205359 01/17/2012 CITY OF CARMEL, INDIANA VENDOR: 362795 Page 'I of 1
ONE CIVIC SQUARE A T T MOBILITY CHECK AMOUNT: $220.36
CARMEL, INDIANA 46032 PO BOX 6463
9ti.oN`a:� CAROL STREAM IL 60197 -6463 CHECK NUMBER: 205359
CHECK DATE: 111712012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1401 4344100 287243456573 24.34 28724345657301112012
1401 R4463100 26036 287243456573 196.04 28724345657301112012
at &t Page: 1 of 5
Billing Cycle Date: 12/28/11 01/03/12
Account Number: 287243456573
Foundation Account Number 02581749
Invoice Number: 287243456573X01112012
Now To Contact Us: Previous Balance 0.00
1- 800 331 -0500 or 611 from your cell phone Payment Posted 0.00
For Deaf /Hard of Hearing Customers (TTY/TDD) :BALANCE„ 0 00
1- 866 -241 -6567 Monthly Service Charges 23.00
Usage Charges 0.00
Credits /Adjustments /Other Charges 196.04
Wireless Number Government Fees Taxe 1.34
317- 703 -0806 TO CAL CURRENT CHARGES 220 38
pue,Jan 26, 2012
!::ate assessed alter ;Feb 3
otal9 mount I)ue $220 3$ f-
In accordance with your contract or appropriate government
regulations your billing account was changed from bill in
advance to bill in arrears.
A simpler bill made possible!
Coming soon! Your AT &T Wireless bill will have a new look, with:
Easy -to -scan overviews of your services and charges
Convenient breakdown of charges for each wireless user
Big, bold current charges and due date amounts
Return the portion below with
payment only to AT &'1' Mobility.
dt &t Page: 2 ors
Billing Cycle Date: 12/28111 01103112
Account Number: 287243456573
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 AT &T plans are charged $5 in CT,
DC; DE, II .,KS,MA,MD,M6,MI,MO,NH,NJ,NY,1 A,OK,OFI,RI,VA,V "I',WI,WV; or 1.5 of the
balaI1CC 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, Paranuls, 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 Coiwersion
When you pay your bill by check, you authorize us to either use the information 171 0111 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 11 0111 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. lf'my bank rejects a payment, I
may be charged a return fee up to $30.
at &t Page: 3 of 5
Billing Cycle Date: 12/28/11 01/03/12
Account Number: 287243456573
Foundation Account Number 02581749
Prior Activity 287243456573
Previous Balance 0.00
TOTAL BALANCE $0 00
Pooling Details
Voice Pool: Govern men Pooling
Voice Allocation Factor 0.0000 Total Voice Minutes Under= 1000 Total Voice Minutes Overage 0
Wireless Rate Plan Allowance Used Allocated Adjustment
Number Description (Min) (Min) Back (Min) Amount
317 703 -0806 GOVTPooling1000 1000 0 0.00 0.00
Total 10 01 0 0 00 0 00
Wireless Line Summary For: 317- 703 -0806
User Name: SUE FINKAM
Prorated Monthly Total
Monthly Service Charges Period Charge Charge Charge
Rate Plan
GOVTN BPNI'N I OOOUM UN W 12/28-01/03 14.00 14.00
Includes:
1000 POOLED MINS
Basic Voice Mail
Call Forward Conditional
Call Forward Immediate
ll H
old
Call Waiting
Caller ID
Direct Bill Detail
Message Waiting Ind
Nation GSM
Three Way Calling
UNL Nght Wknd Min
Unlimited M2M Expnd
Page: 4
Billing Cycle Date: 12128/11 111/03/12
Account Number: 287243456573
Foundation Account Number 02581749
Wireless Line Summary For: (Continued) 317- 703 -0806
User Name: SUE FINKAAI
Prorated Monthly Total
Monthly Service Charges Period Charge Charge Charge
Rate Klan
Understanding My Prorated Bill
YOU began your plan on 12/28/11, so your bill includes prorated charges as explained below.
