180361 12/16/2009 „yp CITY OF CARMEL, INDIANA VENDOR: 362795 Page 1 of 1
ONE CIVIC SQUARE A T T MOBILITY
CARMEL, INDIANA 46032 PO BOX sass CHECK AMOUNT: $143.51
CAROL STREAM IL 60197 -6463
CHECK NUMBER: 184361
CHECK DATE: 12/1612009
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBE AMOUNT DESCRIPTION
1401 4344100 287016374461 103.51 287016374661X12112009
.y} e Page: 1 of 5
Billing Cycle Date: 11/04/09 12/03/09
Account Number: 287016374461
Foundation Account Number 02581749
Invoice Number: 287016374461X12112009
How To Contact Us: Previous Balance 104.65
.1- 800 -331 -0500 or 611 from your cell phone Payment Posted 104.65
r For Deaf /Hard of Hearing Customers (1 Y/TDD) I AI., CK :0 00.
1- 866 -241 -6567, Monthly Service Charges 124.99
Usage Charges 0.00
Credits /Adjustments /Other Charges -21.48
Wireless Number with Rollover Government Fees Taxes 0.00
317 -503 -7095 2,114 Minutes
TOTAL, jN 1 �HARG s 51
Dnc Dcc;;26 2009
Late ices assessed after Jan 03
otal aun u :q3.
In accordance with your contract or appropriate government
regulations your billing account was changed from bill in
advance to bill in arrears.
Add a Line with Family Talk from AT &T
Available with 2 -line Fain il Falk(R) Nation(R) plans starting at $69.99.
To sign up call 800- 909 -70] l or visit att.com /azaline.
Return the portion below with
payment only to AT &T Mobility.
�e
Page: 2 ot'S
a t &t 13illing CyCie Date: 11 /04 /09 12/03/09
Account Number: 287016374461
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, IL., KS, MA, MD, ME, MI, MO, NH ,NJ,NY,PA,OK,OH,RI,VA,VT,WI,WV; or 1.5 %ofthe
balance 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, P.O. BOX 289, Paramus, NJ 07653
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 II) 84- 1.659970
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 Conversion
When you pay your bill by check, you authorize us to either use the information from 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 from your check to make an electronic fund transfer,
funds may be withdrawn from your account as soon as the same day we receive your bayment, 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. If my bank rejects a payment, I
may be charged a return fee up to $30.
Page: 3 of S
Billing Cycle Date: 11 /04/09 12/03/09
Account Number: 287016374461
Foundation Account Number: 02581749
Prior Activity 287016374461
Previous Balance 104.65
Detail of Payments Posted
Payment by Check posted on Dec 01, 2009 104.65
roT� �LANC>v $o 00
Wireless Line Summary For: 317 -503 -7095
User Name: KEVIN RIDER
Monthly Total
Monthly Service Charges Period Charge Charge
Rate Plan
NTN1350RUMMUNW 11104 -12/03 79.99 79.99
Includes:
1350 Anytime Mins
6 way calling no charge
Anytime Min Rollover
Call Forward Conditional
Call Forward Immediate
Call Hold
Call Waiting
Caller ID
Direct Bill Detail
Message Waiting Ind
Nation GSM
UNL Nghl Wknd Min
Unlimited M2M Expnd
Other Services
AT &T Direct Bill 11/04 -12/03 0.00 0.00
AT &T Domestic LD 11/04-12/03 0.00 0.00
Includes:
Toll Domestic
Toll International
AT &T Roam LD 11/04 -12/03 0.00 0.00
Includes:
Toll Domestic
Toll International
BMG VISUAL VM POSTPD 11/04-12/03 0.00 0.00
GSM Coverage Area 11/04 -12/03 0.00 0.00
Off Network Roam 1 1/04 -12/03 0.00 0.00
Unlimited Expd M2M 11/04 -12/03 0.00 0.00
Unlimited N &W 11/04 -12/03 0.00 0.00
iPhone Customer 11/04-12/03 0.00 0.00
Wireless Data
Data Unlimited 11/04 -12/03 0.00 0.00
Includes:
DATA ACCESS
DATA ACCESS
`fl Page: 4 of 5
Billing Cycle Date: 11/04/09 12 /03 /0r
Account Number: 287016374461
Foundation Account Number 02581749
Wireless Line Summary For: (Continued) 31.7- 503 -7095
User Name: KEVIN RIVER
Monthly Total
Monthly Service Charges Period Charge Charge
Wireless Data
ENT DATA PLAN IPIIONE 11/04-12/03 45.00 45.00
TOTAL_MONTALY SERVICE CHARGES $124 99
Usage Charges
See Usa e Charge Details
T.QTAL. USAGE CHARGES
0 00
Credits, Adjustments Other Charges
Regulatory Cost Recovery Charge 1.02
Telecom Relay Service Fund 0.03
Federal Universal Service Charge 2.25
Indiana Universal Set 0.22
National Accou Discou -25.00
TQ A CREDITS, ADJUSTMENTS -fie OTHER Z:IIARGES -$21- 48
Usage Charge Details 317- 503 -7095
User Name: KEVIN RIDER
Minutes
Summary of Included Minutes Billed Billed 'Total
Usage Charges In Platt Used Minutes Rate Charge
NTNI- 350RUMMUNW
13.50 Rollover Mins 1,350 235 0.00
_Unlimited Expd -M2M- 29 -0A0 G.M.
Unlimited N &W 20 0.00
4.... r- ,µK p,
Subtotal F MINIM ,..5�s�� PIN iw ;0 f.�� 5
Msg /Min/ QGO
KB /MB Msg/M1n/ Msg/Mln/
Summary of Included KB /MB KB/MB Billed Total
Wireless Data In Plan Used Billed Rate Charge
Data Unlimited
DATA ACCESS 32,354 32,354 $0.00 /K-B 0.00
Subtotal
$0 00
T_OTA):_ USAGE
Summary of Rollover Minutes 317- 503 -7095
User Name: KEVIN RIDER
Previous Rollover Balance 999
Unused Package Minutes Added to Rollover I 115
a Page. 5 1 `,'•i
Billing ing Cycle Date: 11/0/04/09 12/03/09 Ir.
Account Number: 287016374461
Foundation Account Number: 02581749
Summary of Rollover Minutes (Continued) 317- 503 -7095
User Name: KEVIN RIDER
Rollover Minutes Expired 0
Current Rollover Balance 2,114
Unused Package Minutes Expire After 11 Billing Periods
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to be more earth friendly and environmentally aware.
View and store your monthly bills online instead of
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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
lot,
f l��t Purchase Order No.
Terms
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
Total
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
IN SUM OF
ON ACCOUNT OF APPROPRIATION FOR
Board Members
PO# or INVOICE NO. ACCT #!TITLE AMOUNT
1 D L EPT. 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
Signature
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund