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208171 04/24/2012 CITY OF CARMEL, INDIANA VENDOR: 359662 Page 1 of 1 q ONE CIVIC SQUARE A T T CHECK AMOUNT: $454.32 o CARMEL, INDIANA 46032 PO BOX 5019 CAROL STREAM IL 60197 -5019 CHECK NUMBER: 208171 CHECK DATE: 4/24/2012 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1207 4344000 7800217108 454.32 8310001392396 r (NON -LIST) BROOKSHIRE; GO Page 1 of 2 12120 BROOKSHIRE PWKY Account Number 831 000 1392396 CARMEL,IN,46032 Billing Date Apr 7, 2012 Questions? 1 800 235 -7524 a Web Site att.com Invoice 7800217108 Invoice Group #000001 Continued Surcharges and Other Fees Previous Bill 452.94 4. Universal Connectivity Charge Interstate 44.05 5. Administrative Expense Fee Interstate 2.07 Pay Thank You! 452.94CR 6. Property Tax Allotment- Interstate 7.51 7. Federal Regulatory Fee Interstate 5.77 Ad .00 Total Surcharges and Other Fees 59.40 Taxes Balance .00 State: 8. IN /INDIANA 10.52 Current Char 454.32 County: 9. IN /LOCAL911 CHARGE 18.00 Total Taxes 28.52 Total Amount Due $454.32 Total Subscriber /Router ID 0272347132 454.32 Total Sub- Account #831- 000 1532 783 454.32 Payment Due Date May 2, 2012 Total Group #000001 454.32 Total Current Charges 454.32 s For detailed information of your charges go to 1l www.businessdirect.att.com News You Can Use Questions? Call: 1 800 235 -7524 AT &T Business Services ACCOUNT STATUS Where allowed by law, AT &T may implement late payment interest of no Group #000001 more than 18% annually. Rates will vary based on state regulations. Sub Account #831 000 -1532 783 454.32 Interest will be calculated based upon daily balances and will be Total Group #000001 454.32 applicable for each day that a delinquent balance is outstanding. This charge will apply to all balances that are delinquent through such time Total Current Charges 454.32 that payment in full is received at AT &T. The late payment interest ti,i will be billed on a monthly basis. Accounts billed outside the U i I not be charged LPI. Where allowed by law, AT &T may implement a $25 service fee for restoration of service where delinquency has caused an interruption. t This fee will be applicable to each account that is being restored and will be included on your monthly billing statement Group #000001 Attention customers: AT &T will charge a $25 fee for any check returned Sub Account #831- 000 1532 783 for insufficient funds, applied on your next invoice. AT &T values your Charges for Subscriber /Router ID 0272347132 business and thanks you for your cooperation in this matter. 3178159263 12120 BROOKSHIRE Some products require electronic billing as their official bill media. CARMEL, IN 46033 When electronic billing is the official bill media, an informational Voice Over IP statement may be sent containing some of the same information as the Recurring Charges: electronic bill. The informational statementis notyour bill. However, Apr 7, 2012 thru May 6, 2012 if you choose to mail your payment instead of paying electronically, the 1. Premium Feature Package 360.00 informational statement has a tear -off that can be used to submit your 2. Telephone Numbers 3.00 payment One Time Charges: REGULATORY NEWS 3. LO OffNet Charge 3.40 Attention California Customers: Total Voice Over IP 366.40 The following charges are "Government Fees and Taxes': Federal Excise Tax; CHCF-A, CHCF -B, Univ Lifeline Tele Sery Sur, Com Dev Fnd /Deaf Disabled, California Teleconnect Fund, State 9 -1 -1 Surcharge, Utility Return bottom portion with your check in the enclosed envelope. U.S. Pat. D410,950 and D414,510 1� Printed on Recyclable Paper 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)) 04/07/12 7800217108 Phone $454.32 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 5019 Carol Stream, IL 60197 -5019 $454.32 ON ACCOUNT OF APPROPRIATION FOR Brookshire Golf Club PO# Dept. INVOICE NO. ACCT #/TITLE AMOUNT Board Members 1207 I 7800217108 I 43- 440.00 I $454.32 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 Thursday, April 19, 2012 Director, Bro shire Golf Club Title Cost distribution ledger classification if claim paid motor vehicle highway fund