328363 08/08/18 l �~"�� CITY OF CARMEL, INDIANA VENDOR: 372445
`r ONE CIVIC SQUARE BRIGHT HOUSE NETWORKS CHECK AMOUNT: $*******412.56*
aa; CARMEL, INDIANA 46032 P.O.BOX 790450 CHECK NUMBER: 328363
°'��*ori' ' ST.LOUIS MO 63179-0450 CHECK DATE: 08/08/18
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1110 4355400 164.00 058931901072018
2201 4350900 83.88 0050013771-02
1120 4344000 005066782602 164.68 TELEPHONE LINE CHARGE
VOUCHER NO. WARRANT NO. Prescribed by State Board of Accounts City Form No.201(Rev.1995)
ALLOWED 20 ACCOUNTS PAYABLE VOUCHER
Vendor# 372445
BRIGHT HOUSE NETWORKS IN SUM OF$ CITY OF CARMEL
P.O. BOX 790450 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.
ST. LOUIS, MO 63179-0450
Payee
$83.88
Purchase Order#
ON ACCOUNT OF APPROPRIATION FOR
Terms
Street Department
Date Due
PO# ACCT# DATE INVOICE# DESCRIPTION
DEPT# INVOICE# Fund# AMOUNT Board Members DEPT# FUND# (or note attached invoice(s)or bill(s)) AMOUNT
001377102073018 43-509.00 $83.88 1 hereby certify that the attached invoice(s),or 7/30/18 00137710207301 $83.88
2201 2201 2201 2201
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
Monday,August 06,2018
Huffman, Dave
Director
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
20
Cost distribution ledger classification if claim paid motor vehicle highway fund. Clerk-Treasurer
Spectrumo.
ENTERPRISE
July 30,2018
Invoice Number: 001377102073018
Account Number: 0050013771-02
Security Code: 3704
Service At: 3400 W 131 ST ST
CARMEL, IN 46074-8267 SPECTRUM ENTERPRISE NEWS
Contact Us
Visit us at brighthouse.com/business
Or,call us at 1-866-477-1386
08103118 thrOUgh 09102118
details on following pa.
Previous Balance 89.75
Payments Received-Thank You -83.88
Past Due Balance-Due Now $5.87
Spectrum Enterprise TV 83.88
Taxes,Fees and Charges 5.87
Current Charqes Due by 08/18/18 $89.75
Total Due $95.62
Thank you for choosing Spectrum Enterprise.
We appreciate your prompt payment and value you as a client.
Form ST-105 Indiana Department-cif Revenue
State Form 49065 General Sales Tax Exemption Certificate
(R5 16-17)
Indiana registered retail merchants and businesses located outside Indiana may use this certificate. The claimed exemption must be
allowed by Indiana code. Exemption statutes of other states are not valid for purchases from Indiana vendors.This exemption certificate
can not be issued for the purchase of Utlllties, Vehicles,Watercraft,or Aircra Purchaser must be registered with the Department
of Revenue or the appropriate taxing authority of the purchaser's state of residence.
Sales tax must be charged unless all information in each section is fully completed by the purchaser.Purchasers not able to provide
all required information must pay the tax and may file a claim for refund(Form GA-110L)directly with the Department of Revenue..Avalid
certificate also serves as an exemption certificate for(1)county innkeeper's tax and(2)local food and beverage tax.
Name of Purchaser: CITY OF CARMEL
�. Business Address: ONE CIVIC SQUARE City: CARMEL State: INDIANA ZIP Code: 46032
c
° Purchaser must provide minimum of one ID number below.*
r_
C
Q Provide your•Indiana Registered Retail Merchant's Certificate TID and LOC Number as shown on your Certificate,
c TID Number(10 digits): 0031201550 -LOC Number(3 digits): 020
o
If not registered with the Indiana DOR,provide your State Tax ID Number from another State
N *See Instructions on the reverse side if you do not have e'ither�number.
State ID Number: State of Issue:
Ni
c 0Is this a blanket purchase exemption request or a E single purchase exemption request? (check one)
Description of items to be purchased:
i
Purchaser must indicate the type of exemption being claimed for this purchase. (check one or explain)
Sales to a retailer,wholesaler,or manufacturer for resale only.
Sale of manufacturing machinery,tools,and equipment to be used directly in direct production. i
Sales to nonprofit organizations claiming exemption pursuant to Sales Tax Information Bulletin#10.(May not be used for
personal hotel rooms and meals.)
Sales of tangible personal property predominately used(greater then 50 percent)in providing public transportation-provide
USDOT Number.A person or corporation who is hauling under someone else's motor carrier authority,or has a contract as a I
school bus operator,must provide their SSN or FID Number in lieu of a State ID Number in Section 1.
M
0 USDOT Number:
Sales to persons,occupationally engaged as farmers,to be used directly in production of agricultural products for sale.
Note:A farmer not possessing a State Business License Number may enter a FID Number or a SSN in lieu of a State ID
Number in Section 1.
Sales to a contractor for exempt projects(such as public schools,government,or nonprofits).
Sales to Indiana Governmental Units(agencies,cities,towns,municipalities, public schools, and state universities). 1
... i
F Sales to the United States Federal Government-show agej cy name.
Note:A U.S. Government agency should enter its Federal Identification Number(FID)in Section 1 in lieu of a State ID
Number.
Other-explain.
rty, purG�hased by the use of this exemption certificate is to be used for
I hereby certify under the penalties of perjury that the prope
I
an exempt purpose pursuant to the State Gross Retail Sales Tax fact;Indiana Code 6-2.5,and the item purchased is not a utility, i
v
vehicle,watercraft,or aircraft, j
c
° I confine my understanding that suse,(either negligent or intentional,and/or fraudulent use of this certificate may subject bot
d me personally and/or the bus' e ity I represent to t imp sit on of tax,interest,and civil and/or criminal penalties.
W
Signature of Purchaser: L Date: 1/4/2018
Printed Name: CHRISTINE S. PAULEY Title: CLERK-TREASURER
The Indiana Department of Revenue may request verification of registration in another state if you are an out-of-state purchaser.
Seller must keep this certificate on file to support exempt sales.
VOUCHER NO. WARRANT NO. Prescribed by state Board of Accounts City Form No.201(Rev.1995)
ALLOWED 20
endor# 372445 ACCOUNTS PAYABLE VOUCHER
V
BRIGHT HOUSE NETWORKS IN SUM of$ CITY OF CARMEL
P.O. BOX 790450 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.
ST. LOUIS, MO 63179-0450
Payee
$164.68
Purchase Order#
ON ACCOUNT OF APPROPRIATION FOR
Carmel Fire Terms
Date Due
PO# ACCT# DATE INVOICE# DESCRIPTION
DEPT# INVOICE# Fund# AMOUNT Board Members DEPT# FUND# (or note attached invoice(s)or bill(s)) AMOUNT
066782602072718 43-440.00 $164.68 1 hereby certify that the attached invoice(s),or 8/6/18 06678260207271 $164.68
1120 101 1120 101
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
Monday,August 06,2018
David Haboush
Fire Chief
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-
Cost
20Cost distribution ledger classification if claim paid motor vehicle highway fund. Clerk-Treasurer
Spectrum BRIGHT HOUSE • ' • UTIONS
BUSINE
•
July 27,2018
Invoice Number: 066782602072718
Account Number: 0050667826-02
Security Code: 4273
Service At: 5032 E MAIN ST
Apt TRLR SPECTRUM BUSINESS NEWS
CARMEL, IN 46033-9820
Contact Us
Visit us at brighthouse.com/business
Or, call us at 1-877-824-6249
Services from 08101118 through08131118
Summary details on followingpages
Previous Balance 164.68
Payments Received-Thank You -164.68
Remaining Balance $0.00
Spectrum BusinessTm TV 66.98
Spectrum BusinessTM Internet 84.98
Other Charges 8.85
Taxes,Fees and'Charges 3.87
Current Charges $164.68
Total Due by 08/16/18 $164.68
Thank you for choosing Spectrum Business.
We appreciate your prompt payment and value you as a
customer.
VOUCHER NO. WARRANT NO. Prescribed by State Board of Accounts City Form No.201(Rev.1995)
Vendor# 372445 ALLOWED 20 ACCOUNTS PAYABLE VOUCHER
BRIGHT HOUSE NETWORKS IN SUM OF$ CITY OF CARMEL
P.O. BOX 790450 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.
ST. LOUIS, MO 63179-0450
Payee
$164.00
ON ACCOUNT OF APPROPRIATION FOR Purchase Order#
Carmel Police Terms
Date Due
PO# ACCT# DATE INVOICE# DESCRIPTION
DEPT# INVOICE# Fund# AMOUNT Board Members DEPT# FUND# (or note attached invoice(s)or bill(s)) AMOUNT
058931901072018 43-554.00 $164.00 1 hereby certify that the attached invoice(s),or 7/20/18 058931901072018 monthly payment $164.00
1110 101 1110 101
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 2,2018
ac'..' les. A.,
Jim Barlow
Chief
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
, 20—
Cost
20Cost distribution ledger classification if claim paid motor vehicle highway fund. Clerk-Treasurer
Spectrum-., BRIGHT HOUSE • 'KS BUSINESS SOLUTIONS
BUSINESS IS NOW.SPECTRUM
July 20,2018
Invoice Number: 058931901072018
Account Number: 0050589319-01
Security Code: 2443
Service At: 31 1ST AVE NW
RRBC SPECTRUM BUSINESS NEWS
CARMEL, IN 46032-1715
Contact Us
Visit us at brighthouse.com/business
Or, call us at 1-877-824-6249
Services from 07125118 through 08124118
Summary details on following pages
Previous Balance 164.00
Payments Received 0.00
Past Due Balance-Due Now $164.00
Spectrum BusinessTM Internet 164.00
Current Charges Due by 08/09/18 $164.00
Total Due $328.00
Your account is past due.
The past due amount is due now. Please pay the total past
due amount to avoid further collection activity and interruption
of service. If service is disconnected, you will need to pay your
full past due amount, first month of service and a reconnection
fee to resume service.