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206534 02/22/2012 CITY OF CARMEL, INDIANA VENDOR: 00350980 Page 1 of 1 ONE CIVIC SQUARE VERIZON WIRELESS CARMEL, INDIANA 46032 P. o. Box 25505 CHECK AMOUNT: $952.85 a LEHIGH VALLEY PA 18002 -5505 �or+ -zo CHECK NUMBER: 206534 CHECK DATE: 2/22/2012 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 2201 4344100 2695433665 952.85 380888601 -00001 i� V,,-- 'vedZonwirr;wess P.O. Box 4002 Manage Your Account View Your Usage Details 1 Account Number Date Due ACWORTH, GA 30101 Invoice Number 2695433665 Quick Bill Summary Jan 04 Feb 03 40000002 12 SP 3.100 ^SNGLP T1 1 3803 46032- 250401 1 E MICH0310 I Ill�l �I11111 le��i�ul�l11111 ll�I�I�l�elillrillllel Previous Balance (see back for details) $2,460.07 CITY OF CARMEL Payment Thank You $2,460.07 STREET DEPARTMENT 1 CIVIC SQ Adjustments $200.23 CARMEL, IN 46032 -2554 Credit Balance $200.23 Monthly Access Charges $1,098.14 Usage Charges Voice $.00 Messaging $2.25 Data $.00 Verizon Wireless' Surcharges HERMAMM wmj. and Other Charges Credits $52.69 Change To Your Service Taxes, Governmental Surcharges Fees $.00 Thank you for your wireless business. Total Current Charges $1,153.08 You recently made a change to your service. Your new bill will reflect usage from your last bill and service Total Cha Due b Febru 27, 2012 $952.85 adjustments resulting from the 9 y plan/feature change. L Pay from Wireless Pay on the Web auestion& \..ve izoi 1wireless Invoice !Number Account Number Date Due Page 2695433665 380888601 ©Oa01 0212�J12� �2 of 131- y Get Minutes Used TGet Data Used Get Balance t 9 w fit_'. D �.w p w� Explanation of Charges Payments and Adjustments Verizon Wireless' Surcharges Previous Balance $2,460.07 Verizon Wireless' Surcharges include (i) a negulatory Charge (which helps defray various government charges we pay including Payment Thank You government number administration and license fees); (ii) a P ayment Received 02/01/12 2,460.07 Federal Universal Service Charge (and, it applicable, a State Universal Service Charge) to recover charges imposed on us by Total Payments $2,460.07 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 Insufficient Funds on 01/04/12 —5.00 companies for delivering calls from our customers to their State Tax Adjustment for 317 339 0773 on 02/03/12 14.00 customers, fees and assessments on our network facilities and services, and costs and charges associated with new cell site State Tax Adjustment for 317- 339 -0792 on 02/03/12 —14.00 construction, local number portability, and other government State Tax Adjustment for 317 -417 -5053 on 01/30/12 —15.47 mandates. Please nose that these are Verizon Wireless charges, State Tax Adjustment for 317 -417 -5054 on 01/30/12 —15.47 not taxes. These charges, and what's included, are subject to change from time to time. State Tax Adjustment for 317 --417 -5055 on 02/03/12 —14.00 State Tax Adjustment for 317- 417 -5056 on 01/30/12 —15.47 Taxes, Governmental Surcharges and Fees State Tax Adjustment for 317 -417 -5216 on 01/30/12 —15.47 Includes sales, excise and other taxes and governmental State Tax Adjustment for 317 -650 -8282 on 01!30112 —15.47 surcharges and fees that we are required by law to bill customers. These taxes, surcharges and fees may change from State Tax Adjustment for 317 691 -6725 on 01/30/12 —15.47 time to time without notice. State Tax Adjustment for 317 714 -7481 on 01 /30/12 —15.47 State Tax Adjustment for 317 -714 -7517 on 02/03112 —14.00 Late Fee Information State Tax Adjustment for 317- 752 -2706 on 01/30/12 —15.47 A late payment applies for unpaid balances. The charge is the State Tax Adjustment for 317 752 -6057 on 01/30/12 —15.47 greater of S5 or 1.5% per month, or as permitted by law. Total Adjustments $200.23 Verizon Wireless' Other Charges and Credits Credit Balance $200 Includes charges for products and services, and credits owing. a �„t «fp�,s .�,�`a° .h-'�� :k� Y Vi UerizonWtreless ©perattons Support Bqx 9(#v8 Dublitt, OH 43017 VOUCHER NO. WARRANT NO. ALLOWED 20 Verizon Wireless IN SUM OF P. O. Box 25505 Lehigh Valley, PA 18002 -5005 $952.85 ON ACCOUNT OF APPROPRIATION FOR Carmel Street Department PO# Dept. INVOICE NO. ACCT #/TITLE AMOUNT Board Members 2201 2695433665 43- 441.00 $952.85 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 W edhesday, February 15 2012 Uao Z A/ Street Commission e Street r &-nrn1- ssioner 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)) 02/03/12 2695433665 $952.85 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