207335 03/26/2012 CITY OF CARMEL, INDIANA VENDOR: 359662 Page 1 of 2
ONE CIVIC SQUARE A T T
i CHECK AMOUNT: $8,070.89
*.•�j+ CARMEL, INDIANA 46032 PO BOX 5080
CAROL STREAM IL 60197 -5080 CHECK NUMBER: 207335
CHECK DATE: 3126/2012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1110 4344000 317571240003 1,693.41 TELEPHONE LINE CHARGE
1115 R4350900 317571240003 1,035.79 OTHER CONTRACTED SERV
1120 4344000 317571240003 1,342.59 TELEPHONE LINE CHARGE
1160 4344000 317571240003 184.66 TELEPHONE LINE CHARGE
1180 4344000 317571240003 180.01 TELEPHONE LINE CHARGE
1192 4344000 317571240003 575.78 TELEPHONE LINE CHARGE
1203 4344000 317571240003 108.16 TELEPHONE LINE CHARGE
1205 4344000 317571240003 554.48 TELEPHONE LINE CHARGE
1301 4344000 317571240003 238.45 TELEPHONE LINE CHARGE
1701 4344000 317571240003 218.27 TELEPHONE LINE CHARGE
2200 4344000 317571240003 288.14 TELEPHONE LINE CHARGE
2201 4344000 317571240003 50.80 TELEPHONE LINE CHARGE
601 5023990 317571240003 648.36 OTHER EXPENSES
CITY OF CARMEL, INDIANA VENDOR: 359662 Page 2 of 2
ONE CIVIC SQUARE AT&T
CARMEL, INDIANA 46032 PO 130x 5080 CHECK AMOUNT: $8,070.89
CAROL STREAM IL 60197 -5080
CHECK NUMBER: 207335
CHECK DATE: 3/26/2012
DEPARTMENT ACCOUNT PO--NUMB INVOICE NUMBER AMO DESCRIPTION
651 5023990 317571240003 509.92 OTHER EXPENSES
902 4344000 317571240003 259.25 TELEPHONE LINE CHARGE
911 4344000 317571240003 182.82 TELEPHONE LINE CHARGE
Cr
This is a summary of the ATT billing for 31712012
Department Name Totals
Administration $318.57
CCCC $1,035.79
Clerk Treasurer $218.27
Community Relations $108.16
Court $238.45
CRC $259.25
D ®CS $575.7811
Drugs Task Force $182.82
Engineering $288.14
Fire $1,342.69
Is $235.91
Law $180.01
Mayor $184.66
Police $1,693.41
Sewer $180.24
Sewer Dist $81.65
r
Street $50.80
Utilities $496.06
Water $313.64
Water Dist $86.69
Total for the ATT Bill: F
Thursday, March 15, 2012 Page of 1
CARMEL CITY OF Page I o12
ATTN JANET ARNONE Account Number 317 571 2400 053 2
31 1STAVE NW Billing Date Mar 7, 2012
CARMEt, IN 46032 -1715
c
at&t Web Site att.com
Invoice Number 317571240003
Monthly Statement
Feb 8 Mar 7, 2012
Bill-Ai-A-Glance Plans and Services
Previous Bill 8,066.94 Monthl Service Mar 7 thru A 6
Customer Service Record
Payment Received 3 -01 Thank You! 8,066.94CR 2 reports S 5.00 ea 10.00
Monthly Charges 7,696.11
A djus t me nt s D O Total Monthly Service 7,706.11
Balance .00 Information Char
411 and 555 -1212
Current Charges 8,070.89 3 Listing (s) requested from 1 +411
3 Listing(s) billed at 51.89 each 5.67
Total Amount Due $8,070.89 Reverse Directory Assistance
1 Listing(s) billed at S1.99 each 1.99
Amount Due in Full by Mar 29, 2012 Total Information Charges 7.66
Local Toll
No. Date Time Place Called Number Code Min
Billing Summary
Calls Charged to 317 571 2580
411 and 555 -1212
Billing Questions? Visit att.corn /billing 1 Listing(s) billed at $L89 each
Plans and Services 8,070.89 Calls Charged to 317571 -2581
1- 800 -480 -8088 411 and 555 -1212
Repair Service: 1 Listings) billed at SL89 each
1 -800- 727 -2273
Calls Charged to 317 571 -2591
Total of Current Charges 8,070.89 Reverse Directory Assistance
1 Listing(s) billed at SI -99 each
Calls Charged to 317 571 -2628
411 and 555 -1212
I bsting(s) billed at $1.89 each
Surchar and Other Fees
9 -1 -1 Emergency System
Billing tot more than one city /counties 153.28
Federal Universal Service Fee 72.40
IN Universal Service Surcharge 28.24
IN Utility Receipt Surcharge 101.64
Telecommunications Relay Service 1.56
Total Surcharges and Other Fees 357.12
Total Plans and Services 8,070.89
News You Can Use Summary
PREVENT DISCONNECT LOCALTOLL INFO
LONG DISTANCE INFO INDIANA USF
CHANGE TO BSA
See "News You Can Use" for additional information.
Local Services provided by AT &T Illinois, AT &T Indiana, AT &T Michigan,
AT &T Ohio or AT &T Wisconsin based upon the service address location.
Printed on Roc clable Naper
Return bottom portion with your check in the enclosed envelope. GO GREEN Enroll in paperless billing. `F'
CARMEL CITY OF Page 2 of 2
ATTN JANET ARNONE Account Number 317 571 2400053 2
31 1ST AVE NW Billing Date Mar 7, 2012
at CARMEL, IN 45032 -1715
Invoice Number 317571240003
N ews You Can Use C ontinued
CHANGE TO BSA
PREVENT DISCONNECT This is to advise you of a change to the Business Service Agreement
Thank you for being a valued customer. It is important to inform you (BSA) that you previously received. Effective May 1, 2012, Paragraph
that all charges must be paid each month to keep your account current 5a will be revised to read as follows:
and prevent collection activities. In addition, please be aware eiat 5. PRICES; CHARGES; BILLING; PAYMENT AND CREDITS; CHANGES TO
we are required to inform you of certain charges that MUST be paid in AGREEMENT a. Prices and Surcharges. You agree to pay AT &T for the
order to prevent interruption of basic local service. These charges Services at the prices and charges provided in the applicable Guidebook
are already included in the Total Amount Due and are 58,058.76. or Service Guide or Tariff, without deduction, setoff or delay for any
If you don't agree with the amount due, you should dispute the portion reason. The prices do not include, and You agree to pay, all applicable
you disagree with before the payment due date. taxes, regulatory surcharges, recovery fees, shipping charges, and
LOCAL TOLL INFO other similar charges specified or allowed by any governmental entity
You have selected multiple local toll companies. You also have slamming to be imposed on You or AT &T relating to the sale, use or provision of
protection, which prohibits a change of carriers without a specific the Services. Taxes and government surcharges will be in the amounts
request from you to lift the protection. To lift the slamming protection that federal, state, and local authorities require or permit AT &T to
you must call or write your AT &T local business office. bill You by statute, tariff, order, ordinance, law or otherwise. You
shall continue to be bound by any applicable Tariffs which relate to
LONG DISTANCE INFO the adding to your bill or charges for Services any taxes, fees or
You have selected multiple long distance companies. You also have surcharges (including but not limited to any franchise, occupation,
slamming protection, which prohibits a change of carriers without a business, license, excise, privilege or other similar tax, fee or
specific request from you to lift the protection. To lift the slamming charge) now or hereafter imposed upon AT &T by any taxing body or
protection you must call or write your AT &T local business office, authority and whether presently due or to hereafter become due.
INDIANA USF
If you do not agree to this change, you must contact us no later than
May 1, 2012 to disconnect your service(s). You can contact us by
Effective 12, the monthly Indiana Universal Service Surcharge calling your AT &T Sales Representative or call the AT &T Customer Care
increased from its current level which ich i s included on all Indiana custom bills, will be Center at the toll -free billing inquiries number shown on your bill.
ncrea nt affordable rates Your failure to cancel, and your continued use of your AT &T business
helps Indiana companies high c osst t areas cost leato 0.52 se ca ll us at the This surcharge service(s) after the effective date of this change constitutes your
for their customers. For more information, please ca acceptance of revised terms and conditions of the BSA, as well as the
number listed on the iror�t of your bill. applicable Guidebooks or Service Guides.
8716.003.027143.01.02.0000000 NNNNNNNY 54329.54329
1 a a
All rights reserue�.
Q 2006 AT &T Knowledge Ventures
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
Purchase Order No.
Terms
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
cl�u
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
IN SUM OF
?0
0
ON ACCOUNT OF APPROPRIATION FOR
�T,-ai>qqj) Lo
Board Members
PO# or 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
Signatur
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 flours, rate per hour, number of units, price per unit, etc.
Payee
AT &T
Purchase Order No.
P.O. Box 8100
Terms
Aurora, IL 60507 -8100
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
3/7112 Local phone lines Engineering $288.14
Total 288.14
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.
ALLOWED 20
AT &T IN SUM OF
P.O. Box 8 100
Aurora, IL 60507 -8100
$288.14
ON ACCOUNT OF APPROPRIATION FOR
Department of Engineering
Board Members
PO# or 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
n/a 3/7/12 ENG 4344000 $288.14 materials or services itemized thereon for
which charge is made were ordered and
received except
S12 ►2 20
Signa ure
C t i
Cost distribution ledger classification if
Title
claim paid motor vehicle highway fund
VOUCHER NO. WARRANT NO.
ALLOWED 20
AT &T
IN SUM OF
P.O. Box 8100
Aurora, IL 60507 -8100
$1,035.79
ON ACCOUNT OF APPROPRIATION FOR
Carmel Clay Communications
PO# Dept. INVOICE NO. ACCT #!TITLE AMOUNT Board Members
1115 43- 509.00 $1,035.7:
hereby certify that the attached invoice(s), or
I
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
Wednesday, March 21, 2012
Director
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))
03/07/12 $1,035.79
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 113999 WARRANT ALLOWED
359662 IN SUM OF
AT &T8100
PO BOX 8100
AURORA, IL 60507
Carmel Water Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO INV ACCT AMOUNT Audit Trail Code
i
5712633 01- 6360 -03 $313.64
5-71ZZ5� rt gl�•l��
Voucher Total 14 ocl
Cost distribution ledger classification if
claim paid under vehicle highway fund
I
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 of service rendered, by whom, rates per day, number of units,
price per unit, etc.
Payee
359662
AT T 8100 Purchase Order No.
PO BOX 8100 Terms
AURORA, IL 60507 Due Date 3/20/2012
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
3/20/2012 5712633 $313.64
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
Date Officer
VOUCHER 116978 WARRANT ALLOWED
359662 IN SUM OF
AT &T8100
PO BOX 8100
AURORA, IL 60507 -8100
Carrel Wastewater Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO INV ACCT AMOUNT Audit Trail Code
�Y
5712262 01- 7360 -07 $124-02
5712262 01- 7360 -08 $124.01
�3 �2,� S 15M�1
�3�f.r�� ?6 -qo
57� Z6
Voucher Total c$2� 3
Cost distribution ledger classification if
claim paid under 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 of service rendered, by whom, rates per day, number of units,
price per unit, etc.
Payee
359662
AT T 8100 Purchase Order No.
PO BOX 8100 Terms
AURORA, IL 60507 -8100 Due Date 3/19/2012
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
3/19/2012 5712262 $248.03
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
7 /1
Date Officer
VOUCHER 114053 WARRANT ALLOWED
359662 IN SUM OF
AT T 8100
PO BOX 8100
AURORA, IL 60507
Carmel Water Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO INV ACCT AMOUNT Audit. Trail Code
5712262 01- 6360 -07 $124.01
5712262 01- 6360 -08 $124.02
k
i
C
Voucher Total $248.03
Cost distribution ledger classification if
claim paid under 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 of service rendered, by whom, rates per day, number of units,
price per unit, etc.
Payee
359662
AT T 8100 Purchase Order No.
PO BOX 8100 Terms
AURORA, IL 60507 Due Date 3/19/2012
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
3/19/2012 5712262 $248.03
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
Date Officer
VOUCHER NO. WARRANT NO.
ALLOWED 20
ATT
IN SUM OF
P.O. Box 8100
Aurora, IL 60507 -8100
$554.48
ON ACCOUNT OF APPROPRIATION FOR
Administration Department
PO# Dept. INVOfCE NO, ACCT #(TITLE AMOUNT Board Members
-r
1205 03.07.12 43- 440.00 $318.57 I hereby certify that the attached invoice(s), or
bill(s) is (are) true and correct and that the
1205 03.07.12 43- 440.00 $235.91
materials or services itemized thereon for
which charge is made were ordered and
received except
Friday, March 23, 2012
Director, Administration
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))
03107/12 03.07.12 AD $318.57
03/07/12 03.07.12 IS $235.91
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. WARRA N O.
ALLOWED 20
ATT
IN SUM OF
P.O. Box 8100
Aurora, IL 60507 -8100
$575.78
ON ACCOUNT OF APPROPRIATION FOR
Carmel DOCS
PO# Dept. INVOICE NO. ACCT #/TITLE AMOUNT Board Members
1192 43 440.00 $575.78
I hereby certify that the attached invoice(s), or
I I
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
Tues owl March 20, 201
erector
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))
03/15/12 Monthly line charges $575.7$
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
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
T- Purchase Order No.
B o x Terms
Pal A -T L— 0 S FI C Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
3
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.
,114 ALLOWED 20
T t- r IN SUM OF
t3oy
ON ACCOUNT OF APPROPRIATION FOR
Board Members
Po# or INVOICE NO. ACCT #/TITLE AMOUNT
DEPT. i hereby certify that the attached invoice(s), or
I 1 q 4 10 cZ3$• 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
Signa U
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund
VOUCHER NO. WARRANT N
ALLOWED 20
AT&T
IN SUM OF
P.O. Box 8100
Aurora, IL 60507 -8100
$1,342.59
ON ACCOUNT OF APPROPRIATION FOR
Carmel Fire Department
PO# Dept. INVOICE NO. ACCT #!TITLE AMOUNT Board Members
1120 I I 43- 440.00 I $1,342.59 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
MAR 2 2 62
1
Fire Chief
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund
Prescribed by State Board of Accounts City Form Flo. 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))
$1,342.59
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
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
ATT
Purchase Order No.
P. O. Box 8100
Terms
Aurora, Illinois 60507 -8100
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
03/20/12 Telephone line charges per the attached $180.01
Statement 3/7/2012
Total Md
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
ATT IN SUM OF
P.O. Box 8100
Aurora, Illinois 60507 -8100
$180.01
ON ACCOUNT OF APPROPRIATION FOR
DEPARTMENT OF LAW
430 -44000 Telephone Line Charges
Board Members
DE INVOICE NO. ACCT #/TITLE AMOUNT I hereby certify that the attached invoice(s), or
1180 $180.01 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
201
i tur
.1
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund
VOUCHER NO. WARRANT NO.
ALLOWED 20
AT &T
IN SUM OF
P.O. Box 8100
Aurora„ IL 60507 -8100
$1,693.41
ON ACCOUNT OF APPROPRIATION FOR
Carmel Police Department
PO# 1 Dept. INVOICE NO. ACCT #/TITLE AMOUNT Board Members
1110 I 43- 440.00 $1,693.41 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
Wednesday, March 21, 2012
Chief of Police
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))
03/15/12 monthly payment $1,693.41
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
ATT
IN SUM OF
P. O. Box 8100
Aurora, IL 60507 -8100
$184.66
ON ACCOUNT OF APPROPRIATION FOR
Mayor's Office
PO# Dept_ INVOICE NO. ACCT #FrITLE AMOUNT Board Members
1160 Statement 43- 440.00 $184.66 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
Thursd y, March 22, 2012
Mayor
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))
03/07/12 Statement $184.66
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