HomeMy WebLinkAbout202827 10/19/2011 CITY OF CARMEL, INDIANA VENDOR: 362795 Page 1 of 1
ONE CIVIC SQUARE A T T MOBILITY
q CARMEL, INDIANA 46032 PO BOX 6463 CHECK AMOUNT: $101.18
CAROL STREAM IL 60197 -6463 CHECK NUMBER: 202827
gyros
CHECK DATE: 10/1912011
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1401 4344100 287016374461 101.18 287016374461X10112011
Page: I of 11
at&t Bi C vele Date: 09/041/11 10/03111
Account Number: 287016374461
Foundation Accotiol Number 02581749
Invoice Number: 287016374461 \101 12011
19ow To Contact Us: Previous Balance 101.49
1-800-331-0500 or 611 fi'0111 YOLII CCII 111101 Payment Posted -101.49
For Deaf/Hard of'Flearinc Customers (T FY /`f DI)) R A L A N C E,
1-866-241-6567 Monthly Service clu'll 124.99
Usage Charges 0.40
Credits /Adjustments /Other Charges -24.21
Wireless Number with Rollover Government Fees Taxes 0.00
317-503-7095 10,615 Minutes TOT.AL:CURRENT.CHAR
a 01 .J&:
D M Oct_ '6: 2 01 I!:.: I
i.
Latc fees a's sess e d Alter N Ov
1 04
U
§ROFAV'' qvT
VM
In aCCORLHICe W1111 %'OUr contract or appropriate government
rCgtIl1tIiOIIS VOLIr billing account was changed from hill in
advance 10 hill in arrears.
A simpler bill made possible!
C0111itIg S0011! Your AT&T Wireless bill will have a new look, with:
Easy -to -scan overviews of your services and charge's,
Convenient breakdown ofchargges for each wireless LISCI'
Big, bold curi charges and dL[e date amounts
Refuro the portion below with
payment only to AT&TN'lobility.
at &t Page: 2 of I I
Billing Cycle Date: 49/04/11 -10/0-1/11
Account Namber: 287016374461
Fouodalion 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 AT &T plans are charged $5 in CT,
DC, DE, IL, KS, MA, MD, ME, MI, MO, N[- I, NJ ,NY,PA,OK,OI I,RI,VA,VT,WI,WV; or 1.5% ofthe
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
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 fronn 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)
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 fee up to $30.
at&t Page: 3 of 11
Billing Cycle Date: 09/04/11 10/03111
Account Number: 2M7016374461
Foundalion Account Number: 02581749
.Prior Activity 287016374461
Previous Balance 101.49
Detail of Payments Posted
Check posted Sep 17, 2011 -101.49
Wireless Line Summary For: 317-503-7095
User Name: KEVIN RIDER
Monthly Total
Monthly Service Charges Period Charge Charge
Rate Plan
NTNI150RUMMUNW 09104-10/03 79.99 79.99
111CILides:
1.350 Anytime Mins
6 Way Calling
Anytime Min Rollover
Call Fonvard Conditional
Call Fonvard Immediate
Call Hold
Call Wailing
Caller ID
Direct Bill Detail
Message Waiting Ind
Nation GSM
UNI., MAL kklkj)d Min
T- UnlimitecIAl2M Exptid
Other Services
AT&T Direct Bill 09/04-10/03 0.00 0-00
A'I'&'f' Domestic 1-1) 09/04-10/03 0.00 0.00
111CIUdes:
Toll Domestic II
Toll International
A'F&T Roam 1-1) 09104-10/03 0.00 0-00
Includes:
Toll Domestic
'Full International
BMG VISUAL VNI 09/04-10/03 0.00 0.00
CRIJ Detail Hill ZC 13AN 09/04-10/03 0.00 0.00
GSM Coverage Area 09/04-10/03 0,00 0.00
011' Network Roam 09/04-10/03 0.00 0.00
Unlimited I M2M 09/04-10/03 0.00 0.00
Unlimited N&1V 09/04-10/03 0.00 0.00
illbone Customer 09104-10/03 0.00 0.00
Wireless Data
Data Unlimited 09104-10/63 0.00 0.00
IIICILIdeS:
DATA ACCT SS
at &t Page: 4 of I I�
Billing Cycle Dole: 09/04/11 10 /E03 111
Account Number: 287016374461
Foundation Account Number: 02581749
Wireless Line Summary Tor: (Continued) 317 -503 -7095
User Name: KEVIN RIDER
Monthly Total
Monthly Service Charges Period Charge Charge
Wireless hater
Includes;
DA I A ACCESS
FNT DATA PLAN IPhIONE' 09/04 -10 /03 45.00 45.00
Text Nlsg Pav Per Use 09/04 -10/03 0.00 0.00
Includes:
11101'cst Messaging
Text Messaging
�OTAI MON1 HI 1'. SERVICE ChIARCE...... $124.99:.:
Usage Charges
('Sec l}sa�-'c Charge Details)
C�1 AI USAGE .CH kRC, S'. $0.40.`.<
Credits, Adjustments Other Charges
Regulatory COST Recovery Chargc 0.29
Telecom Relay Service Fund 0.03
Federal Universal Service Charge 2.79
Indiana Universal Service 0.18
National Account DiSCAn111 -27.50
TO'CAL'GR1 n11S, A "D1US`II'N1,ENTS S:O`1'HF'R;CHARGES
1OCA�A QUN �1)CJ� s
Usage Charge Details 317- 503 -7095
User Name: KEVIN RIDER
Minutes
umnlary of Included Minutes Billed Billed Total
Usage Charges In Plan Used Minutes Rate Charge
NTN135011UMMUNW
130 Rollover Mins 1,350 440 0.00
Unlimited Expd M2M 86 0.00
Unlimited N&W 29 0.00
S u btoCdl
$0;;00
N in/
K It/ NI13 N1sg /Nlin/ Nlsg /Min/
Summary of Included KB /Nl113 KB /NIB Billed Total
Wireless Data In Plan Used [tilled Rate Charge
Text Msg Pay Per Use
Text Messaging Incoming 2 2 $0.20 /Msg 0.40
Data Unlimited
DATA ACCESS 29,046 29,046 $0.00 /KB 0.00
TAT: USAGL:CNARGMI.—
0:40;
4547.002.011937.02.06.0000000 NYNYNNNY 106631.106631
at&t Page: 5 of I 1
13illing Cycle Date: 09/04/11 -10103111
Account Number: 287016374461
Foundation Account Number: 02581749
Summary of Rollover Minutes 317 -503 -7095
User Name: KEVIN RIDER
Previous Rollover Balance 10.688
IJnusnd Package Minutes Added to Rollover 910
Rollover Minuics Expired -983
Current Rollover Balance 10,615
Unused Package jl4inwes L:cpire.4%ter IZ Billing Periods
Call Detail 317- 503 -7095
User Name: KEVIN RIDER
Rate Code: RM13 =1350 Rollover Mins, UNW9= Unlimited N &W, MMEO= Unlimited Expd M2M
Rate Period (PD): DT= Daytime, NW =Nwknd
Feature: M2MC= Expanded Mobile To Mobile, CW =Call Waiting
Number Rate Rate Fea- Airtime LD /A(1(1'1 Total
Item Dav Date Time Called Call To Min Code I'd tune Charge Charge Charge
1. SUN :09/04 0.52PM. '317- 573'4444 aCARMEL.':IN 1 UNW9 N1N 0.00'
2 MON':::09105 >1203AM 317- 573 =4444 CARMELIN 1 .UNW9 :NW 000:
3 309/05 ,1'1 48AM ?:317= 582 =0415 ,:.CARMEL >IN 2..'RM73 DT 0:00:
%4 09/05 11 50AM 317= 582;0415 INCOMI CL 11 'RM13 Dl 0.00'
T2 OOBM ::317.517 -.7534 INDIAN INI 1 ;AM13 DT OOOi
6 09/05 12:OOPM 317- 439 -7162 INDIAN IN 4 RM13 DT 0.00
7 09/05 12:04PM 317 439 -7162 INCOMI CL 6 RM13 DT 0.00
8 09/05 12:15PM 317 439 -7162 INCOMI CL 8 RM13 DT 0.00
9 09/05 3:16PM 317- 797 -3447 INDIAN IN 1 MMEO DT M21VIC 0.00
10 09/05 4:52PM 317 710 -0162 INDIAN IN 1 RM13 DT 0.00
1;1' 09/05 'i9 03PM .::317- 573' =4444 ..CARMEL`IN 2 :UNW9 :NN/ 0.00
12 .T UE. 09/06-... .2 :04AM. <317- 573 "4444 CARMEL IN 2 :UNW9..: NW 0:00
13 09/06.10 26AM '::317- 41'4 =9015. ::INDIAN IN 1 ;:RM13 ''DT: 0:00:
1.4 09/06.1`0 28AM ::317= 432 9715... INCOMIICL 3 RM13 DT 0.00:
15 09/06 1 47AM :`::.317.697 =8347 INDIAN.IN'. 8 RM13 ''DT 0.00'
16 09/06 12.38PM 317 750 -0752 INDIAN IN 8 MMEO DT M21VIC 0.00
17 09/06 12:46PM 317- 571 -2471 CARMEL IN 3 RM13 DT 0.00
18 09/06 12:49PM 317 750 -0752 INDIAN IN 1 MMEO DT M2MC 0.00
19 09/06 1:06PM 317 -414 -9015 INDIAN IN 2 RM13 DT 0.00
20 09/06 1:22PM 317- 571 -2471 CARMEL IN 3 RM13 DT 0.00
21' r09 /06 2:03PM :317- 571: -2471 CARMEL<IN 1 RM13.. DT 0.00:
22 09/06. <2.12PM .':317.414?9015 INDIAN IN'1 1 RM13 DT 0:00':
23 09/06 !:2.51 PM ;[317- 571( >2471 CARMEL IN 1 :RM13 DT 0:00:-
24 09/06: 2 :52PM €317- 571: =5850 CARMEL IN 1 RM13 :DT a).06
25 09/06 >'i3 02PM >:317- 414 =9015 ;INDIAN IN': 7: ':RM13' 'DT: 0.00:
26 09/06 3:12PM 317- 571 -2417 CARMEL IN 2 RM13 DT 0.00
27 09/06 3:14PM 317 697 -8347 INDIAN IN 1 RM13 DT 0.00
28 09/06 3:15PM 317- 710 -0162 INDIAN IN 19 RM13 DT 0.00
29 WED 09/07 12:24PM 317- 439 -7162 INDIAN IN 1 RM13 DT 0.00
30 09/07 12:25PM 317- 571 -2413 CARMEL IN 2 RM13 DT 0.00
3T;: 09107. 4.12PM.. 205;7030 :':INDIAN IN` 6 <MMEO DT. M2MC O.00s
32 ;09/07 i7.0OPM ':13177457 =0341 ...INDIAN: "'1 MMEO DT M2MC 000:
33 ..THU 09/08 1'0 02AM 3:317.846 =9252 ..IINCOMI CL 4 :RM13 DT 0.00.
39 09/08 '.11:1 25AM 7- 691;6968 INDIANAW .13 'RM13 000:
35' FRI 2 3 050 INDIAN IN 1 RM13 :;DT i 0 :00
36 09/09 3:05PM 317- 571 -2422 INCOMI CL 5 RM13 DT 0.00
37 09/09 31OPM 317- 506 -7960 INDIAN IN 6 MMEO DT M2MC 0.00
38 09/09 3:15PM 317 414 -9015 INDIAN IN 1 RM13 DT 0.00
39 09/09 3:16PM 317 517 -7534 INDIAN IN 6 RM13 DT 0.00
40 09109 3:24PM 317- 571 -2401 CARMEL IN 2 RM13 DT 0.00
at &t Page: 6 of I I
11illing Cycle Date: 09/04/11 1111113111
Account Number: 287016374461
Foundation Account Number 112581749
Call Detail (Continued) 3.17 -503 -7095
User Name: KEVIN RIDER
Rate Code: RM13 =1350 Rollover Mins, UNW9= Unlimited N &W, MMEO= Unlimited Expd M2M
Rate Period (PD): DT= Daytime, NW =Nwknd
Feature: M2MC= Expanded Mobile To Mobile, CW =Call Waiting
Number Rate Rate Fea- Airtime LD /Add'I Total
Item Day Date Time Called Call To Min Code I'd turc Charge Charge Charge
41 09109 :;325PM `317.431: =.7477
1. :MMEO.. DT:: M2MC 0:00
42s:. 09109 :;9.27PM :::000 000 =0000 ::iBLOCKED3: 6 'R M1 3 '!DT:. 0:00.
43! SAT. 09/10 >12 44PM ^317.201!' =2491 .::INDIAN IN'. 3 :UNW9 zNW 0:00:
49 09/10.. 3 49PM.. :317. 573 =4444 CARMEL >:IN 1. .UNW9 NW 0:00:
45:: 09/10. :3 53PM ..;:317 573 -4444 CARMEL IN .2 ..UNW9 NW 0:00
46 09/10 4:25PM 317- 573 -4444 CARMEL IN 1 UNW9 NW 0.00
47 SUN 09/11 1:05PM 317 706 -0000 CARMEL IN 2 UNW9 NW 0.00
48 09/11 1:27PM 317- 706 -0000 CARMEL IN 1 UNW9 NW 0.00
49 09111 1:33PM 317 706 -0000 CARMEL IN 1 UNW9 NW 0.00
50 09/11 6:13PM 317 573 -4444 CARMEL IN 1 UNW9 NW 0.00
51, 09/11 !:11 58PM..317 573 =4444 ;.;CARMELIN 1 .:UNW9 :'N1N 0.00?
52'a..MON. %09/12 9.42AM ::317- 269 +9300 ...:INDIAN IN 1 <:RM13 ..:DT: 0:00.
53 A9l12 .235PM 1:31757:1' =2401 CARMELIN 8 RM13 ::DT 0.00.
54::1 :09/12 ;'2.62PM. >317= 269'9300...:INDIAN:IN 2 RM13 DT 0.00'
55!s .TUE '09/.13 ':949AM :::317- 697 =8347 INDIAN IN 3.: RM.3 DTI 0.00:
56 09/13 2:07PM 317- 573 -3334 CARMEL IN 1 RM13 DT 0.00
57 09/13 2:08PM 317 590 -4568 INDIAN IN 1 RM13 DT 0.00
58 09/13 2:29PM 317 459 -9543 INDIAN IN 1 MMEO DT M2MC 0.00
59 09/13 3:05PM 317- 984 -1727 CICEROIN 4 RM13 DT 0.00
60 09/13 3:16PM 800- 774 -1202 Toll F CL 3 RM13 DT 0.00
09/13 3.26PM .;317 884 >1.727 CICEROIN 2.: -RM13 DT: 000>
WED.:'09/14 11.13AM x:317.680- 3378...:CARMELIN. 1 .RM13
63 09/14 <:11 18AM..317 571' =2607 CARMELIN 1. RM13 `DT; 0.00!
641': `09/14 1217PM.:877= 309 =4886
..Coll F CL 3 ::.RM13 .:.DT::
0.00
65: 09/14 ...;4.40PM ,<800- 774 -<1202 Toll F CL 7. .:RM13 DT_. 0.00
66 09/14 4:47PM 317 984 -1727 CICEROIN 5 RM13 DT 0.00
67 09/14 9:29PM 317- 706 -0000 CARMEL IN 1 UNW9 NW 0.00
68 THU 09/15 8:23AM 317 439 -7162 INCOMI CL 23 RM13 DT 0.00
69 09/15 9:19AM 317- 697 -8347 INDIAN IN 1 RM13 DT 0.00
70 09/15 11:07AM 317- 439 -7162 INCOMI CL 3 RM13 DT 0.00
71 r: 3:09/15 >1;1 43AM `.317.489 =4444 :INDIAN IN< 1 `'MMEO ..DT; M2MC k: .0.00:
09/15 ::1:1.54AM ::317- 626 =6402. .INDIAN IN< 6 >MMEO DT: :M2MC 0.00:
09115 1 35PM :317- 439 =7162 INDIAN IN!3 9 -:RM13 DT: 0 :00
4::: F.RI 09116..:2 08PM .317. 573 =4444 .`CARMEL' IN 1 1:RM13 DT: 0:00>
75< 09!16 .12.37PM. 317 57.1 =2791 CARMEL.IN 1 RM13 DT .0.00:
76 09/16 2:38PM 317 571 -2401 CARMEL IN 2 RM13 DT 0.00
77 09/16 4:42PM 317 573 -4444 CARMEL IN 1 RM13 DT 0.00
78 MON 09/19 1:47PM 317- 372 -6778 INDIAN IN 1 MMEO DT M2MC 0.00
79 09/19 1:49PM 317 843 -3602 CARMEL IN 8 RM13 DT 0.00
80 09119 1:58PM 317- 816 -1100 CARMEL IN 1 RM13 DT 0.00
09119 1 59PM !:1317- 679 =4100 ::INDIAN IN MMEO >'DT 102MC 0.00:
82x 09/19 :2.04PM ::317.372 =6778 ..::IINDIANIN' .,MMEO =DT .::M2MC 0:00
83 k` 09/19 .;:2:4
0PM ._;:317 571`.>2427 CARMELIN 2 RM13
DT: 0.00
841:. 09119 241PM ::317 =5711 =9475 CALL-
O.00s
85: 09/19 ;x2 49PM :;317 571';2421. !CARMEL'::IN 6. :RM13 DT 0.00:
86 09/19 2:55PM 317 846.4542 INCOMI CL 6 RM13 DT 0.00
87 09/19 3:47PM 317 536 -5245 INDIAN IN 1 RM13 DT 0.00
88 09/19 4:41 PM 317 507 -3694 INDIAN IN 7 MMEO DT M2MC 0.00
89 TUE 09/20 10:14AM 317- 435 -0701 INDIAN IN 1 MMEO DT M21VIC 0.00
90 09/20 10:17AM 317 -586 -1978 GREENF IN 4 RM13 DT 0.00
91:> 09/20 '11048AM.::13172431690 ...I:IND IAN 'IN'; 1: ;RM13.:'.DT 0.00:
92:' 0.49AM 317.484 4690....5 INDIAN IN` 2 RM13 <DT 0:00:
93' 09/20 ::10 54AM :;317.517;7534 ::;INDIAN IN! 11. RM13 '.DT 0:00:
4547. 1102.011937.03.116.000001111 NYNYNNNY 106633.106633
at&t Page: 7 of I I
Billing Cy0e Date: 09/04/11 10/03/11
Account Number: 287016374461
Foundation Account Number: 02581749
Calf Detail (Continued) 317-503-7095
User Name: KEVIN RIDER
Rate Code: RM13 =1350 Rollover Mins, UNW9= Unlimited N &W, MMEO= Unlimited Expd M2M
Rate Period (PD): DT= Daytime, NW =Nwknd
Feature: M21MC= Expanded Mobile To Mobile, CW =Call Waiting
Number Rate Rate Fea- Airtime Ll) /Add'1 Total
Item Day Date Time Called call '1'0 Min Codc Pd tore Charge Charge Charge
94 09120 ',11'05AM; 317439 7t62:". INDIAN IN 15 :PM13 DT
95 09120 '11:35AM;'. 317-B:12.302& ANDfAN IIN
96 09120 11 :48AM 317 -582 -3007 CARMEL IN 3 RM13 DT 0.60
97 09120 12:06PM 317.571 -2400 CARMEL IN 1 RM13 DT 0.00
98 09120 12.19PM 317- 433 -9386 INCOMI CL 12 RM13 DT 0.00
99 09120 1 26P 317 433 -9386 INDIAN IN 1 AM13 DT 0.00
100 09120 3:04PM 317- 569 -0761 INCOMI CL 14 RM13 OT 0.00
141 09/20 4 48PM;!'. 317956 8544 ':g INDIAN IN 1 .:;RM13 OAO'
102 ",WED' 09/21 .;12.06PM ::$17-828-1 '?INDIAN!IN 2 RM13 !':flT 0 001
11D3. 09121 9'03PM 317.573 4444 ?I: CARMEL IN 2 UNW9 INW 0 00
104 Tt4U`:09 /22'Ii1012AM 317 -626 -7992' !:INDIANiIN. 1 MMEO :>,DT 102MG 0.00:
1105. 09/22 x:10 13AM '317= 339 8472 INDIANAN 2 "RM13 <!DT 0 00'
106 09/22 11:19AM 317.339 -8472 INCOMI CL 1 RM13 DT 0.00
107 FRI 09123 1:57PM 317 573 -4444 CARMEL IN 3 RM13 DT 0.00
108 MON 09126 2:12PM 317- 571 -2400 CARMEL IN 1 RM13 DT 0.00
109 09126 2:16PM 317- 571 -2450 INCOMI CL 2 RM13 DT 0.00
110 09126 2:29PM 317- 697 -8347 INCOMI CL 4 HM13 DT 0.00
0W26 '.4 01 PM!, "317417 5055 INDIAN:IN 2 RM13 DT
:I 0.00:
1:12 TUE" 09/27 2:Q2PM`: 317 571 2471 CARMEL IN 2 RM13 DT O;OQs.
1',13. 09/27 3'09PM'!"'31757.1 -24D1 IN 3 RM13 :'sDT 0 00?
1.1'4 09127 3:12PM 317.679 7996 INDIAN 1N 1 RM13 :'DT 0.00:
:1':15 09/27. :,:412PM€ 3177439 7162 INCOMI CL. 3 RM13 'DT
116 WED 09/28 11:30AM 317- 590 -6031 INDIAN IN 1 RM13 DT 0.00
117 09128 1:22PM 317- 571 -2401 CARMEL IN 1 RM13 DT 0.00
118 09/28 3:18PM 317- 571 -2491 CARMEL IN 2 RM13 DT 0.00
119 09128 3:39PM 317 -571 -2435 INCOMI CL 7 RM13 DT 0.00
120 09128 4:06PM 317- 439 -7162 INDIAN IN 2 RM13 DT 0.00
T- 21 09128 7 59PM' 317 439 7162 iNDIAN'1N A.
RM13 'DT 0.00!
122,. THU' 09129: 1O58AM1 '317.4397162 ';;[INDIANIIN
11 iRM13 '1DT Q 40.>
:123 09/29_ 12.28PM 317.34:9 2272 .INDIANfIN
;24 09!29 ii2'S3PMi`.7;187761 INDIAN!IN RM1
2' ?3 :DT
317. 000'.
f25 09129 ::i 12:55PM;! ..703 -623 3215 ARLING`VA i MMEO :1DT :M2MC 0 00
126 09129 1:27PM 317 -506 -7960 INDIAN IN 1 MMEO DT M2MC 0.00
1 09129 2: 02PM 317 -506 -7960 INCOMI CL 1 MMEO DT M2MC 0.00
128 09/29 2:03PM 317 -506 -7960 INDIAN IN 5 MMEO DT M2MC 0.00
129 09/29 2:35PM 703 -623 -3215 INCOMI CL 3 MMEO DT M2MC 0.00
130 09129 2:39PM 317 -506 -7960 INDIAN IN 1 MMEO DT M2MC 0.00
'1'.31 ?.09l29; "3Y6PM'r :317.74' -00162 :.INDIANIN 44 .;!RM13 "IDT 000'.
132 0$129.:f.4:20PM' '317873 6022 I ZIONSU IN c 7 ;:iRM13"''.',DT 0 00
133 09129 i_ '4.52PM 317.573 4444...:;: CARMEL IN 1 :RM13 `DT 0.00'.
