205654 01/25/2012 a CITY OF CARMEL, INDIANA VENDOR: 00350980 Page 1 of 1
e ONE CIVIC SQUARE VERIZON WIRELESS CHECK AMOUNT: $2,464.07
s a. CARMEL, INDIANA 46032 P 0 BOX 25505
LEHIGH VALLEY PA 18002 -5505
CHECK NUMBER: 205654
CHECK DATE: 1/25/2012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
2201 4344100 2681550299 2,460.07 380888601 -00001
vedzmo 1wireless
P.O. BOX 4002 Manage Your Account &View Your Usage Details Account Number Date Due
ACWORTH, GA 30101 a 1:::. 0 logo
Invoice Number 2681150299
I
Quick Bill Summary Dec 04 Jan 03
40000002 11 SP 2.880 "SNGLP T1 1 3703 46032- 258401 1 E MICH0310
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Previous Balance (see back for details) $3,365.30
CITY OF CARMEL
STREET DEPARTMENT Payment —Thank You $3,365.30
1 CIVIC SQ Adjustments $37.06
CARMEL, IN 46032 2584 Credit Balance $37.06
Monthly Access Charges $1,289.16
Usage Charges
Voice $3.50
Messaging $8.25
Data $.00
Equipment Charges $1,100.93
Verizon Wireless' Surcharges
Change To Your Service and Other Charges Credits $95.29
Thank you for your wireless business. Taxes, Governmental Surcharges Fees $.00
You recently made a change to your Total Current Charges $2,497.13
service. Your new bill will reflect usage
from your last bill and service
adjustments resulting from the
plan/feature change. Total Charges Due by January 29, 2012 $2,460.07
Pay from Wireless Pay on the Web Questions:
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Invoice Number Account Number Date Due Page
2681150299 380888601- 00001. 01/ 29/12 26f 116
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Explanation of Charges Payments and Adjustments
Verizon Wireless' Surcharges Previous Balance $3,365.30
Verizon Wireless' Surcharges include (i) a Regulatory Charge
(which helps defray various government charges we pay including Payment Thank You
government number administration and license tees); (ii) a P ayment Received 12/23/11 3,365.30
Federal Universal Service Charge (and, it applicable, a State
Universal Service Charge) to recover charges imposed on us by Total Payments $3,365.30
the government to support universal service; and (iii) an Adjustments
Administrative Charge, which helps defray certain expenses we
incur, including charges we or our agents pay local telephone Cellular Service Activation for 317 430 -6983 on 12/07/11 —35.00
companies for delivering calls from our customers to their Other Fees and Surcharges —2.06
customers, fees and assessments on our network facilities and
services, and costs and charges associated with new cell site Total Adjustments $37.06
construction, local number portability, and other government Credit Balance $37.06
mandates. Please note that these are Verizon Wireless charges,
not taxes. These charges, and what's included, are subject to
change from time to time.
Taxes, Governmental Surcharges and Fees
Includes sales, excise and other taxes and governmental
surcharges and tees that we are required by law to bill
customers. These taxes, surcharges and fees may change from
time to time without notice.
Late Fee Information
A late payment applies for unpaid balances. The charge is the
greater of $5 or 1.5% per month, or as permitted by law.
Verizon Wireless' Other Charges and Credits
Includes charges for products and services, and credits owing.
Correspondence Address; Verizon Wireless'Operations Support'P.O.'Bok 9058 Dublih, OH 43017.:
VOUCHER NO. WARRANT NO.
ALLOWED 20
Verizon Wireless
IN SUM OF
P. O. Box 25505
Lehigh Valley, PA 18002 -5005
$2,460.07
ON ACCOUNT OF APPROPRIATION FOR
Carmel Street Department
PO# Dept. INVOICE NO. ACCT #!TITLE AMOUNT
Board Member;
2201 2681150299 43- 441.00 $2,460.07 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
Thu'rsday,,January 19, 201;
Street Commissioner
v i��l vv JI VIIGI
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))
01/03/12 2681150299 $2,460.07
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