192733 12/15/2010 CITY OF CARMEL, INDIANA VENDOR: 362795 Page 1 of 1
ONE CIVIC SQUARE A T T MOBILITY CHECK AMOUNT: $101.97
CARMEL, INDIANA 46032 PO BOX 6463
CAROL STREAM IL 60197 -6463 CHECK NUMBER: 192733
CHECK DATE: 12/15/2010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1401 4344100 287016374661 101.97 287106374461X12112010
16
aw Page: 1 01
Billing Cycle Date: 11/04/10 12/03/11)
Account Number: 287016374461
Foundation Account Number 02581749
Invoice Number: 287016374461 X 1 211201 0
How 'ro Contact Us: Previous Balance 104.57
1 -800 -331 -0500 or 611 fi YOLI1 Cell phone Pavinent Posted -104.57
-1.1-1— -4:. :00
For Deal7l of Hearin Customers ('F'Fy/ 1 13 �-k LNNC E
9
1-866-241-6567 Monthly Service Charges 124.99
Usage Charges 1.00
Credits/Adjustments/Other Charges -24.02
Wireless Number with Rollover Government Fees Taxes 0.00
ToT AL CURREM' :;CI ES 101 97
317- 503 -7095 12,047 Minutes F C
Due:�111&16 20110:':�.,.,.....-.........-.---.-.....
ate: c _assessed:::
es after"law.
In accordance with your contract or appropriate government
regulations your billing accOU11I was changed from bill in
advance to bill in arrears.
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Return the portion below with
oavinew onh to AT&I'Mobilitv.
dt &t Page: 2 x/
13illing Cycle D:Hc: 11/ 12/03/111
Account Number: 287016374461
Foundation Account Number 02-5817.19
General Information
Late fcc: ACCOUnIS WHIZ fcn AT &T Wireless plans are charged 1.5%) or less of the balance
unpaid as of the next bill period. ACCOUntS With Cingular /new AT &T plans are charged $5 in CT,
DC,DE.IL.,KS, NIA, MD, MI7, MI, MO, NI- 1,N.I,N Y,1 A,0K,01-1,R1,VA, VT, W1,WV; or 1.5 %o'tile
balance unpaid as of the next bill period in all other slates. Accounts with firmer AT &T
Wireless and Cingular /ncw AT &T plans incur the lesser of these charges.
Notations made on checks or accompanying materials are not effective.
Do not send notes /IcticrS With payment. We cannot guarantee receipt Send notes /letters to
AT&"I', PO Box 1 509, Paramus, N.I 07653 -1809
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Questions on accessibility by persons With disabilities: 1- 566 241 -6568
AT &T Mobility Tax ID 84- 1659970
AT &T surcharges include: Regulatory Cost Recovery Charge to recover costs to comply with government
asscssmentS and regulations; Universal Service Charges; and gross receipts charges. They are not
taxes and are subject to change.
Electronic Check Conversion
\Vhcn you pay your bill by check, you authorize uS to either use the information fi your check
to make a one -time electronic funclS translcr from your account or to process the payment as a
check transaction. When we use information from your check to make an electronic fund transfer,
funds may be withdrawn from your account as soon as the same day we receive your payment, and you
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at&t Page: 3
111
1; Cycle Date: 11/04 12/03/10
Account Number: 287016374461
Foundation Account Number 02581749
Prior Activity 287016374461
Previous Balance 104.57
Detail of Payments Posted
Payment by Check posted on Nov 29, 2010 -104.57
OTA L', B**A LAN C E.
Wireless Line Summary For: 317-503-7095
LUset KEVIN RIDER
User a
Monthly Total
I Mo ly
Monthly Service Charges Period Charge. Charge
[late Plan
NTN1350RUMMUNW 11/04-12/03 79.99 79.99
Includes:
1350 Anytime Mins
6 Way Calling
Anytime Min Rollover
Call Forward Conditional
Call Forward Immediate
Call Hold
Call Waiting
Caller 11)
Direct Bill Detail
Message Waiting Ind
Nation GSNI
IJNL Nght \\Iknd Min
Unlimited M2M I-xpnd
Other Services
AT&I'Direct Bill 11/04-12/03 0.00 0.00
AT &T Domestic 1-1) 11/04-12/03 0.00 0.00
Includes:
1 ,nte, )on, i
roll International
AT&T R.an, LI) 11/04-12/03 0.00 0.00
Includes:
Toll Domestic
Toll International
BNIG VISUAL VM POSTI'D 11/04-12/03 0.00 0.00
GSM Coverage Area 11/04-12/03 0.00 0.00
OPT-Network Roam 11/04-12/03 0.00 0.00
Unlimited 13Xpd N42NI 11/04-12/03 0.00 0.00
Unlimited N&\V 11/04-12/03 0.00 0.00
il'11011C Customer 11/04-12/03 0.00 0.00
Wireless Data
Data Unlimited 11/04-12/03 0.00 0.00
Includes:
I)A ACCESS
DATA ACCESS
j a Page: 4 o
l Billing Cycle Date: 11/04/10 I /03 /10
Account Nuunber: 2871116374461
Foundation Account Number: 02581749
Wireless Line Summary For: (Continued) 3.17 -503 -7095
User Name: KEVIN RIDER
Monthly Total
Monthly Service Charge Period Charge Charge
Wireless Data
1: NT DATA PLAN IP110NF 11/04- 12/03 45.00 45.00
Text NIs, Pay Per Use 11 /04- 12, 0.00 0.00
Includes:
1110 "I'ext Messaging
Text Messaging
.VOTAL'NIONT'HLYS,ERVICE,CTI ARCES: $124.99
Usage Charges
(Sec Usa Charge Details)
TO) AL USAGE- :CHARGES: $1.00
Credits, Adjustments Other Charges
Regulatory Cost Recovery Charge 0.95
Telecom Relay Service Fund 0.03
Federal Universal Service Charge 2.32
Indiana Universal Service 0.18
National Account Discount -27.50
TOT.Al 'CREDITS- 'tk;l),IUS7`1\IP NTS O'CHLIZ Cl- IARGHS $24,02
Usage Charge Details 317- 503 -7095
User Name: KEVIN RIDER
Minutes
Summary of Included Minutes Billed Billed Total
Usage-Charges -In- pl an---- -Used Nlinules 12ate Charge
NTN1350RUMMUM'V
1 350 Rollover Mins 1,350 415 0.00
Unlimited Expd N42M 49 0.00
Unlimited N &W 37 0.00
Suhtutal $0:00
F'
Nl�
KB/1\113 nlsg /Min/ 119sg /�9in/
Summary of Included KB /MB KB /11113 Billed Total
Wireless D ata In Plau Used Billed Rate Charge
"Next Nlsg Pay Per Use
"Text Messaging Incoming 1 1 $0.20 /Nlsg 0.20
Text Ntessaging Out 4 4 $0.20 /Ms- 0.80
Data Unlimited
DATA ACCESS 41,389 41,389 $0.00/K13 0.00
Su [it 6t tl $1.00
TO "1'd'L USAG1{ CIIARCLS $1.00
623 5.01 ►1.007357.02.03.11111111000 1'l'NNNiN'Nl` 71817.71817
aw Page: 5 of 5
Billing Cycle Dale: 11/04/10 12 /03 /10
Account Number: 2X7016374461
Foundation Account Number 02581749
Summary of Rollover Minutes 317- 503 -7095
User Name: KEVIN RIDER
Previous Rollover Balance 12,299
Unused Package Minutes Added to Rollover 935
Rollover Minutes Gxpired -1,1 87
Current Rollover Balance 12,047
Unused Package Minutes Expire A 12 Billing Periods
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6235. 001.007357.(13.03.000001)1) N')'NNNNNY 71819.71819
Prescribed by State Board of Accounts ACCOUNTS PAYABLE VOUCHER City Form No. 201 (Rev. 1995)
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
5
but r Purchase Order No.
Terms
W c n Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
tZ� NA
Total
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
VOUCHER NO. WARRANT NO.
nn ALLOWED 20
f
t 7 r I IN SUM OF
'To a
�J
*tQ
Lb1.q�
ON ACCOUNT OF APPROPRIATION FOR
V A F I) 1
Board Members
PO# or INVOICE NO. ACCT #!TITLE AMOUNT
DEPT. I hereby certify that the attached invoice(s), or
0
U'11 69)144 69)14 441 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
f F p A a`j e 20
Signature
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund