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193001 12/21/2010 CITY OF CARMEL, INDIANA VENDOR: 364452 Page 1 of 1 ONE CIVIC SQUARE CINCINNATI BELL CHECK AMOUNT: $159.04 CARMEL, INDIANA 46032 PO BOX 748001 CINCINNATI OH 45274 -8001 CHECK NUMBER: 193001 CHECK DATE: 12/21/2010 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1091 4344000 4862587 22.69 4862587 1125 4344000 4862587 136.35 4862587 If payment is not received within 30 days of this statement date, a 1.5' monthly www, cinbell Coln /evolve late- payment charge will be added to the unpaid balance. Customer Name Account Number I Date Due Date Billing Period CARMEL CLAY PARKS &RECREATION 9862587 12 /10 /1.0 01/09/11 11/10/10 12/09/10 1911 E. 116TH ST. CARMEL IN 96032 -0000 Agd'6u t SL1YCl2lla as a.. ,rya Online Access is now available! Previous Balance 409.04 Follow these 4 easy steps to gain Payments 409.04CR access to your account: Adjustments 00 1. Visit us on the web at evolve.cincinnatibell.com 2. Click on Customer Login 3. Click on Manage My Account 4. Click Sign Up Now Download a copy of your bill Review your payment history Vie: your call detail records Submit trouble tickets g Don't forget to bookmark this link 1 aL17N2WC�lali3eSa� y 9. in your web browser for convenient Charges Through 12/09/10 account access. Carrier Cost Recover 12.78 Universal Svc Fund 12.9°% 30.83 Indiana USF .05 Services 365.00 Federal Tax .38 State Tax 00 Local Tax .00 g s _1 r7lt T;o'tal New Char y es Di W DEC 1 2010 Total Amount Due 01/09/11 409 04 ]BY: Nonpeym­ t or long tli sten ce e c may result connection o xea trio ti on 9f these vervicee and may be subject w collection actions. ACCOUNTS PAYABLE VOUCHER CITY OF CARMEL An invoice of 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 364452 Cincinnati Bell Purchase Order No. Terms P.O. Box 748001 Date Due Cincinnati, OH 452748001 Invoice Invoice Description Date Number (or note attached invoice(s) or bill(s)) Amount 12/10/10 4862587 Lon Distance charges 12/10/10 4862587 Long Distance char es 136.35 272.69 Total 409.04 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 i Voucher No. Warrant No. 364452 Cincinnati Bell Allowed 20 P.O. Box 748001 Cincinnati, OH 45274 -8001 In Sum of 409.04 ON ACCOUNT OF APPROPRIATION FOR 101 General Fund 1 109 Monon Center PO# or INVOICE NO. ACCT #frITLE AMOUNT Board Members Dept III 1 125 4862587 434 136.35 1 hereby certify that the attached invoice(s), or 1091 4862587 4344000 272.69 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 16 -Dec 2010 Signature 409.04 Accounts payable Coordinator Cost distribution ledger classification if Title claim paid motor vehicle highway fund