252473 12/15/15 i p�44Hb
CITY OF CARMEL, INDIANA VENDOR: 353561
ONE CIVIC SQUARE BRIGHT HOUSE NETWORK CHECK AMOUNT: $*******105.10*
CARMEL, INDIANA 46032 Po Box 30262 CHECK NUMBER: 252473
TAMPA FL 33630-3262 CHECK DATE: 12/15/15
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1120 4344000 348311011202 105.10 0050348311-01
Service Period Due Date Amount Due BRIGHT HOUSE NETWORKS
m business solutions -'
12/07 -01/06 12/22/2015
Account Information Contact Us
Service Address: Invoice Number Online:
CARMEL FIRE DEPARTMENT 034831101120215 brighthouse.com/business
2 CIVIC SQ Account Number: Business Support:
RRBC 0050348311-01 877-824-6249
CARMEL, IN 46032-2584 Invoice Date:
12/02/2015
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IMPORTANT MESSAGE
Account Summary
Previous Balance and Payments
Previous Balance 105.10
Payments Received as of Dec 01, 2015 -105.10
Business Products 96.17
Other Surcharges, Fees and Adjustments 5.00
Governmental Taxes,Surcharges and Fees 3.93
AmountDue on D"o,2
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Contact Pts 877-824-6249 brighthouse.com/business Account Number 0050348311-01
Previous Balance and Payments
Previous Balance 105.10
Payment Received-Thank You (11/25) _105.10
Business Products
The following are charges for your
monthly service from Dec 07-Jan 06
Video
2 HDTV Box, Basic TV Service, 96.17
Standard TV Service, Premier TV
Service
- Subtotal 96.17 r
Other Surcharges, Fees and Adjustments
Broadcast TV Fee 2.00
Regional Sports Network Fee 3.00
Subtotal 5.00
Governmental Taxes, Surcharges and Fees
Franchise Fee 3.93
Subtotal 3.93
�l�tflQ>L11t1� Dct�►.®n Dec 22,2113:5 �10�lf!.10
VOUCHER NO. WARRANT NO.
Brighthouse ALLOWED 20
IN SUM OF $
P.O. Box 30262
I
Tampa, FL 33630-3262
i
$105.10
ON ACCOUNT OF APPROPRIATION FOR
Carmel Fire Department
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
1120 03483110112021 43-440.00 $105.10 1 hereby certify that the attached invoice(s), or
5
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
4 2015
n
D
Fire Chief
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund
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Prescribed by State Board of Accounts City Form No.201(Rev.1995)
I
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))
03483110112021 Admin $105.10
5
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