179096 11/11/2009 CITY OF CARMEL, INDIANA VENDOR: 00350980 Page 1 of 1
ONE CIVIC SQUARE VERIZON WIRELESS CHECK AMOUNT: $271.57
CARMEL, INDIANA 46032 P. 0. Box 25505
LEHIGH VALLEY PA 18002 -5505 CHECK NUMBER: 179096
CHECK DATE: 11/11/2009
dEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1180 4344100 2308335847 271.57 380784826 -00001
VEYIZOAwireless
777 BIG TIMBER ROAD Manage Your Account Account Number Date Due
ELGIN, IL 60123 9
Invoice Number 1 2308335 847
20000359 03 AT 0.607 "AUTO T3 0 4628 46032- 258401 1 E MICH2810 Quick Bill Summary Sep 29 Oct 28
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CITY OF CARMEL IN
CARMEL LEGAL DEPT Previous Balance (see back for details) $815.95
1 CIVIC SQ Payment Thank You $270.75
CARMEL, IN 46032 -2584
Balance Forward Due Immediately $545.20
Monthly Access Charges $262.94
Usage Charges
Voice $.00
Data $1.28
Verizon Wireless' Surcharges
and Other Charges Credits $7.35
Taxes, Governmental Surcharges Fees $.00
Total' C` urmntCharges °DuebyWovember23,20M' $271.57
Total Amount Due $816.77
Received
11- 09- 09PO4:19 RCVD
CRY of Cannel
Department of taw
Pay from Wireless Pay on the Web Questions:
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Invoice Number Account Number Date Due Page
r- g w �i k 3s�� c �23 80 335847 3807$4826 00 001 Past Due 2 of15
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Explanation of Charges Payments
Verizon Wireless' Surcharges Previous Balance $815.95
Verizon Wireless' Surcharges include charges to recover or help
defray costs of taxes and of governmental charges and fees Payment Thank You
imposed on us, including a Regulatory Charge (which helps defray P ayment Received 10/23/09 270.75
costs of various regulatory mandates, including government
number administration and license fees) and a Federal Universal Total Payments $270.75
Service Charge (and, if applicable, a State Universal Service Balance Forward Due Immediately $545.20
Charge) to recover costs imposed on us by the government to
support universal service, and may include other charges also
related to our governmental costs. It also includes an
Administrative Charge, which helps defray certain costs we incur,
currently including (i) charges we, or our agents, pay local
telephone companies for delivering calls from our customers to
their customers, (ii) tees and assessments on network facilities
and services, and (iii) certain costs and charges associated with
proceedings related to new cell site construction. 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 fees 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. s
g
ti
Verizon Wireless' Other Charges and Credits
Includes charges for products and services, and credits owing. M .71 t`
I
INDIANA RETAIL TAX EXEMPT PAGE
®f C armel CERTIFICATE NO.003120155 002 0
PURCHASE ORDER NUMBER
FEDERAL'.EXCI TAX EXEMPT
35- 6000 0972 J
ONE CIVIC SQUARE THIS NUMBER MUST APPEAR ON INVOICES, A/P
CARMEL INDIANA 46032 -2584 VOUCHER, DELIVERY MEMO, PACKING SLIPS,
SHIPPING LABELS AND ANY CORRESPONDENCE.
FORM APPROVED BY STATE BOARD OF ACCOUNTS FOR CITY OF CARMEL 1997
PURCHASE ORDER DATE DATE REQUIRED REQUISITION NO. VENDOR NO. DESCRIPTION
A li /�l,
VENDOR 1�•� TOIP
CONFIRMATION BLANKET 16 PAYMENT TERMS FREIGHT
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
7/-
•gym.
Send Invoice To:
PLEASE INVOICE IN DUPLICATE
DEPARTMENT ACCOUNT PROJECT PROJECT ACCOUNT AMOUNT
f/ IN l%' f/ PAYMENT )gC J V, J
A/P VOUCHER CANNOT BE APPROVED FOR PAYMENT UNLESS THE P.O.
NU
NUMBER IS MADE A PART OF THE VOUCHER AND EVERY INVOICE AND
VOUCHER HAS THE PROPER SWORN AFFIDAVIT ATTACHED.
SHIPPING INSTRUCTIONS I HEREBY CERTIFY THAT THERE IS AN UNOBLIGATED BALANCE IN
THIS AP_ IRROPRIATION SUFFICIENT TO PAY FOR THE ABOVE ORDER.
SHIP REPAID.
C.O.D. SHIPMENTS CANNOT BE ACCEPTED. ORDERED BY
PURCHASE ORDER NUMBER MUST APPEAR ON ALL
SHIPPING LABELS. Y
THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99, ACTS 1945 TITLE 4
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. i
ci`
CLERK TREASURER
DCUMENT CONTROL NO. AX COPY SIGN AND RETURN TO CLERK'S OFFICE
y fah liltll�
OCHER WARRANT NO.
ALLOWED 20
IN THE SUM OF
ON AcCOUNT OF APPROPRIATION FOR
D r 013
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
3$$Y which charge is made were ordered and x
received
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20 -199
Title
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