1(34 09/29 5 03PM,i: 317 843 1217 CARMEL IN 6 ''RM13 DT Q 00:
;135. 09!29 6:03PMa 317- 573.4444 CARMEL IN 1 ..RM13 DT :0.00`
136 09/29 9:29PM 317 -573 -4444 CARMEL IN 1 UNW9 NW 0.00
137 FRI 09130 10:54AM 317- 873 -6022 INCOMI CL 10 RM13 DT 0.00
138 09130 2:29PM 317- 444 -6034 INDIAN IN 1 RM13 DT 0.00
139 SAT 10/01 4:44 PM 317 -281 -1199 IND IN 1 MMEO NW M2MC 0.00
140 10/01 6:14PM 317 -281 -1199 INDIAN IN 2 MMEO NW M2MC 0.00
1!41 SUN;! 10102 1 3'40AMs':317- 573 4444 i CARMEL IN 1
142 10102 ?11.06PM, 317.573 4444 CARMEE iN 3: `IUNW9 'NW O DOi
143 10102 .!11'32PM 317.573 4444 !:'CARMEL IN 0:00:
144 10102 11 34PM< :317 -573 4444 CARMEL IN 1 ::UNW9: >!NW O OD.':
145 MON 10/03 12.53PM,': '317 -506 7960 iNCOMtCL 7. :MMED: iDT M2MG 0:00'
146 10/03 2:23PM 317- 984 -1727 CICEROIN 4 RM13 DT 0.00
aw Pagc: 8 of I I t
Billing Cycle Da1c: 09/04111 1 1110 311 1
Account Number: 287016374461
Foundation Account Number: 02581749
Call Detail (Continued) 317 503 -7095
User Name: KEVIN RIDER
Rate Code: RM13 =1350 Rollover Mins, UNW9= Unlimited NRW, MMEO= Unlimited Expd M2M
Rate Period (PO): DT= Daytime, NW =Nwknd
Feature. M2MC= Expanded Mobile To Mobile, CW =Call Waiting
Number Rate Rate Fca- Airtime LD /Add'1 'Total
Item Dal' Date Time Called Call To Alin Code Pd (tire Charge Charge Charge
147 10103 2:27PM 317. 459 -9543 INDIAN IN 2 MMEO DT M2MG 0.00
148 10/03 3:24PM 317. 501 -9400 INDIAN IN 4 RM13 DT 0.00
Subtotal Mlnutes 555 0.00
555:; 0:00;.
Data Detail 317- 503 -7095
User Name: KEVIN RIDER
Rate Code: UMB1 =Data Unlimited, TM11 =Text Msg Pay Per Use
Rate Period (PD): AT= Anytime
Feature: GPRR =GPRS $0.00 rate APNO02, SMH =SMS per msg $0.20 MO /MT PPU
Rate Rate Fea- In/ "Total
Item Day Date Time To /From Type Alsg /KI3fNlitt Code Pd twe Out Charge
1. 'F.RI 09709 :2i30PM
317. 828 =1050. r:Text Messa e Ms TMh ATS° SMH In 0!20!
2 THU 09175 824AM 317 69T•8347 Tezt Messa e TMI1
Subtotal of Ms 's 2 Msg 0.40
3 :'SAT. `09103 4:15PM. Data Transfer `:Data 155K8 .UMBi... ATI': GP -RR Out '!i 0';00
4 .sSUN 49704 `12 :48AM :.,':'Data :Transfer Data 29,'KB. UM61 AT :GPRR Out :i 0:001
5 09L04 3 23AM. ::G Da(a Transfer SData 2231 KB' UMB1 AT?' GPRR put 0 =00:
6 09104 3:56PM Data Transfer Data 117 KB UMB1 AT GPRR Out 0.00
7 09/04 10:53PM Data Transter Data 23 KB UM81 AT GPRR Out 0,00
8 MON 09/05 12:04AM Data Transfer Data 133 KB UMB1 AT GPRR Out 0.00
9 09105 10:34AM Data Transfer Data 37 KB UMB1 AT GPRR Out 0.00
10 09105 11:50AM Data Transfer Data 7 KB UMB1 AT GPRR Out 0.00
09105 .:12:001 M DaEaTrans €er 'Data e KB UMB1 AT. GPRR Out 1;; 0.00
12 09705 :m.12OOPM Data Transfer .i
`UM81 'AT: ;GPRR Out
13 09105 12'04PM Data Transfer Data:1KB UMB1 AT': GPRR Out 0.00'
14 09705 12r :10PM Data Transfer :Data 8;'KB UMB1 AT:. .GPRR Out 0;00
15 09!05 1222PM Data Transfer Data 131;KB UMB1. AT?. GPRR. Out O;OO
16 09105 3:17PM Data Transter Data 30 KB UMB1 AT GPRR Out 0.00
17 09105 4:53PM Data Transfer Data 20 KB UMB1 AT GPRR Out 0.00
18 09/05 5:59PM Data Transter Data 44 KB UMB1 AT GPRR Out 0.00
19 09/05 9:05PM Dala Transfer Data 50 KB UMB1 AT GPRR Out 0.00
20 TUE 09/06 12:05AM Data Transfer Data 123 KB UMB1 AT GPRR Out 0.00
21 09106 30:30AM Data Transfer Data
345' -KB :UMBi AT;.: .:GPRR Out!:. :i0'.00's
22 09706. 1246PM Data Transfer. Data B;KB t7M61 GPRR .Out.'" 0:00:
23 0$106 12:49PM Data Transfer Data
t3 KB' iUMB1 AT GP. RR Out 0:00;'
24 P' 09106. 72'50PM. .'''Data Transfer Data 3 KB .UMB1 AT. GPRR :mm .06V 0100;
25 09/06 1:08PM Data Transfer Data 48`.KB UM3t AT:; GPRR .put'' 0;00'
26 09/06 2:04PM Data Transfer Data 30 KB UMB1 AT GPRR Out 0.00
27 09/06 2:51 PM Data Transfer Data 6 KB UMB1 AT GPRR Out 0.00
28 09106 2:52PM Data Transfer Data 11 KB UMB1 AT GPRR Out 0.00
29 09/06 3:09PM Data Transfer Data 7 KB UMB1 AT GPRR Out 0.00
30 09/06 3:12PM Data Transter Data 7 KB UMB1 AT GPRR Out 0.00
31 09!06 3 ^<t2PM Data Tiansler Data 2: Kl3 :UMB1 AT' GPRR Out 0.00:
32 09706 3r34PM Data'Transfer Data 228K8: UMB1 AT GPRR Out OS00:
33."VJED 69/07' '12;34AM. `4'DataTransfer Data 49'KB ,..UMB1 AT ..'GPRR Out 0:00!
34 :!09707 342AM Data Transfer .::Data 913 [KB ";'UMB1 AT:; GPRR ':Out
.'12251?M DaiaTransfer :i':Data 7'K13 UMB1 ATx:m �m GPRR put3 '0:00
36 09/07 12:27PM Data Transfer Data 120 KB UMB1 AT GPRR Out 0.00
37 09107 4:11 PM Data Transter Data 7 KB UMB1 AT GPRR Out 0.00
38 09/07 4:17PM Data Transfer Data 25 KB UMB1 AT GPRR Out O.DO
4547.002M1 1937.04.06.011000110 N)AYNNNY 106635.106635
at &t "age: 9 or I I
Billing Cycle Date: 1/9/114/11 10103111
Account Number: 287016374461
Foundation Account Number 02581749
Data Detail (Continued) 317 -503 -7095
User Name: KEVIN RIDER
Rate Code: UM81 =Data Unlimited, TMI1 =Text Msg Pay Per Use
Rate Period (PD): AT= Anytime
Feature: GPRR =GPRS $0.00 rate APN002, SMH =SMS per msg $0.20 MONT PPU
Rate Rate Fea- In/ Total
Item Day Date 'Time To /From Type N9sg /KB /N'lin Code Pd ture Out Charge
39 09/07 4:45PM Data Transfer Data 59 KB UMB1 AT GPRR Out 0.00
40 09/07 7:01 PM Data Transfer Data 69 KB UMB1 AT GPRR Out 0.00
41 THU;... 09/08;:. 12:04AM Data Transfer Data 876KB UMB1 AT GPRR ':Out 0;00
A2 FRI 09/09;' 12:22AM DataTransfer.. Oata 261'KB UMB1 AT GPRR ;Out 0.00:
43 09/09;1 t.`58PM DataTransfer :Data s 72 KB UMB1; AT.
GPRR _!Out
%44 09/09`- 2:31'PM. DataTransfer.... Data 11:;KB UMB1? AT GPRR. 'Out 0.00;
45 .09/09' 3 09PM DataTransfer Data T KB :.UMB1' AT GPRR :'Out. O:OOf
46 09/09 3:15PM Data Transfer Data 2 KB UMB1 AT GPRR Out 0.00
47 09/09 3:16PM Data Transfer Data 4 KB UMB1 AT GPRR Out 0.00
48 09/09 3:25PM Data Transfer Data 16 KB UMB1 AT GPRR Out 0.00
49 09/09 4:32PM Data Transfer Data 89 KB UMB1 AT GPRR Out 0.00
50 SAT 09/10 12:32AM Data Transfer Data 134 KB UMB1 AT GPRR Out 0.00
1246PM ?DataTransfer Data 40KB UM81 AT GPRR. Out 0;00:
52 09!10 3:50BM D'ata'T�ansfer Data 1:KB UMB1,>; AT '.GPRR Out :0:00';
53 0.00
09/10.;: 3.54P_M Dala Transfer .::.Data 12:KB UMet AT GPRR ;;':Out
54 09/10 4:26BM ....:Data Transfer Data 61: <KB UMB1 qT. GPRR :Out 0;00'.
s5 SUN:!. 09111::; 12'26AM Data l'raisfer Oata 133 KB UMBtt AT. GPRR:
56 09/11 1:07PM Data Transfer Data 9 KB UMB1 AT GPRR Out 0.00
57 09/11 1:29PM Data Transfer Data 1 KB UMB7 AT GPRR Out 0.00
58 09/11 1:33PM Data Transfer Data 154 KB UMB1 AT GPRR Out 0.00
59 09/11 6:14PM Data Transfer Data 72 KB UMB1 AT GPRR Out 0.00
60 09/11 11:58PM Data Transfer Data 109 KB UMB7 AT GPRR Out 0.00
61 MON' 09/12 .9:42AM Data Teaisfer Data 239KB UMB1' AT ..:;.GPRR. Out 0.00:
62 09/121: 2:53PM DataTransfer Data 275'KB UMB1'' qT GPRR. Out 0.00:
63
TUEi' 09113::1. 1253AM.. DataTransfer. ..:Data 159 KB' UMB1' Al ;GPRR 'Out
0.00:
B4 09/13 9:499M Data Transfer Data
280'KB UMB1': AT :';Out 0.00':
65 09/13:'. :.2:54PM DataTransfer.. Data 14 KB UMB1 AT
GPRR ;:'Out 0.00:-
66 09/13 3:09PM Data Transfer Data 4 KB UMB1 AT GPRR Out 0.00
67 09113 3:18PM Data Transfer Data 1 KB UMB1 AT GPRR Out 0.00
68 09/13 3:27PM Data Transfer Data 229 KB UMB1 AT GPRR Out 0.00
69 WED 09/14 12:36AM Data Transfer Data 42 KB UMB1 AT GPRR Out 0.00
70 09/14 4:17AM Data Transfer Data 17 KB UMB1 AT GPRR Out 0.00
7:1 09414 5:24AM DataTransfer .:Data.... 18 KB: UMB1 AT 'GPRR `Out. 0.00`
Z2 09!14 ..::6:27AM. bataTransfer Data 7 KB UMB1 AT... GPRR :::Out 0.00
73 09114 6:48AM Data Transfer: Data 1,6491KB:. UMB7 AT GPRR %Out.... 0 OO
Z4 09/14: 5'13PM >Data Transfer Data 80 K6 UMB1 AT ..:.GPRR #Out 0.00':
75 09/14I:i: 9:30PM DataTransfer' Data 36:KB UMB1 AT out 0.00:
76 THU 09/15 12:30AM Data Transfer Data 136 KB UMB1 AT GPRR Out 0.00
77 09/15 9:19AM Data Transfer Data 119 KB UMB1 AT GPRR Out 0.00
78 09/15 11:44AM Data Transfer Data 14 KB UMB1 AT GPRR Out 0.00
79 09/15 11:59AM Data Transfer Data 7 KB UMB1 AT GPRR Out 0.00
80 09/15 12:38PM Data Transfer Data 19 KB UMB1 AT GPRR Out 0.00
1:44PM Data Transfer Oata
283 KB' UM81'<
AT. GPRR i:0ut. 0.00:
82 09!15 i.. :11:23P,M f?ata Transfer Data 23Z KB MB AT GPRR ::'Out 0.00:
83 FRI .09116 10:76AM Data Transfer `Data 1,323 `KB UMB1 f: AT GPRR :::Out
0 00'
84 09116 <s 5:432M Data Transfer Data 274 >KB UMBts: AT is GPRR ::;:Out 0.00:
85 SAT.:: 09117 12.43AM Data Transfer.....Data 980 KB .UM61,: AT ..:':.GPRR .:Out 0:00::
86 SUN 09/18 12:43AM Data Transfer Data 1,060 KB UMB1 AT GPRR Out 0.00
87 MON 09/19 12:20AM Data Transfer Data 1,286 KB UMB1 AT GPRR Out 0.00
88 09/19 1:48PM Data Transfer Data 9 KB UMB1 AT GPRR Out 0.00
89 09/19 1:56PM Data Transfer Data 15 KB UMB1 AT GPRR Out 0.00
90 09/19 1:58PM Data Transfer Data 7 KB UMB1 AT GPRR Out 0.00
"91 09/19 2'02PM Data Transfer ;Data 1 KB UMB1 AT GPRR 'COut 0.00:
s
`\..L� at&t h:I l;l': It)111 II 'I a •y
:tilling Cycle Date: 09/04/11 10/01/11
Account Number: 287016174461
Foundation Account Number 02581749
Data Detail (Continued) 317 -503 -7095
User Name: KEVIN RIDER
Rate Code: UMB1 =Data Unlimited, TM11 =Text Msg Pay Per Use
Rate Period (PD): AT= Anytime
Feature: GPRR =GPRS $0.00 rate APN002, SMH =SMS per msg $0.20 MO/MT PPU
Rate hate Fea- In/ "Total
Item Day Date Time To /Front "Type Msg /K13 /N9in Code Pd tune Out Charge
82: 09119 PM Data 7raster Data 9 KB: UM81;:;: AT GPRR :`:0ut O:OOS
93 09119 2:19PM Data Transfer Data 35 KB UMB1: AT GPRR Out .:0;00:
,P.M Data Transfer
Data 1;:K6' UMB1 AT GPRR >Out 0.00:
95 09/19. °2:55PM Data.Traiisfer ;.Data 1;: KB .UMB1' AT GPRR :;:Out 0:00
96 09/19 2:56PM Data Transfer Data 112 KB UMB1 AT GPRR Out 0.00
97 09/19 3:48PM Data Transfer Data 371 KB UMB1 AT GPRR Out 0.00
98 TUE 09/20 12:32AM Data Transfer Data 459 KB UMB1 AT GPRR Out 0.00
99 09/20 10:17AM Data Transfer Data 45 KB UMB1 AT GPRR Out 0.00
100 09/20 10:48AM Data Transfer Data 6 KB UMB1 AT GPRR Out 0.00
f01. 09!20:: ^:1048AM Data.Transfer ,;:'Data 7:KB UMBi')' AT GPRR i:0ut xOMA
102: 091201 1050AM Data Transfer Data 326 `KB UMB1 AT GPRR Out 0.00:
103: 09/20.c 10:57AM Data:Transfer Data 3:XB:...UMB1
GPRR: :<:Out 0.00'
104 Data 92'KB`:. UMB1' AT
09120
t 1:19AM Data Transfer GPRR Out:
O.00i
105: 09120 11:50AM `Data.Transter Data r 25 KB: UM81 AT GPRR ;;Out 0:00':
106 09/20 12:06PM Data Transfer Data 76 KB UMB1 AT GPRR Out 0.00
107 09/20 12:30PM Data Transfer Data 541 KB UM81 AT GPRR Out 0.00
108 09/20 8:27PM Data Transfer Data 102 KB UMB1 AT GPRR Out 0.00
109 WED 09/21 12:27AM Data Transfer Data 2,006 KB UMB1 AT GPRR Out 0.00
110 09/21 2:54PM Data Transfer Data 401 KB UMB1 AT GPRR Out 0.00
09 /21;:';:...7:04P,M D'ataTransfer .:Data 61 KB: UM61 AT
GPRR "Out 0:00:
1<i 2 09/21 9:04PM Dala Trasfer Data 1 !KB: UMB1 AT
GPRR
1f3 09/21 i.' 9:07PM -Data Transfer... Data 1<13: :X: AT GPRR :i06t 0:00:
114' THU 09/22':> 12:07AM DataTransfec. :Data 382 KBi UM61 .AT 0.00'
09!22. a 10:13 AM Data Transfer Data 6 KB` UMB1:i AT GPRR :Out 0;00
116 09/22 10:15AM Data Transfer Data 41 KB UMB1 AT GPRR Out 0.00
117 09/22 11:20AM Data Transfer Data 8 KB UMB1 AT GPRR Out 0.00
118 09/22 11:20AM Data Transfer Data 15 KB UM61 AT GPRR Out 0.00
119 09122 11:49AM Data Transfer Data 419 KB UMB1 AT GPRR Out 0.00
-120 FRI 09/23- 12:07AM DataTransfer- Data 467- KB- -UMB1 AT GPRR Out 0.00
12:1 09123 :..:.2:07PM Data Transfer Data 43: KBi UMB1' AT GPRR Out 0.00:
122 09/23::': 3:32PM ::DalaTransfer. Data 168:KB UM81:: AT
GPRR Out 0.00
123 09!23 8:49PM ..Data Trasfer. Data
11.1 KB:' .UMB1? :AT::::::: GPRR Out 0.00:
f24: .SAT;::: 09!24';: 12:49AM Data.Trarister Qata 853 KB. .UMB1 AT. ,;i; GPRR }:,Out 0.00:
25 SUN 09/25.> 12:49AM Data Transfer .::Data :495:KB `UMB1 .AT GPRR iz0ut
126 09/25 11:04PM Data Transfer Data 687 KB UMB1 AT GPRR Out 0.00
127 MON 09/26 2:30PM Data Transfer Data 22 KB UMB1 AT GPRR Out 0.00
128 09/26 3:42PM Data Transfer Data 23 KB UMB1 AT GPRR Out 0.00
129 09/26 4:02PM Data Transfer Data 995 KB UMB1 AT GPRR Out 0.00
130 TUE 09/27 12:02AM Data Transfer Data 978 KB UMB1 AT GPRR Out 0.00
131` 09/27 4:12P_M Data Transfer Data 292 KB UMB1< AT GPRR Out 0 00:
132:. WED:. 09/28 i- 12::12AM .Data.Transfer Data 322 KB :UMB1:> AT GPRR,:: Out 0.00
133: 09128): :11:3YAM Data Transfer Data 133 ::KB UMB1' AT GPRR Out 0.00
134! s 09/28.:`. ..1.23PM Data Transfer :.Data 9 KB UMB1; AT GPRR Out
0.00
135: 09/28 1:25PM Data.Transfer ,Data 302 KB! UMBf! AT GPRR
136 09/28 3:40PM Data Transfer Data 282 KB UMBI AT GPRR Out 0.00
137 09/28 7:59PM Data Transfer Data 126 KB UMB1 AT GPRR Out 0.00
138 09/28 11:59PM Data Transfer Data 504 KB UMB1 AT GPRR Out 0.00
139 THU 09/29 10:58AM Data Transfer Data 157 KB UMB1 AT GPRR Out 0.00
140 09/29 12:29PM Data Transfer Data 15 KB UMB1 AT GPRR Out 0.00
141 09/29 :12:55P.,M. `Data Transfer Data 7 KB UMB1` AT ;I GPRR: 0ul 0;00
1:42 09(29 12:55PM Data Transfer Data 1. 145: KB UMB1 AT GPRR Out
1`43 09/29.:.:" 2:03PM :Data:Transfer ..;Data 33; KB UMB1 AT GPRR Out 0;00
144 09129 2:38f?M Data:Transfer ..:,Data B :KB UMB1 AT GPRM: Out: 0;00
4547 .002.011917 .05.06.0000000 N1'NVNNNN' 106637.1116637
at&t Page:
II of I I
Billing Cycle Date: 09/114/1 I -10103111
Account Number: 287016374461
Foundation Account Number: 02581749
Data Detail (Continued) 317 -503 -7095
User Name: KEVIN RIDER
Rate Code: UMB1 =Data Unlimited, TM11 =Text Msg Pay Per Use
Rate Period (PD): AT= Anytime
Feature: GPRR =GPRS $0.00 rate APNO02, SMH =SMS per msg $0.20 MONT PPU
Rate Rate Fea- In/ Total
Item Day Date 'rinse To /From Type Msg /KI3 /NIin Code Pd tune Out Charge
#45 09729 2E39PM Data Transfer :Data 35` #KB !:UM81 AT GPRR Out A00
146 09/29 4:OOPM Data Transfer Data 12 KB UMB1 AT GPRR Out 0.00
147 09/29 4:27PM Data Transfer Data 18 KB UMB1 AT GPRR Out 0.00
148 09/29 4:53PM Data Transfer Data 15 KB UMB1 AT GPRR Out 0.00
149 09/29 5:08PM Data Transfer Data 25 KB UM81 AT GPRR Out 0.00
150 09/29 5:42PM Data Transfer Data 19 KB UMB1 AT GPRR Out 0.00
151 09!29 604PM
Data Transfer Data 140<`KB B1 AT GPRR Out 000
09129 9f28PM Data Transfer :Data 7KB UMB1 AT ;`_..GPRR 0 u 0.00_
452 9 153 09129 930PM Data Transfer .:Data 35KB .UMB1 AT''; GPRR .Out 000>
154. FRh ..09130 1230AM :Data Transfer Data 166K6 UMB1 ..AT :GPRR Out. 0:00:
155 09130 11 04AM Data Transfer .;'Data 9<KB UMB1 AT GPRR Out O.00
156 09/30 11:35AM Data Transfer Data 103 KB UMB1 AT GPRR Out 0.00
157 09/30 2:30PM Data Transfer Data 63 KB UMB1 AT GPRR Out 0.00
158 09/30 5:27PM Data Transfer Data 83 KB UM81 AT GPRR Out 0.00
159 SAT 10/01 12:27AM Data Transfer Data 126 KB UMB1 AT GPRR Out 0.00
160 10/01 4:46PM Data Transfer Data t KB UMBt AT GPRR Out 0.00
161 1010 452PM Data:Trans(er Data 18KB UMB1 AT GPRR Out 0.00:'
162 10/0].. 6:15PM Transfer >Data 53. K6 :::UMB1:: AT GPRR Out
f63 .:SUN. 10/02 15AM L Data.Traiisfer :!Data 12 K6 UMB1::.:. AT GPRR Out 0:00.
164 .10102. ;3:4:1AM `Data Transfer Data e 125KB '.UMB1 AT GPRR Out 0:00
1ii5 10702 449PM Data.Transfer :Data 39: KB UMB1 AT GP.RR Out 0.00's
166 10/02 10:05PM Data Transfer Data 4 KB UMB1 AT GPRR Out 0.00
167 10/02 11:09PM Data Transfer Data 5 KB UMB1 AT GPRR Out 0.00
168 10/02 11:35PM Data Transfer Data 945 KB UMB1 AT GPRR Out 0.00
169 MON 10/03 2:27PM Data Transfer Data 1 KB UMB1 AT GPRR Out 0.00
170 10/03 2:29PM Data Transfer Data 87 KB UMB1 AT GPRR Out 0.00
]71 10/03 3 :28. Transfer Data Data 14 KB :UMB1 AT GPRR Out 0;00:.
Subtotal of KB's 29,046 KB 0.00
Totals
0.40;
Prescribed by State Board of Accounts City Form No, 291(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.
Paye
AV T l i bl Purchase Order No.
Terms
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
b„
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
D6 IN SUM OF
X 'A
7
ON ACCOUNT OF APPROPRIATION FOR
44 Board Members
PO# or j INVOICE NO. ACCT #/TITLE AMOUNT
DEPT. I 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
20
Si ture
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund