208153 04/24/2012 CITY OF CARMEL, INDIANA VENDOR: 362795 Page 1 of 1
g� ONE CIVIC SQUARE A T T MOBILITY
CARMEL, INDIANA 46032 PO BOX 6463 CHECK AMOUNT: $335.88
CAROL STREAM IL 60197 -6463 CHECK NUMBER: 208153
CHECK DATE: 4124/2012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1160 4344100 287016109662 335.88 287016109662X04112012
1
s
at &t Page: I of 12
Billin Cycle Date: 03/04/12 04/03/12
Account Number: 287016109662
Foundation Account Number 02581749
Invoice Number: 287016109662X04112012
How To Contact Us: Previous Balance 144.48
1- 800 -331 -0500 or 611 from your cell phone Payment Posted 144.48
For Deaf/Hard of Hearing Customers (rTY/TDD) 13A LANCE:"
0.00:
1- 866 -241 -6567 Monthly Service Charges 160.97
Usage "Charges 184.39
Credits /Adjustments /Other Charges -9.48
Wireless Number with Rollover Government Fees Taxes 0.00
317 -431 -7477 7,073 MillUCCS f OTAL CURRENT CIIARGES 335 88:
Uue Ajir 26, 2012
Or
L rte fees lssessid after' 1\1 1) 3,'
Total Amountallue $335'.88" h
n accordance with your contract or appropriate government
regulations your billing account was changed li'om bill in
advance to bill in arrears.
UNIVERSAL SERVICE CHARGE Or INDIANA
Effective May I, 2012, the Indiana Universal Service Surcharge
Which is illdl.lded oil all Indiana CIIStomer hills Will increase from
0.40% to 0.52 %.This surcharge helps Indiana companies in high
cost areas maintain affordable rates for their customers. For more
information please call I -800 -331 -0500.
12etm•n the portion below with
payment only to A'I' &'I' illobilily. o
C
a `�C` Billing 2 lli
13illinl; Cycle Dale: 03/(14/12 04/03/12
Account Number: 287016109662
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 ofthe next bill period. Accounts With CingUlar /new A &T plans are charged $5 in CT,
DC, DE, IL, KS, MA, MD, ME, MI, MO, NI- I, NJ, NY,PA,OK,OI- 1,RI,VA,V I ,WI,WV; or 1.5°x, of the
balance unpaid as of the next bill period in all other states. Accounts with former A'f &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
A'T &T PO Box 1809, Paramus, NJ 07653 -1809
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 I D 84- 1659970
AT &'1' 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 f. om your account as soon as the same day we receive your payment, 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 A "f &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.
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))
04/11/12 016109662XO4112 $335.88
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. WAR NO.
ALLOWED 20
AT &T Mobility
IN SUM OF
P. O. Box 6463
Carol Stream, IL 60197 -6463
$335.88
ON ACCOUNT OF APPROPRIATION FOR
Mayor's Office
PO# Dept. INVOICE NO. ACCT #/TITLE AMOUNT Board Members
1160 )16109662X0411 43- 441.00 $335.88 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
Saturday, April 21, 2012
r
Mayor
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund