see New Charges Section 4 of the Additional Terms of Service Addendum(Business)which may be accessed at www.metronetinc.com. While visiting our website, Advanced Services $2,698.00 see our WiFi Terms of Service regarding the WiFi service Metronet is Other Charges & Credits $0.00 introducing to the public in certain areas. New Charges Due: 00 ,If paid on or efore: November 22,201� If paid after November 22,2015.................$2,778.94 Total Charges Due: $2,698.00 (Outstanding Balance&New Charges combined). If you have questions about any changes on your account, Office Hours please call Customer Service at 1-855-769-0936. Monday'Friday: 9am-6pm We will be happy to help. Saturday: 8am-12pm Closed Sunday Pay Online or by Phone! You may pay your bill online at www.metronetinc.com or Become a part of the Metronet team! by phone by calling 1-866-517-3712. We strive to maintain a dynamic, energetic workplace, with compensation and benefits that are rewarding. Visit www.metronetinc.com/about/careers for positions available in your area. page 1 of 2 ❑MY BILLING ADDRESS CHANGED ❑ PAY MY BILL BY CREDIT CARD If you would like to pay this bill and/or future bills with a credit card,please check the IMPORTANT!This form is for billing address changes only. If box above and fill out this portion. you are moving and require your service to be moved,please ❑ This Bill Only ❑ This Bill&Future Bills ❑ Future Bills Only call Customer Service at 1-877-407-3224. If your billing address Type of Card: ❑ Visa ❑ Mastercard ❑ Discover has changed, please fill in the information for your new billing Account Number: address below and return this portion of the form along with your [1[1[1[:] [1[1[1[1 EI01111 EL ❑ payment. CVV2 Code: Expiration Date: 3 digit code located after your account MonthlYear number on the back of your card. Name: ❑❑❑ ❑❑❑❑ New Billing Address: Your Signature(Must match the name on your account) Phone Number City, State, Zip: By signing the above,I hereby authorize Metro Fibemet,LLC d/b/a Metronet or its authorized agent("Mehonet)to initiate debit/creda entries froo0o my designated credit card account('DEPOSITORY"),by electronic or other commercially acceptable method for the purpose of maintaining a'current'account status with Metronet on a monthly basis This authorization will remain in effect unless and until I tem mate in accordance with applicable law,providing Metronet with written notification of my termination at such time and in such a manner as to afford Metronet and Phone Number: DEPOSITORY a reasonable opportunity to act on it.I agree that it for any reason in the future Metronet decides to discontinue collection payments by electronic transfer,1 will then pay charges via whatever manner is directed by Mebonet.I also understand that any transactions initiated for direct payment to Metronet for which there are insufficient funds or credit will be subject to a service charge of$25. 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)) 1331140 $2,698.00 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. ALLOWED 20 Metro Fiber Net LLC IN SUM OF $ PO Box 630903 Cincinnati, OH 45262-0903 $2,698.00 ON ACCOUNT OF APPROPRIATION FOR Carmel Fire Department PO#/Dept. INVOICE NO. ACCT#!TITLE AMOUNT Board Members 1120 1331140 43-440.00 $2,698.00 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 NOV 9 6 2015 tlI Pair Fire Chief Title Cost distribution ledger classification if claim paid motor vehicle highway fund