NI-\N PLAN: IT0RATED CIIARGES
You spent pan of this month im your new rate plan. You are charged
at the new plan's rate for those days: 12/28 01/03.
$70.00 30 6
14.11(1*
Monthly Charge Avg Days in Nlonlh Days un Plan
TOTAI, SERVICE CIIARC:ES FOR THIS BILL, 14.00*
This is the total 01'your prorated charges.
D011ars rounded up to next whole cent.
=Other
AT&T Direct hill 12/28 -01/03 0.00 0.00
AT&T Domestic L.D 12/28 -01/03 0.00 0.00
Includes:
Toll Domestic
Toll International
AT &T Roam LD 12/28 -01/03 0.00 0.00
Includes:
T011 Ddnteslic
Toll International
CRIJ Detail Bill %C BAN 12/28 -01/03 0.00 0.00
(,0V 1 PooI111g1000 12/28-01/03 0.00 0.00
GSM Coverage Area 12/28 -01/03 0.00 0.00
OIT Nctwork Roam 12/28 -01/03 0.00 0.00
unlimited Expd N12M 12/28 -01/03 0.00 0.00
Unlimited N& \V 12/28 -01/03 0.00 0.00
VISUAL VM POSTPD 12/28 -01/03 0.00 0.00
Whone Customer 12/28 -01/03 0.00 0.00
Wireless Data
4613 Datu_Tethering 12/28 -01/03 0.00 0.00
Datal'ro 4G 13 4S 12/28-01/03 9.00 9.00
Text N1sg Pay Per Usc 12/28 -01/03 0.00 0.00
Includes:
Int'1 Text Messaging
Text Messaging
I'Q I AL;1110N "I' LY CHA.I2GES
Credits, Adjustments Other Charges
Regulalory Cost Recovery Charge 0.29
Telecom Relay Service Fund 0.03
2801 .003.024992.02.03 .0000000 NYSSYNNY 219311.219311
s
a Page: 5of5
Billing Cycle Date: 12/28/11 01/03/12
Account Number: 287243456573
Foundation Account Number 02581749
Wireless Line Summary For: (Continued) 317- 703 -0806
User Name: SUE FINKAM
Credits, Adjustments Other Charges
Federal Universal Service Charge 0.60
Indiana Universal Service 0.03
State Gross Receipts Surcharge 0.16
National Account Discount -5.06
Equipment Accessories Ordered On -Line
12/28 EQUIPMENT PURCHASE 199.99
TOTAL :CRED;ITS "ADdUSTIViENTS OTHER CHARC'ES $1;96 04
Government Fees Taxes
9 -1 -1 Service Fee 0.50
IN State "telecom Tax 0.84
TUTAI';GOVERNMENT;FEES. &.TAXES 34
Equipment Accessories Charged to Wireless Number 317 703 -0806
User Name: SUE FINKAM
Trans Transaction Item Unit Total
Item Date Number Item Description ID Qty Price Charge
Equipment Accessories Ordered On -Line
1.... 1.2/28 N098.1 125913 PHO IPHONE?4S 16GB;Bl K 65490 1.` 199199 199:99>
NU98.1. 175913 SIM EMBEDDED SIM I 73023 1 0.00'
Subtotal Equipment Accessories Ordered On -Line 199.99
Total Equipment Accessories Charged to.Wireless Number.!317 -703 0806 x199:99:
a
Lm
28111 .003.021992.03.03.0000000 NYSSYNNY 219313.219313
Prescribed by State 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
��ULU Purchase Order No.
Terms
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
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.
---7 ALLOWED 20
IN SUM OF
0 W&3
ON ACCOUNT OF APPROPRIATION FOR
Board Members
'T r�
PO# or INVOICE NO. ACCT #/TITLE AMOUNT
DEPT. I hereby certify that the attached invoice(s), or
Ip I Lt) Lf 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
gtat'a
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund