192996 12/21/2010 CITY OF CARMEL, INDIANA VENDOR: 362795 Page 1 of 1
ONE CIVIC SQUARE A T T MOBILITY
�4 CARMEL, INDIANA 46032 PO aox 6463 CHECK AMOUNT: $2,500.70
CAROL STREAM IL 60197 -6463 CHECK NUMBER: 192996
CHECK DATE: 12/21/2010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1120 4344100 287014934710 2,195.29 287014934710X12112010
1160 4344100 287016109662 146.34 287016109662X12112010
2200 4344100 287022733093 123.36 287022733093X12112010
1115 4344100 874486198X12 35.71 874486198X12112010
dt &t Pa I of 6
Ililling Cycle Date: 11/04/10 12 /03/10
Account Number: 287016109662
Foundation Account Number: 02581749
Invoice Number: 287016109662\1211201t1
How To Contact Us: Previous Balance 2851.71
1- 800 -331 -0500 or 611 from your cell phone Payments Posted 717.94
for Deaf /1 -lard of Hearing Customers (TTY/TDD) ..PAS Lp;UL BAl'ANCL, r 2]33 77;_
1- 866 -241 -6567 Pad ,bl' 11' edit tell
Monthly Service Charges 160.97
Usage Charges 1.99
Wireless Number with Rollover Credits /Adjustments /Other Charges -16.62
317 -431 -7477 7,482 Minutes Government Rees R Taxes 0.00
TO I AI CUI1REN 1 CHARGES;: 146 34
tate.fees':assesscd. utter Jan q3
Total�Amount Due $2,280:1x1
In accordance with your contract or appropriate government
regulations your billing account was changed from bill in
advance to bill in arrears.
***This Bill Includes A Past Due Balance
If payment has already been made, thank you, please disregard. If not, payment
must be made immediately. Please send your payment, including current
charges, in the enclosed envelope. You may also pay 24 hours a day, by ma;or
credit card or electronic check at 1- 800 -331 -0500, or att.com /MyWireless. If
your service is suspended, a reconnection fee will a ply. if your have questions
regarding your account, contact us at 1 -800- 947 -506.
Return the portion below with
DaVment only to AT&T Mobility.
at &t Page: 2 of 6
Billing Cycle Date: 1 lA 4 /10 -12/03/10
Account Number: 287016109662
Foundation Account Number: 112,81749
General Information
Late fee: Accounts with former AT &T Wireless plans are charged 1.5°x, 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, MA, MD, ML, MI, MO, NH, N. I, NY ,PA,OK,OI I ,WI,WV;or 1.5% ofthc
balance unpaid as of the next bill period in all other states. Accounts with former AT &T
Wireless and Cingular /new AT &T plans incur the lesser of these charges.
Notations made on checks or accompanying materials are not effective.
Do not send notes /letters with payment. We cannot guarantee receipt. Send notes /letters to
AT &T, PO Box 1809, Paramus, NJ 07653 -1809
Calls to Customer Sel'YIC may be monitored to ensure high quality service.
Questions on accessibility by persons with disabilities: 1- 866 -241 -6568
AT &T Mobility Tax ID 84- 1659970
AT &T surcharges include: Regulatory Cost Recovery Charge to recover costs to comply with government
assessments and regulations; Universal Service Charges; and gross receipts charges. They are not
taxes and are subject to change.
Electronic Check Conversion
When you pay your bill by check, you authorize us to either use the information from your check
to make a one -time electronic funds transfer from your account or to process the payment as a
check transaction. When we use information from your check to make an electronic fiord transfer,
funds may be withdrawn from your account as soon as the same day we receive your payment, and you
will not receive your check back from the bank. You agree to pay a fee of up to $30 if your check
is returned unpaid. Returned checks may be represented electronically.
Single Payment Agreement (for kiosk payment)
l authorize AT &T to pay my bill by debiting my bank account. If my bank rejects a payment, I
may be charged a return fee up to $30.
at&t Page: 3 of 6
Billing Cycle Date: 11/04/10 -12/03/10
Account Number: 287016109662
Foundation Account Number: 02581749
Prior Activity 287016109662
Previous Balance 2,851.71
Detail of Payments Posted
Payment by Check posted on Nov 11, 201 -573.67
Payment by Check posted on Nov 29, 201 -144.27
:4: 421133.7.
FOTAL.T ST-QUE-BAL
Wireless Line Summary For: 317-431-74771
User Name: MAYOR B
Monthly Total
Monthly Service Charges Period Charge Charge
Rate Plan
NTN900RUNINIUNW 11/04-12/03 59.99 59.99
Includes:
6 Way Calling
900 Anytime Mins
Anytime Min Rollover
Call Forward Conditional
Call Forward Immediate
Call Hold
Call Waiting
Caller 11)
Direct Bill Detail
Message Waiting Ind
Nation GSM
UNI- Nght Wknd
Unlimited 1v12M Cxpnd
Other Services
$5.99DISCINTI-ROAM 11/04-12/03 5.99 5.99
AT&T Direct Bill 11/04-12/03 0.00 0.00
AT&T Domestic 1-1) 11/04-12/03 0.00 0.00
Includes:
Toll Domestic
Toll International
AT&T Roam 1-1) 11/04-12/03 0.00 0.00
Includes:
Toil Domestic
Toll International
ELA Toll 11/04-12/03 0.00 0.00
GSM Coverage Area 11/04-12/03 0.00 0.00
Int'l Roaming 11/04-12/03 0.00 0.00
Ind Roam Toll 11/04-12/03 0.00 0.00
Includes:
Toll Domestic
Toll International
IntlDialingAllowed 11/04-12/03 0.00 0.00
In1IRrnPriceZoneS.59 11/04-12/03 0.00 0.00
aw Page: a of 6
Billing Cycle Date: 1 (/04/10 12/03 /III
Account Number: 2871116109662
Foundation Account Number 112581749
Wireless Line Summary For: (Continued) 317- 431 -7477
User Name: MAYOR (3
Monthly Total
Monthly Service Charges Period Charge Charge
Other Services
IntIRml'I icezone$.99 11/04-12/03 0.00 0.00
nt I R m Price" /_ones I.29 11/04-12/03 0.00 0.00
I nt l R m PriccZoneS I.69 11/04-12/03 0.00 0.00
I nlIRmPricc /_one$ I.99 11/04-12/03 0.00 0.00
I tit] RmPricc %onc$2.29 11/04-12/03 0.00 0.00
I nt l R m PriccZonc$2.49 11/04-12/03 0.00 0.00
IntlRmPriccLone$3.99 11/04-12/03 0.00 0.00
Off Network Roam 11/04 -12/03 0.00 0.00
Standardlt.D 11/04 -12/03 0.00 0.00
Includes:
'toll Domestic
'Doll International
Unlimited lixpd M2M 11/04 -12/03 0.00 0.00
Unlimited N&W 11/04- 12/03 0.00 0.00
VISUAL VM POSTPD 11/04 -12/03 0.00 0.00
iPhone Customer 11/04-12/03 0.00 0.00
Wireless Data
50N913 WHOM` INT i I/04 -12/03 59.99 59.99
50MIl WHONL_INT 11/04 -12/03 0.00 0.00
DATA PLAN IPIIONE 11/04 -12/03 30.00 30.00
Dala Unlimited 11/04 -I:J03 0.00 0.00
Includes:
DATA ACUSS
DATA ACCESS
IPIIONL NISG 200 i 1/04 -12/03 5.00 5.00-
Includes:
Picl Video N1SG
Text Messaging
Intl Rm /_one PC INTI- 11/04- 12/03 0.00 0.00
T o rAL.n1oN7`.HLY :S. ERVICL CHANGES!
$:160 97
Usage Charges
(Sec Usage Charge Details)
TO rAL :'USAGE.CHAIZGN S
Credits, Adjustments Other Charges
Regulatory Cost Recovcry Charge 0.95
Telecom Relay Service Fund 0.03
Federal Universal Service Charge 2.04
Indiana Universal Service 0.16
National Account Discount -19.80
tOIALCl2!Hnll.S tCDJUS'tMENT:S.S O�rHrRCUAIiG_rs $1662:':;:
I O CAI �AM()UN7; UUl
6235.001.007356.02.03.0011(1000 YYNNNNNY 71811.71811
dt &t Page: 5 of 6
Billing Cycle Date: 11/04/10 -12/03/10
Account Number: 287016109662
Foundation Account Number: 02581749
Usage Charge Details 317- 431 -7477
User Name: MAYOR B
Minutes
Summary of Included Minutes Billed Billed Total
Usage Charges In Plan Used Minutes Rate Charge
NTN900RUMM UNW
900 Rollover Mins 900 404 0.00
Unlimited Expd M2M 98 0.00
Unlimited N &W 57 0.00
Directory Assistance 1 Call(s) 1.99
MU M r4
SubtotalXk�x k
,M ...:�'...`ss 4 `aw'k `'k.... .4 �h F. `firF ��w.';.Ck'4'm4.
M sg /Min/
KB /A Nisg /Min/ Nlsg /Min/
Summary of Included KB /A7B KB /MB Billed Total
Wireless Data In Plan Used Billed Rate Charge
IPFIONE MSG 200 200 19 0.00
Data Unlimited
DATA ACCESS 175,931 175,931 $0.00 /KB 0.00
SO f tdl $0 0O
OTAL USAGI✓ CI'_iARG;LS $1 99
Summary of Rollover Minutes 317- 431 -7477
User Name: NIAVOR B
s
Previous Rollover Balance 7,725
Unused Package Minutes Added to Rollover 496
Rollover Minutes Expired -739
Current Rollover Balance 7,482
Unused Package A4inutes Expire After 12 Billing Periods
Go Green! Sign up for Paperless Billing Today
Sign up for paperless billing and join AT &T in its efforts
to e more earth- friendly. Going paperless is safe,
secure and easy and will save you time and money
each month. View and store your monthly bills online
(for up to 12 months) instead of receiving paper bills in
the mail. Visit att.com /actgreen to learn more and
enroll today. It's free, it's easy, and it's green!
Page: 6 of 6
Billing Cycle Dale: 11/04/10 12/03/111
Account Number: 2871116109662
Foundation Accuunl Number 02581719
AMT Smart Controls
Controlling content and keeping safe is easier than ever
with AT &T Smart Controls, a new all -in -one destination to
help you get tlIC most from your AT &T Wireless, Internet and
TV services. A "f &T Smart Controls provides information and
tools to I1CIp YOU manage content, spending, family member's
time online, yyOUr connections and more. For peace Of mind
when using HIC technology ology you rely O most, visit
att.00111 /SI1181'ICOIIh'OIS today.
AT &T PRIVACY POLICY
AT &T is updating its privacy' policy. Visit www.att.com /privacy
for the updated privacy policy and learn more about our
commitments, privacy safeguards and customer choices.
6235.001.007356.03.03.0000000 l'l'NNNNNI' 71813.71813
VOUCHER NO. WARRANT NO.
ALLOWED 20
AT &T Mobility
IN SUM OF
P. O. Box 6463
Carol Stream, IL 60197 -6463
$146.34
ON ACCOUNT OF APPROPRIATION FOR
Mayor's Office
PO# Dept. INVOICE NO. ACCT /TITLE AMOUNT Board Members
1160 287016109662X 43- 441.00 $146.34 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, December 17, 2010
M yor
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))
12/11/10 016109662XI2112 $146.34
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
dt &t La I of 5
Billing Cycle Date: 11/04/10 12/03/10
Account Number: 287022713093
Foundation Account Number 02581749
Invoice Number: 287022733093X12112010
How To Contact Us: Previous Balance 121.73
1- 800 -331 -0500 or 611 from your cell phone Payment Posted 121.73
For Deaf /Hard of Hearing Customers (TTY/TDD) ALANCC...
OOOI
1- 866 -241 -6567 Monthly Service Charges 114.99
Usage Charges 1.50
Credits /Adjustments /Other Charges -0.38
Wireless Number Government Fees Taxes 7.25
317 -714 -3022 TOTAL CURRENT CIiARGES 123 36=
Due Dec 26, 20:10...
Late fees assessed afteKJAn 03
Total Amount Due
In accordance with your contract or appropriate government
regulations your billing account was changed from bill in
advance to bill in arrears.
Go Green! Sign up for Pap erless`Billing Today
Sign u a
p for paperless billing nd join AT &T in its efforts
to e more earth friendly. Going paperless is safe, 0
secure and easy ..and will save you time and money
each month. View and store your monthly bills online f
(for up to 12 months) instead of receiving paper bills in °IUD
the mail. Visit att.com /actgreen to learn more and cri DEC 4n io
enroll today. It's free, it's easy, and it's green!
ti
Return the portion below with
payment only to AT& I' Mobility.
at&1 Page: 2 of
Billing Cycle Date: 11/04/10 12/03/10
Account Number: 287022733093
Foundation Account Number 02581749
General Information
Late fee: Accounts with former AT &T Wireless plans are charged 1.5°/o or less of the balance
unpaid as of the next bill period. Accounts with Cingular /new AT &'1' plans are charged $5 in CT,
DC, DE, IL, KS, MA, MD, ME, MI, MO, NI- I, NJ, NY,PA,OK,OI I,RI,VA,V'I',WI,WV; or 1.5 ofthc
balance unpaid as of the next bill period in all other states. Accounts with former AT &T
Wireless and Cingular /new AT &T plans incur the lesser of these charges.
Notations made on checks or accompanying materials are not effective.
Do not send notes /letters with payment. We cannot guarantee receipt. Send notes /letters to
AT &T, PO Box 1809, Paramus, NJ 07653 -1809
Calls to Customer Service may be monitored to ensure high quality service.
Questions on accessibility by persons with disabilities: 1- 866 -241 -6568
A'I' &T Mobility Tax ID 84- 1659970
AT &T surcharges include: Regulatory Cost Recovery Charge to recover costs to comply with government
assessments and regulations: Universal Service Charges; and gross receipts charges. They are not
taxes and are subject to change.
Electronic Check Conversion
NA/hen you pay your bill by check, you authorize us to either use the information from your check
to make a one -time electronic funds transfer 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
will not receive your check back from the bank. You agree to pay a fee of up to $30 if your check
is returned unpaid. Returned checks may be represented electronically.
Single Payment Agreement (for kiosk payment)
I authorize AT &T to pay my bill by debiting my bank account. I f my bank rejects a payment, I
may be charged a return Ice up to $30.
a &t I'agc: 3 ors
Milling Cycle Date: 1 (/04/10 12/03/10
Account Number: 287022733093
Foundation Account Number 02581749
Prior Activity 287022733093
Previous Balance 121.73
Detail of Payments Posted
Payment by Check posted on Nov 29, 2010 121.73
T07 AL QALANCN $0 00
Wireless Line Summary For: 317 -714 -3022
User Name: MIKE MCBRIDE
Monthly Total
Monthly Service Charges Period Charge Charge
Rate Plan
NTN U N LI M ITE D 11/04-12/03 69.99 69.99
Includes:
6 Way Calling
Call forward Conditional
Call forward Immediate
Call Hold
Call Waiting
Caller ID
Direct Bill Detail
Message Waiting Ind
Nation GSM
Unlimited Anytime Mins
Other Services
AT &T Direct 13i11 11/04 -12/03 0.00 0.00
AT &T Domestic LD 1 1/04 -12/03 0.00 0.00
Includes:
Toll Domestic
Toll International
AT' &T Roam I.D 11/04 -12/03 0.00 0.00
Includes:
Toll Domestic
Toll International
GSM Coverage Area 11/04-12/03 0.00 0.00
OIT Network Roam 11/04 -12/03 0.00 0.00
VISUAL VM POSTPD 11/04 -12/03 0.00 0.00
iPhone Customer 11/04-12/03 0.00 0.00
Wireless Data
2613 DATA 11/04 -12/03 0.00 0.00
Includes:
DATA ACCESS
DATA ACCESS
Data Access
DATA P RO 2G 13 I P 11/04-12/03 25.00 25.00
IPIIONE 1vISG UNI, 11/04 -12/03 20.00 20.00
Includes:
Net Video MSG
Page: 4;) 5
e�
at&t Billing Cycle Dale: 1 04/10 12/03/10
Account Number: 2871122733093
Foundalion Account Number 02581749
Wireless :Line Summary For: (Continued) 317-7,14-3022
User Name: MIKE NICBRIDE
Monthly Total
Monthly Service Charges Period Charge Charge
Wireless Data
Includes:
-Text Messaging
r07 ALL�I:ON'fH.'l 1' SERVICE CHAf2GP S
4114
.99��
Usage Charges
(See Usage Charge Details)
.:To E-Tq H MIG E S
Credits, Adjustments Other Charges
Regulatory Cost Recovery Charge 0.95
Telecom Relay Service FL111d 0.03
Federal Universal Service Charge 2.61
Indiana Universal Service 0.20
State Gross Receipts Surcharge 1.33
National ACCOL1111 DiSCO11111 -5.50
AELC R E D
TO X X!
1 rr.s:: X 1 0.38!
W U STM E
Government Fees Taxes
9 -1 -1 Service Fee 0.50
IN State'l 6.75
T
Ax: E S:::
Usage Charge Details 317-714-3022
User Name: MIKE NICBRIDE
Minutes
Summary of Included Minutes Billed Billed Total
Usage Charges In Plan Used Minutes Rate Charge
NTN U N L I M HT D
Daytime 1,328 1,328 0.00 0.00
Nwknd 285 285 0.00 0.00
N
O
Subtotal N
N
10P Pm
W,2 N P.
p
5
5
NIsg/Min/
K B/N'I 13 NIsg/N-1in/ N
Summary o I nc l u d ed K B/ Nl 13 K /M B Billed Total
Wireless Data In Plan used Billed [late Charge
IPFIONE MSG UNL 1,276 0.00
Int'l Text Messaging 6 6 $0.25/Msg 1.50
2GI3 DATA
Data Access 2,048 1,187 0.00
S htf I
5 G
u 0 a
TOTAQ 'USAGE..� CHARGES 1 5 0
CH
6235.001.007358.02.03.0000000 YYNNNNNY 71823.71823
at &t Page: 5 of 5
Billing Cycle Date: 11/04/10 12/03/10
Account Number: 287022733093
Foundation Account Number 02581749
AT &T Smart Controls
Controlling content and keeping safe is easier than ever
with AT &T Smart Controls, a new all -in -one destination to
help you get the most from your AT &T Wireless, Internet and
TV services. AT &T Smart Controls provides information and
tools to help you manage content, spending, family member's
time online, }}lour connections and more. For peace of mind
when using the technolobTy you rely on most, visit
att.com /smartcontrols today.
AT &T PRIVACY POLICY
AT &T is updating its privacy policy. Visit www.att.com /privacy
for the updated privacy policy and learn more about our
coin mitments, privacy safeguards and customer choices.
Prescribed by Slate 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
AT &T Mobility
Purchase Order No.
PO Box 6463
Terms
Carol Stream, iL 60197 -6463
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
12/11/10 12112010 Mike's Cell November $123.36
r'
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.
ALLOWED 20
AT &T Mohility IN SUM OF
PO Bo 6463
Carol Stream, IL 60197 -6463
$123.36
ON ACCOUNT OF APPROPRIATION FOR
Department of Engineering
Board Members
Poll or INVOICE NO. ACCT /TITLE AMOUNT
DEPT, l hereby certify that the attached invoice(s), or
12112010 ENGR 43441 D O $123-36 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
12-124D i10 20
Signature
0 N t�0 v'
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund
aw Page: I of 160
Billing Cycle Dale: 11/04/10 12/03/10
Account Number: 287014934710
Foundation Account Number 02581749
Invoice Number: 287014934710 \12112010
How To Contact Us: Previous Balance 2342.14
1- 800 331 -0500 or 611 from your cell phone Payment Posted 2342.14
For Deaf/Hard of I tearing Customers ('I' I ti'/1'DD) 13A1.f1NCl 0 00;
1- 866 -241 -6567 Monthly Service Charges 2337.00
Usage Charges 1921.37
Credits /Adjustments /Other Charges 2063.08
Wireless Number(s) Government Fees "faxes 0.00
317 -416 -4295 I O I AI> CURRF N I C.I-IAI2CES 2195 29
317 -417 -5038 Due Uee 26, 2010
Late tees assessed dtel;J ut 0-3
317 417- 5041
317 -417 -5042 1 ot�l FAinount Uuc X2,195 29
317 -417 -5043
Not all wireless numbers are listed In accordance with your contract or appropriate government
reg }tlatioils your billing account was changed from bill in
advance to bill in arrears.
Go Green! Sign up for Paperless Billing Today
Sign up for paperless billing= and join AT &T in its efforts
to c more earth friendly. Going paperless is safe,
secure and easy...and will save you time and money
each month. View and store your monthly bills online
(for up to 12 months) instead of receiving paper bills in
the mall. Visit att.com /actgreen to learn more and
enroll today. It's fi•ec, it's easy, and it's green!
Return the portion below with
payment only to AT &T iN1obility. a
at &t Page: 2 of 160 MIS, Billing Cycle Date: 11/04/10 12/03/10
Account Number: 287014934710
Foundation Account Number 02581749
General Information
Late fee: Accounts with former AT &T Wireless plans are charged 1.5`%, or less of the balance
unpaid as of the next bill period. Accounts with Cingular /new A "I' plans are charged $5 in CT,
DC, DE, IL, KS, MA, MD, ME, MI, MO, NI- I, NJ, NY ,PA,OK,OI-I,it1,VA,VT,WI,WV;or 1.5 %ofthe
balance unpaid as of the next bill period in all other states. Accounts with lormer AT &T
Wireless and Cingular /new AT &T plans incur the lesser of these charges.
Notations made on checks or accompanying materials are not effective.
Do not send notes /letters with payment. We cannot guarantee receipt. Send notes /letters to
AT &T, PO Box 1809, Paramus, NJ 07653 -1809
Calls to Customer Service may be monitored to ensure high quality service.
Questions on accessibility by persons with disabilities: 1- 866 -241 -6568
AT &T Mobility Tax ID 84- 1659970
AT &T surcharges include: Regulatory Cost Recovery Charge to recover costs to Comply with government
assessments and regulations; Universal Service Charges; and gross receipts charges. They are not
taxes and are subject to change.
Electronic Check Conversion
When you pay your bill by check, you authorize us to either use the information fi•om your check
to make a one -time electronic funds transfer 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
will not receive your check back fi•om the bank. You agree to pay a fee of up to $30 if your check
is returned unpaid. Returned checks may be represented electronically.
Single Payment Agreement (for kiosk payment)
I authorize AT &`f to pay my bill by debiting my bank account. If my bank rejects a payment, I
may be charged a return fee up to $30.
a l 8et Page: 3 of 160
Milling Cycle Date: 1 1/04/10 12/03/10
Account Number: 287014934710
Foundation Account Number: 02581749
Prior Activity 28701.4934710
Previous Balance 2, 342.14
Detail of Payments Posted
Payment by Check posted on Nov 29, 2010 2,342.14
o rA aAr fcNC�
�o 00
Wireless Detail 287014934710
Credits, Government Non -Comm
Wireless Minutes N1sg /Kl3/ Monthly Usage Adj Other Fees Related
Number Used 11913 Used Service Charges Charges Taxes Charges Total
317 -416- 4295 904 429,755 80.00 115.50 126.76 0.00 0.00 68.74
STEELE CARMLL FIRE DEPT (See Page 7 fin• a list of individual charges.)
317 -417 -5038 259 182,632 80.00 8,00 -19.26 0.00 0.00 68.74
111"NSLEY CARMLL FIRE: DEPT (See Page 9 lora list ofindividual charges.)
317 -417 -5041 953 222,705 80.00 90.50 101.76 0.00 0.00 68.74
VALLONE CARNILL FIRE (See Page I I fora list ofin(ividual charges.)
317 -417 -5042 592 293,622 80.00 59.25 70.51 0.00 0.00 68.74
SMALL CARMLL FIRE DI (See Page 13 for a list of individual charges.)
317 -417 -5043 1,280 222,994 80.00 160.25 l 71.5 I 0.00 0.00 68.74
CARMLL FIRE (See Page 15 for a list of individual charges.)
317- 428 -8782 527 173,229 80.00 45.25 -56.51 0.00 0.00 68.74
K1 111_ CARMLL FIRE (See Page 17 for a list of individual char gcs.)
317- 428 8784 636 128,175 80.00 38.75 -50.01 0.00 0.00 68.74
MULE'I' "f Cr \RM1?L FIKI DEPT (See Page (9 fora list of individ charges.)
317- 428 -8812 5 172,544 89.00 0.00 -12.96 0.00 0.00 76.04
"1'131) TB (See Page 21 for a list of individual charges.)
317 428 -8822 645 326,331 255.00 0.00 -44.34 0.00 0.00 210.66
CARMLL FIRE (See Page 25 fora list of individual charges.)
317- 428 8824 233 94,881 89.00 0.00 -12.96 0.00 0.00 76.04
T13 "1'131) (See Page 27 fora list of individual charges.)
317- 440 -3316 704 91,083 80.00 33.50 -44.76 0.00 0.00 68.74
JUNKER CARMLL FIRE DEPT (See Page 35 for a list of individual charges.)
317 -442 -3166 1,867 576,793 80.00 88.50 -99.76 0.00 0.00 68.74
ADAM I IARRINGTON (See Page 37 for a list of individual charges.)
317 -453 -1227 1,065 137,944 80.00 173.33 183.94 0.00 0.00 69.39
FRY. CARMLL FIRE DEPT (See Page 39 for a list of individual charges.)
317- 460 -5792 1,211 1,231,262 80.00 137.75 149.01 0.00 0.00 68.74
CARMLL FIRE DEPT (See Page 41 for a list of individual charges.)
317- 490 -9007 1,256 375,578 80.00 61.50 -72.76 0.00 0.00 68.74
CARM L FIRE DEPT (See Page 43 Cora list of individual charges.)
at &t
Page: 4 of 160 t
Billing Cycle Date: 11/04/10 12/03/10 i
Account Number: 287111493471(►
Foundation Account Number 02581749
Wireless Detail (Continued) 287014934710
Credits, Government Non -Comm
Wireless Minutes Msg /KB/ Monthly Usage Adj Other Fees Related
Number Used NIB Used Service Charges Charges Taxes Charges Total
317- 502 9205 659 248,705 80.00 42.50 53.76 0.00 0.00 68.74
N13W CARMGL FIRE DEPT (Sue Page 45 for a list of individual charges.)
317 -508 -5777 1,296 43,668 80.00 186.50 197.76 0.00 0.00 68.74
CARMGL PIRG 1)1?1`1' (See Page 47 liar a list of individual charges.)
317- 538 -6705 912 248,383 89.00 54.50 -44.97 0.00 0.00 98.53
STEVE REEVES (See Pa gc 49 lbr a list of individual charges.)
317 -538- 7042 329 400,017 80.00 36.25 -47.51 0.00 0.00 68.74
1'131) CARMGL PIRG DEPT ('See Page 75 tier a list ol'individual charges.)
317 -664 -0958 1,960 58 73.00 171.50 178.51 0.00 0.00 65.99
'131) CARMGL PIRG DEPT (See Page 101 for a list ofindividual charges.)
317- 690 -4283 1,412 122 73.00 76.25 -83.26 0.00 0,00 65.99
I'll 1) CARMGL FIRI` DL'Pl' (See Page 117 for a list ol'in(lividual char ws.)
317 -714 -8949 4,324 146,336 255.00 11.94 -43.87 0.00 0.00 223.07
BOWL.ES CARMGL FIRE (Sec Page 131 Rx a list of individual charges.)
317- 716 -4412 1,414 240,441 80.00 1 1 1.00 122.26 0.00 0.00 68.74
CARMGL FIRE (Sec Page 133 fora list of individual charges.)
317- 938 -2269 48 24,766 89.00 0.00 -12.96 0.00 0.00 76.04
'I'M TL3D (See Page 135 for a list of individual charges.)
317 -966 -3762 495 845 45.00 218.85 -61.41 0.00 0.00 202.44
JAMAJO BU1•TLER (Sce Page 139 lbr a list of individual charges.)
1'iN tl 24;986 6,012 869 2 332:00 1';921 37 2' -063 08 0 00 Oi00 2 195 29:
Pooling Details
Voice Pool: Government Pooling
Voice Allocation Factor 1.0000 Total Voice Minutes Under= 10399 Total Voice Rlinutes Overage 6971
Wireless Rate Plan Allowance Used Allocated Adjustment
f Number Description (n1in) (Min) Back (Min) Amount
317 416 -4295 GOVTPoolinglOO 100 562 462.00 115.50
317 417 -5038 GOVTPoolinglOO 100 132 32.00 8.00
317 417 -5041 GOVTPoolinglOO 100 462 362.00 90.50
317 417 -5042 GOVTPoolinglOO 100 337 237.00 59.25
317 417 -5043 GOVTPoolinglOO 100 741 641.00 160.25
317 428 -8782 GOVTPoolinglOO 100 281 181.00 45.25
7214.001. 00001. 12.80.0000000 YYNNNNNY 0003.0003
d l &l Page: 5 or 160
Billing Cycle Date: 11/04/10 12/03/10
Account Number: 287014934710
Foundation Account Number 02581749
Pooling Details (Continued)
Voice Pool: Govern men Pooling
Voice Allocation Factor 1.0000 "Total Voice Minutes Under= 10399 Total Voice Minutes Overage =6971
Wireless Rate Plan Allowance Used Allocated Adjustment
Number Description (Min) (Min) Back (Min) Amount
317 428 -8784 GOVTPooling100 100 255 155.00 38.75
317 428 -8812 GOVTPooling300 300 2 0.00 0.00
317 -428 -8822 GOVTPooling6000 6000 16 0.00 0.00
317- 428 -8824 GOVTPooling300 300 197 0.00 0.00
317 440 -3316 GOVTPooling100 100 234 134.00 33.50
317- 442 -3166 GOVTPooling100 100 454 354.00 88.50
317 453 -1227 GOVTPooling100 100 791 691.00 172.75
317 460 -5792 GOVTPooling100 100 651 551.00 137.75
317 490 -9007 GOVTPooling100 100 346 246.00 61.50
317 502 -9205 GOVTPooling100 100 270 170.00 42.50
317 508 -5777 GOVTPooling100 100 846 746.00 186.50
317- 538 -6705 GOVTPooling300 300 518 218.00 54.50 1
317- 538 -7042 GOVTPooling100 100 245 145.00 36.25
317 664 -0958 GOVTPooling600 600 1278 678.00 169.50
317 690 -4283 GOVTPooling600 600 897 297.00 74.25
317 714 -8949 GOVTPooling6000 6000 2262 0.00 0.00
317 716 -4412 GOVTPooling100 100 544 444.00 111.00
317 938 -2269 GOVTPooling300 300 24 0.00 0.00
317 966 -3762 GOVTPooling100 100 327 227.00 56.75
.Total 16,1'00 12672 6971 00::; 1`742 75
at &t hate: r, o I�,o
Billing Cycle Date: 11/04/10 12/03/10
Account Number: 287014934710
Foundation Account Number: 02581749
7214.001.000001.03.80.0000000 YYNNNNNY 0005.0005
VOUCHER NO. WARRANT NO.
ALLOWED 20
AT T Mobility
IN SUM OF
P.O. Box 6463
Carol Stream, IL 60197
$2,195.29
ON ACCOUNT OF APPROPRIATION FOR
Carmel Fire Department
PO Dept. INVOICE NO. ACCT #/TITLE AMOUNT Board Members
1120 28701493471OX12 43- 441.00 $2,195.29 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
1 10
l
Fire Chief
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund
Prescribed by State Board of Accounts City Form No. 261 (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))
D1493471OX12112 $2,195.29
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
aw Page: 1 or I 1
Milling Cycle Date: 11/04/10 12/03/11)
Account Number: 874486198
Foundation Account Number 02581749
Invoice Number: 874486198\12112010
Flow To Contact Us: Previous Balance 34.78
1- 800 -331 -0500 or 611 from your cell phone Payment Posted -34.78
For Deaf%Bard of Bearing Customers (TTY /fDD) 13x11 ANCI 0 00
1- 866 -241 -6567 Monthly Service Charges 38.97
Usage Chartres 1.05
Credits /Adjustments /Other Charges -4.31
Wireless Number(s) Government Fees Taxes 0.00
317- 379 -2609 f I CHAR
AL CUI1RGN 1 CN 4 35 71
Dite Dcc 2G, 2010:
317- 379 -5654 I:itte.tecs assessed- tftei. Jain 03...
317- 379 -5842
Total Antount D.uc $3�5'�7 t
In accordance with your contract or appropriate government
regulations your billing account was changed from bill in
advance to bill in arrears.
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Return the portion below with
payment only to AT &'I' Mobility.
Page: 2 of I I
O(` t`
Billing Cede Dale: 11/04/10 12/03/10
a
Account Number: 874486198
Foundation Account Number 132581749
General Information
Late Pee: Accounts with former AT &T Wireless plans are charged 1.5°„ or less of the balance
unpaid as of the next bill period. Accounts With Cingular/ncW AT &T plans are charged $5 in CT,
DC, DL'-, IL, KS, N IA, N ID, ME, MI, MO, NI- I, NJ, NY ,PA,OK,OI-I,RI,VA,V'I',WI,WV;or 1.5% of the
balance unpaid as of the next bill period in all other states. Accounts with firmer AT &T
Wireless and Cingular /new AT &T plans incur the lesser of these charges.
Notations made on checks or accompanying materials are not effective.
Do not send notes /letters with payment. We cannot guarantee receipt. Send notes /letters to
AT &T, PO Box 1509, Paramus, NJ 07653 -1809
Calls to Customer Service may be monitored to ensure high quality service.
Questions on accessibility by persons with disabilities: 1 -866- 241 -6.565
AT &T Mobility "fax ID it 84- 1659970
AT surcharges include: Regulatory Cost Recovery Charge to recover costs to comply with government
assessments and regulations: Universal Service Charges; and gross receipts charges. They are not
taxes and arc subject to change.
Electronic Check Conversion
When you pay your bill by check, you authorize us to either use the information from your check
to make a one -time clectronic funds transfer 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,
tends may be withdrawn from your account as soon as the same clay We receive your payment, and you
Will not rcccivc your check back from the bank. You agree to pay a fee of up to $30 if your check
is rcturrrcd unpaid. RCtLII_uCd checks may be represented electronically.
Single Payment Agreement (for kiosk payment)
I authorize AT &T to pay my bill by debiting my bank account. If my bank rejects a payment, I
may be charged a return Ice up to $30.
0
at &t rage: 3 of I I
I3ilrng Cycle Date: I I/1 ►4/10 -12/03/10
Account Number: 874486198
Foundation Account Number: 02581749
Prior Activity 874486198
Previous Balance 34.78
Detail of Payments Posted
Payment by Check posted on Nov 29, 2010 -34.78
I 1 AL.BALANCN $0.00
Wireless Detail 874486198
Credits, Government Nun -Comm
Wireless Minutes N9sg /K13/ Monthly Usage Adj Other Fees Related
Number Used NIB Used Service Charges Charges Taxes Charges 'Total
317 379 2609 0 (1 12.99 0.00 -1.45 0.00 0.00 11.54
COMMUNICATIONS LING (See Page 5 for a list of individual charge's.)
317- 379 -5654 0 0 12.99 0.00 -1.45 0.00 0.00 11.54
COMMUNICATIONS LING (Sec Page 7 for a list of individual charges.)
317- 379 -5842 11 0 12.99 1.05 -1.41 0.00 0.00 12.63
COMMUNICATIONS LING (See Page 9 t a list of individual charges.)
Vital 11 0 .38.97... 1 05 <4 31 0 00 0,:00 35.71
1
T k $357
a `&t Bali: a of I 1
Billing Cycle 1).11c: 1).11c: 11/04/111 12/113/111
Account Number 874486198
Foundation Account Number 1125817.19
6235.001 .1107295.112.06.0000000 YSNNNNNY 71071.71071
at &t Page: 5 of I I
V Baling Cycle Date: 11 /04/11) 12/03/11)
Account Number: 874486198
Foundation Account Number: 112581749
Wireless Line Summary For: 317 379 -2609
User Name: COMMUNICATIONS LINE
Monthly 'Total
Monthly Service Charges Period Charge Charge
Rate Plan
O BI- RNTN UM /N W 11/04-12/03 12.99 12.99
Includes:
Basic Voice Mail
Call forward Conditional
Call Forvard Immediate
Call Ifold
Call Waiting
Caller ID
Detailed Billing
Direct Bill Detail
Message Waiting Ind
Nation GSM
Three Way Calling
UNL. Nght Wknd Min
Unlimited M2M Expnd
Other Services
AT &T Direct Bill 11/04 -12/03 0.00 0.00
AT&T Domestic LD 11/04-12/03 0.00 0.00
Includes:
"Doll Domestic
'toll International
AT&T Roam LD 11/04-12/03 0.00 0.00
Includes:
Toll Domestic
='loll 'International
GSM Coverage Area 11/04-12/03 0.00 0.00
Off -Network Roam 11/04 -12/03 0.00 0.00
Unlimited Lxpd M2M 11/04 -12/03 0.00 0.00
Unlimited N&W 11/04 -12/03 0.00 0.00
Wireless Data
DATA PAY PER USE 11/04 -12/03 0.00 0.00
Includes:
DATA ACCESS
PIC /VIDEO I ayPcrUse 11/04 -12/03 0.00 0.00
Text Ms. Pay Per Use 11/04-12/03 0.00 0.00
Includes:
Int'I Text Messaging
Text Messaging
1;.0.1 r�l: \1.ON °I'H!LY.SE'RVICE;_CHAItCNS $12.99
Credits, Adjustments Other Charges
Regulatory Cost Recovery Charge 0.95
Telecom Relay Service Fund 0.03
Federal Universal Service Charge 0.40
Indiana Universal Service 0.03
aw liillinti Cycle Date: 1 I 1I4/111 12/03/10
Account Number: 874486198
Foundation Account Number 02581749
Wireless Line Summary For: (Continued) 317- 379 -2609
User Name: COiINIMUNICATIONS LING
Credits, Adjustments Other Charges
National Account Ui;rounl -2.86
PTO I ALCRG A DJ USTNI EN''S'&: 01' 11 EW C =$1 45
TO 1 AI `CIIARC ES I +Olt317'3792609 �4
.x
6235.001.0 117295.113.116.111100111111 YSNNNNNI' 71073.71073
d &l Iage: 7 of I 1
(lining Cycle Date: 11/04/10 -12/03/10
Account Number: 874486198
Foundation Account Number 02581749
Wireless Line Summary For: 317- 379 -5654
User Natne: COMMUNICATIONS LINE
Monthly 'Total
Monthly Service Charges Period Charge Charge
Rate Plan
O B P R NTN U M/N W 11/04-12/03 12.99 12.99
Includes:
Call Forward Conditional
Call Forward Immediate
Call I lold
Cell Waiting
Caller 11)
Detailed Billing
Direct Bill Detail
Nation GSM
Three Way Calling
UNL Nght Wknd Min
Unlimited h•12M Expnd
Other Services
AT &T Direct Bill 11/04-12/03 0.00 0.00
AT &'I' Domestic I.D 11/04-12/03 0.00 0.00
Includes:
Poll Domestic
Toll International
AT&T Roam L.D 11/04-12/03 0.00 0.00
Includes:
Till Domestic
Toll International
GSM Coverage Area 11/04 -12/03 0.00 0.00
OIf- Network Roam 11/04 -12/03 0:00 0.00
Unlimited Expd M2M 11/04-12/01 0.00 0.00
Unlimited N &\N 11/04-12/03 0.00 0.00
Wireless Data
DATA PAY PER I1SE 11/04 12/03 0.00 0.00
Includes:
DATA ACCESS
PIC/VIDEO PayPet 11/04 -12/03 0.00 0.00
Text K9sg Pay Per Use 11/04-12/03 0.00 0.00
Includes:
Int'1 Text Messaging
Text Messaging
TO AUMONTHLY SERVICE CFI ARC
@S
Credits, Adjustments Other Charges
Regulatory Cost Recovery Charge 0.95
Telecom Relay Service Fund 0.03
Federal Universal Service Charge 0.40
Indiana Universal Service 0.03
National Account Discount -2.86
Q fAL C.RED(LS, AI) IUSTM NTS &OTHER CHARGES
TO I AG CHARGES�"r0[t 317 379 5654 $11 5M
Z� a `IX` Page: s of 1 I
Billing Cycle Date: 11/04/10 12/113/I0
Account N'untber: 874486198
Foundation Account Number 112-
6235 .001.0t17295.114.06.11000000 1'SNNNNNY 711175.711175
at &t Page: 9 (If I I
Billing Cycle Date: 11/04/10 12/03/10
Account Number: 874486198
Foundation Account Number 02581749
Wireless Line Summary For: 317- 379 -5842
User Name: COMMUNICATIONS LINE:
Monthly Total
Monthly Service Charges Period Charge Charge
Rate Plan
i )131' RNTN U M /N\1r 11/04-12/03 12.99 12.99
Includes:
Basic Voice Mail
Call Forward Conditional
Call Forward Immediate
Cali Hold
Call Waiting
Caller II)
Detailed Billing
Direct Bill Detail
Message Waiting Ind
Nation GSM
Three Way Calling
UNL Nght Wknd Min
Unlimited M2M Expnd
Other Services
AT &T Direct Bill 11/04 -12/03 0.00 0.00
AT &T Domestic I-D 11/04-12/03 0.00 0.00
Includes:
Toll Domestic
Toll International
AT &T Roam LD 11104 -12/03 0.00 0.00
Includes:
'Poll Domestic
International
GSM Coverage Area 11/04-12/03 0.00 0.00
OTGNetwork Roam 11/04 -12/03 0.00 0.00
Unlimited Expd M2M 11/04-12/03 0.00 0.00
Unlimited N &W 11/04-12/03 0.00 0.00
Wireless Data
DATA PAY PER USE 11/04-12/03 0.00 0.00
Includes:
DATA ACCESS
PIC/VIDEO PayPet-Use 11/04 -12/03 0.00 0.00
Text Msg Pay Per Use 11/04-12/03 0.00 0.00
Includes:
Int'I Text Messaging
Text Messaging
PO "1 AL l\1.ON`GHILY S:E'RVICE`CHAI2GN S
Usage Charges
(See Usage Charge Details)
TCI,'I AL:U_SAGE :.CHARGES $1.05,
Credits, Adjustments Other Charges
Regulatory Cost Recovery Charge 0.95
Telecom Relay Service Fund 0.03
Federal Universal Service Charge 0.44
at&t 1-0 Billing Cycle Dale: 11/04/10 12/03/10
Account Number: 874486198
Foundation Account Number 02581749
Wireless Line Summary For (Continued) 317- 379 -5842
User Name: COMMUNICATIONS LINE
Credits, Adjustments Other Charges
Indiana Universal Service 0.03
National Account Dise011111 -2.86
0.1 L CREA)IT'S,- AD.)USTMENTS O; I'll ER.;CHARGES
�7 01 AL;.CHARGES`I 37
gffiQ
z$12 63
Usage Charge Details 317 379 -5842
User Name: COMMUNICATIONS LINE
Minutes
Summary of Included Minutes Billed Billed Total
Usage Charges In Plan Used Minutes Rate Charge
013FRNTNU1\1 /NNV
Unlimited N &M 4 0.00
Daytime 7 7 0.15 1.05
1'OTAI USAGE C1- 1A11GES 1:05
Call Detail 317- 379 -5842
User Name: CON'lN'IUNICATI0NS LINE
Rate Code: UNW9= 0n4mited N &W, 0DNB= 08FRNTN1JM /NW
Rate Period (PD): NW= Nwknd, DT= Daytime
Number Rate Rule Fea- Airtime LD /Add'l Total
Item Day Date Time Called Call To Alin Code Pd lure Charge Charge Charge
1 SUN ::;11/07° 3.18PM 317. 57.1.2582 INCOMI CL 1 ;l)NW9 NW 0:00.
2 11/07 3.34PM -.3L7- 752' -1182 INDIAN INr 2 -UNW9 =NN/ 0.00
3 11/07 4:34PM :317.571 -2582 CARMELIN 1 UNW9 :NW 0:00:
'TUE .11/09 11:35AM 800 -294 -7691 INCOMI CL 1 >ODNB ':':DT 015 0:15
5' TUE t t /t6 12:44PM '800- 294 =7691 .:i INCOMI :CC t :.':.ODNB ;:DT E< 0 >t$ 0:15
6 11/16 3:29PM 800 294 -7691 INCOMI CL t ODNB DT 0.15 0.15
7 WED 11/17 9:47AM 800- 294 -7691 INCOMI CL 1 ODNB DT 0.15 0.15
8 11/17 4:16PM 800- 294 -7691 INCOMI CL 1 ODNB DT 0.15 0.15
9 MON 11/22 2:56PM 800 294 -7691 INCOMI CL 1 ODNB DT 0.15 0.15
10 WED 11/24 8:32AM 800 294 -7691 INCOMI CL 1 ODNB DT 0.15 0.15
Subtotal Minutes 11 1.05 1.05
Totals
11
1.
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6235.001 .007295.115,06.00(100(10 YSNNNNNY 71077.71077
a &t 'agc: I I ur
I I I
Billing Carle Date: I U04 /10 12/03 /I0
Account Number: 874486198
Foundation Account Number 02581749
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for the updated privacy policy and learn more about our
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at &t:
6az;.ou►.uu7295.(16.06.uuuuouo YSNNNNNY 71079.71079
VOUCHER NO. WARRANT NO.
ALLOWED 20
AT &T Mobility
IN SUM OF
P.O. Box 6463
Carol Stream, IL 60197
$35.71
ON ACCOUNT OF APPROPRIATION FOR
Carmel Clay Communications
PO# Dept. INVOICE NO. ACCT #/TITLE AMOUNT_ Board Members
1115 1 874486198X121 I 43- 441.00 I $35.71 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
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))
11/04/10 I874486198X1211I I $35.71
)n 1 n
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