193008 12/21/2010 CITY OF CARMEL, INDIANA VENDOR: 359662 Page 1 of 1
ONE CIVIC SQUARE A T T
0 INDIANA 46032 CHECK AMOUNT: $456.77
CARMEL
PO BOX 5019
CAROL STREAKS IL 60197 -5019 CHECK NUMBER: 193008
CHECK DATE: 12/21/2010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1207 4344000 0755984103 456.77 8310001392396
Ram
T (NON -LIST) BROOKSHIRE; GO Page 1 of 2
12120 BROOKSHIRE PWKY Account Number 831 -000 -1392 396
CARMEL,IN,46032 Billing Date Dec 7, 2010
Questions? 1 800 235 -7524
at&t Web Site at1.G0111
Invoice 0755984103
Month Statement
Glaheei
Group #000001 Continued
Surcharges and Other Fees
Previous Bill 458.10 4. Universal Connectivity Charge Interstate 32.27
5. Administrative Expense Fee Interstate 2.07
Payment Thank You! 458.10CR 6. Property Tax Allotment Interstate 6.43
Federal Regulatory Fee Interstate 5.05
Adjustments 00 3. INUTILITY RECEIPTS TAX 4.28
Total Surcharges and Other Fees 50.10
Balance .00 Taxes
State:
9, IN /INDIANA 21.77
Current Char 456.77 10. IN /TELEPHONE RELAY CHARGE 30
County:
Total Amount Due $456.77 11. IN /LOCAL911 CHARGE 20.00
Total Taxes 42.07
Total Subscriber/Router ID 0272347132 456.77
Payment Due Date Jan 3, 2011 Total Sub- Accomrt #831- 000 1532783 456.77
Total Group #000001 456.77
Total Current Charges 456.77
Billin J
For detailed information of your charges go to
www.businessdirect.att.com r
Questions? Call: 1 800 235 -7524
AT &T Business Services News You Carr Use
Group #000001 ACCOUNT STATUS
Sub- Account #831- 000 -1532 783 456.77 Where allowed bylaw, AT &T may implement late payment interest of no
Total Group #040001 456.77 more dean 18% ar)nually. Rates will vary based on state regulations.
Interest will be calculated based upmr daily balances and will be
Total Current Charges 456.77 applicable for each day that a delinquent balance is outstanding. This
g charge will apply to all balances t11at are delinquentthrugh 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 accountthatis being restored and
Group #000001 will be included on your monthly hilling statement
Sub-Account #831-000-1532 783 Attention customers: AT &T will charge a S25 fee for an check returned
Charges PorSubscriberber /R/Router iD 0272347132 for insufficient funds, applied on our next invoice. AT &T values our
121220 0 BROOKSHIRE ness an an
311 busid thanks you cooperation p for eration in this matter. y
y
Voice IN 46033
O ome products require electronic billing media.
Voice Over If` S p q g as their official bill
Recurring Charges: When electronic billing is the official bill media, an informational
Dec 7, 2010 thru Jan 6, 2011 statement may be sent containing some of the same information as the
1. Premium Feature Package 360.00 electronic bill. The informational statement is notyour bill. However,
2. Telephone Numbers 3.00 if you choose to mail your paymentinstead of paying electronically, the
informational statement has a tear -off that can be used to subrnityour
One Time Charges. payment.
3. LO OffNetCharge 1.60
For detailed information about your AT &T Cloud Services charges, go to:
www.synaptic.amcom.
Thank You For Choosing AT &T Where Every Customer Counts!
Printed on Recyclable Paper
Return bottom portion with your check in the enclosed envelope. U.S. Pat. 1}410,950 and D414,510
MMIR
(NON -LIST) BROOKSHIRE; GO Page 2 of 2
12120 BROOKSHIRE PWKY Account Number 831- 000- 1392 396
CARMEL,IN,46032
Billing Date Dec 7, 2010
Questions? 1 800 235 -7524
Web Site dtt.com
Page Intentionally Left Blank
Copyright 2006 AT &T Knowledge Ventures. All Rights Reserved. '4
5145.001.006582.01.01.0000000 NNNNNNNY 13163.13163
VOUCHER NO. WARRANT NO.
ALLOWED 20
AT &T
IN SUM OF
P.O. Box 5019
Carol Stream, IL 60197 -5019
$456.77
ON ACCOUNT OF APPROPRIATION FOR
Brookshire Golf Club
PO# l Dept. INVOICE NO, ACCT #/TITLE AMOUNT Board Members
1207 0755984103 43- 440.00 $456.77 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
Tuesday, December 14, 2010
Director, Brookshirg 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))
12/07/10 0755984103 Phone $456.77
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