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205364 01/17/2012 CITY OF CARMEL, INDIANA VENDOR: 364452 Page 1 of 1 ONE CIVIC SQUARE CINCINNATI BELL CHECK AMOUNT: $420.56 CARMEL, INDIANA 46032 PO BOX 748001 CINCINNATI OH 45274 -8001 CHECK NUMBER: 205364 CHECK DATE: 1/17/2012 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1091 4344000 4862587 280.37 4862587 1125 4344000 4862587 140.19 4862587 If payment is not received within 30 days of this statement date, a 1.5E 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 4862587 01110112 02/09/12 12/10/11 01/09/12 1411 E. 116TH ST. CARMEL IN 46032 -0000 Accou t S ary S,R 7>_. Online Access is now available! Previous Balance 414.40 Visit us on the web at Payments 414.40CR CincinnatiBell.com Adjustments .00 Download a copy of your bill Review your payment history View your call detail records Submit trouble tickets Don't forget to bookmark this link in your web browser for convenient r Balanced &Forward y ,0 O0 account access. s to �Sum ENew Charges Through 1/09/12 Universal Svc Fund 17.9% 42.40 D v Carrier Cost Recovery 12.78 Services 365.00 Federal Tax .38 JAN 12 2011 State Tax .00 Local Tax .00 BY: T Charges�Due 0 177 1 $420 5'6' Tota Amount Due 0 2/09 /12 420.56 Nonpayment of long di C.e ­ice may salt in di....... Lion o re atriction of these ....rtes and may be subject to collection actions. For inquiries call: (888) 638 -1699 Please detach and return bottom portion with payment not fold THANK YOU! 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 Purchase Order No. 364452 Cincinnati Bell 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 1/10/12 4862587. Long Distance charges 140.19 1/10/12 4862587 Long Distance charges 280.37 Total 420.56 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 Voucher No. Warrant No. 364452 Cincinnati Bell Allowed 20 P.O. Box 748001 Cincinnati, OH 45274 -8001 In Sum of 420.56 ON ACCOUNT OF APPROPRIATION FOR 101 General Fund 109 Monon Center PO# or INVOICE NO. ACCT #/TITLE AMOUNT Board Members Dept 1125 4862587 4344000 140.19 1 hereby certify that the attached invoice(s), or 1091 4862587 4344000 280.37 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 -Jan 2012 P &dUami-P, Signature 420.56 Accounts payable Coordinator Cost distribution ledger classification if Title claim paid motor vehicle highway fund