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193304 12/29/2010 CITY OF CARMEL, INDIANA VENDOR: 364452 Page 1 of 1 ONE CIVIC SQUARE CINCINNATI BELL CHECK AMOUNT: $250.00 E CARMEL, INDIANA 46032 PO BOX 748001 oN CINCINNATI CH 45274 -8001 CHECK NUMBER: 193304 CHECK DATE: 12/2912010 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1091 4344000 4862587 250.00 4862587 rD n' Tf payment is not e ved within 30 days o_. this statement date, a 1.5- monthly www.cinbell.com /evolve late payment charge will be added to the unpaid balance. Customer Name Account Number Invoice Date Due Date Billing Period CARMEL CLAY PARKS &RECREATION 9862587 12/10/10 01/09/11 11/10/10 12/09/10 1411 E. 116TH ST. CARMEL IN 46032 -0000 Account ,StunmaryM�F, 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 our pay history y p ym y View your call detail records Submit trouble tickets 7 `P�. r Don't forget to bookmark this link SlLmmary,0_f �NeW'Ch` -r geS� 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 r" ,T-•, m.-., 4 4 ,nom To�ta1 NewCha Due ;'A09 DFr 1 20 Total Due ol /o9i11 409.04 BY: Nonpayment of long distance a e may i eult 1.n disconnection o zes t'i't— .f Chase ­i­ nd mny be subject to collection ac eiona. 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 45274 -8001 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 Lon Distance char es 136.35 272.69 TV$409.04 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 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 #/TITLE AMOUNT Board Members Dept 1125 4862587 4344000 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