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191959 11/22/2010 CITY OF CARMEL, INDIANA VENDOR: 359662 Page 1 of 1 ONE CIVIC SQUARE AT&T i CHECK AMOUNT: $458.10 CARMEL, INDIANA 46032 Po BOX sots CAROL STREAM IL 60197 -5019 CHECK NUMBER: 191959 CHECK DATE: 11/22/2010 DEPARTMENT ACCOUNT PO NUM BER I NUMBER AMOUNT DESCRIPTION 1207 4344000 5306413105 458.10 8310001392396 (NON -LIST) BROOKSHIRE;GO Page 1 of 2 12120 BROOKSHIRE PWKY Account Number 831- 000 1392396 CARMEL,IN,46032 Billing Date Nov 7, 2010 Ouestiorls? 1800 235 -7524 i Web Site atf'.coin at &t Invoice 5306413105 Monthh Statement Group #000001 Continued Surcharges and Other Fees Previous Bill 461.65 4. Universal Connectivity Charge Interstate 32.35 5, Administrative Expense Fee Interstate 2.07 Payment Thank Youl 461,05CR 6. Property Tax Allotment Interstate 6.44 1. Federal Regulatory Fee Interstate 5.05 Adjustments DO 8, INUTILITY RECEIPTS TAX 4.29 Total Surcharges and Other Fees 50.20 Balance 00 Taxes State: 9. IN /INDIANA 21.80 Current Charges 458.10 10. IN /TELEPHONE RELAY CHARGE 30 County: Total Amount Due $458.10 11. INILOCAL911 CHARGE 20.00 Total Taxes 42.10 Total Subscriber/Router ID 0272347132 458.10 Payment Due Date Dec 2, 2010 Total Sub-Account #831-000-1532 783 458.10 Total Group #000001 458.10 Total Current Charges 458.10 For detailed information of your charges go to www.businessdirect.att.com Questions? Call: 1 800 235 -7524 AT &T Business Services News You Can Use Group #000001 ACCOUNTSTATUS Sub Account #831 000 -1532 783 458.10 Where allowed by law, AT &T may implement late payment interest of no Total Group #000001 458.10 more than 18% annually. Rates will vary based on state regulations. Interest will be calculated based upon daily balances and will be Total Current Charges 458.10 applicable for each day that a delinquent balance is outstanding. This g charge will apply to all balances that are delinquent through such time that payment in full is received at AT &T. The late payment interest will be billed on a monthly basis. Accounts billed outside the US will not be charged LPI. Where allowed by law, AT &T may implement a S25 service fee for restoration of service where delinquency has caused an interruption. This fee will be applicable to each account that is being restored and Group #009001 will be included on your monthly billing statement Sub Account #831-000- 1532783 Attention customers: AT &T will charge a S25 fee for any check returned Charges for Subscriber/Router ID 0271347131 for insufficient funds, applied oil our next invoice. AT &T values your 3118159263 PP y 12120 BROOKSHIRE business and thanks you for your cooperation in this matter. CARMEL, IN 46033 Voice Over IP Some products require electronic billing as their official bill media. Recurring Charges: When electronic billing is the official bill media, an informational Nov 7, 2010 thru Dec 6, 2010 statement may.be sent containing some of the same information as file 1. Premium Feature Package 360.00 electronic bill. The informational statement is notyour bill. However, 2. Telephone Numbers 3.00 it you choose to mail your payment instead of paying electronically, the informational statement has a tear -off that can be used to submit your One Time Charges payment. 3. LD OffNet. Charge 2.80 Thank You For Choosing AT &T Where Every Customer Counts! Return bottom portion with your check in the enclosed envelope. U.S. Pat. 1)410,950 and D414,510 Printed on Recyclable Paper VOUCHER NO. WARRANT NO. ALLOWED 20 AT &T IN SUM OF P.O. Box 5019 Carol Stream, IL 60197 -5019 $458.10 ON ACCOUNT OF APPROPRIATION FOR Brookshire Goff Club PO# Dept. INVOICE NO. ACCT #!TITLE AMOUNT Board Members 1207 5306413105 43- 440.00 $458.10 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 Friday, November 19, 2010 j A GL Director, Brookshire Golf Club Title Cost distribution ledger classification if claim paid motor vehicle highway fund 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)) 11/07/10 5306413105 Phone $458.10 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 Clerk- Treasurer