211174 07/30/2012 CITY OF CARMEL, INDIANA VENDOR: 359662 Page 1 of 1
ONE CIVIC SQUARE A T&T CHECK AMOUNT: $440.87
' to CARMEL, INDIANA 46032 PO BOX 5019
CAROL STREAM IL 60197-5019 CHECK NUMBER: 211174
CHECK DATE: 7/30/2012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1207 4344000 1429028102 440 . 87 8310001392396
4 ,
(NON-LIST)BROOKSHIRE;GO Page 1 of 2
12120 BROOKSHIRE PWKY Account Number 831-000-1392 396
CARMEL,IN,46032
„ Billing Date Jul 7,2012
Questions? 1 800 235-7524
Web Site att.com
at&t Invoice 1429028102
Invoke
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MIAMI
Previous Bill 916.21 Group#000001
Sub-Account#831-000-1532 783
Payment-Thank You! 916.21CR Charges for Subscriber/Router ID 0272347132
3175169961
12120 BROOKSHIRE
Adjustments 3.44 CARMEL,IN 46033
Voice OverIP
Past Due-Please Pay Immediately 3.44 Recurring Charges:
Jul 7,2012 thru Aug 6,2012
2. Premium Feature Package 360.00
Current Charges 437.43 Oty:9.00 Minutes at S40.00
3. Telephone Numbers 3.00
Total Amount Due $440.87 Oty:10.00 Minutes at$.30
One Time Charges:
Payment Due Date Aug 1,2072 4. LD OffNet Charge 6.05
Total Voice Over IP 369.05
Surcharges and Other Fees
5. Universal Connectivity Charge-Interstate 40.29
6. Administrative Expense Fee-Interstate 2.08
• F 7. Property Tax Allotment-Interstate 9.63
_ - R. Federal Regulatory Fee-Interstate 5.78
For detailed information of your charges go to Total Surcharges and Other Fees 57.78
www.businessdirect.att.com Taxes
State:
Questions?Call: 1 800 235-7524 9. IN/INDIANA 10.60
Total Taxes 10.60
AT&T Business Services Total Subscriber/Router ID 0272347132 437.43
Total Sub-Account#831-000-1532 783 437.43
Group#000001 Total Group#000001 437.43
Sub-Account#831-000-1532 783 437.43
Total Group#000001 437.43
Total Current Charges 437.43
TG`Z!Current C/+
r
Adjustments News You Can Use
Item
No. Date Description ACCOUNT STATUS
1. 07-09 900001356287 LATE PAYMENT INTEREST 3.44 Where allowed by law,AT&T may implement late payment interest of no
more than 18%annually.Rates will vary based on state regulations.
Total Adjustments 3.44 Interest will be calculated based upon daily balances and will be
applicable for each day that a delinquent balance is outstanding.This
charge will apply to all balances that are delinquent through such time
that payment in full is received at AT&T.The late payment interest
will be billed on a monthly basis.Accounts billed outside the US will
not be charged LPI.
Where allowed by law,AT&T may implement a S25 service fee for
restoration of service where delinquency has caused an interruption.
This fee will be applicable to each accountthat is being restored and
will be included on your monthly billing statement.
Attention customers:AT&T will charge a S25 fee for any check returned
for insufficient funds,applied on your next invoice.AT&T values your
Return bottom portion with your check in the enclosed envelope. °-`�U.S.Pat.D410,950 and D414,510 •:�,� P,p,td on Recydabie Paper
JU
(NON-LIST)BROOKSHIRE;GO Page 2 of 2
12120 BROOKSHIRE PWKY Account Number 831-000-1392 396
CARMEL,IN,46032
Billing Date Jul 7,2012
Questions? 1 800 235-7524
Web Site att.com
News You Cam USe"
News You Can Use
ACCOUNTSTATUS-Continued
business and thanks you for your cooperation in this matter.
Some products require electronic billing as their official bill media.
When electronic billing is the official bill media,an informational
statement may be sent containing some of the same information as the
electronic bill. The informational statement is not your bill.However,
if you choose to mail your payment instead of paying electronically,the
informational statement has a tear-off that can be used to submit your
payment.
REGULATORY NEWS
Attention California Customers:
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
User's Tax,and Local 911 Charge..
Thank You For Choosing AT&T Where Every Customer Counts!
Copyright 2006 AT&T Knowledge Ventures.All Rights Reserved.
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2073.003.019406.01.01.0000000 NNNNNNNY 38853.38853
VOUCHER NO. WARRANT NO.
ALLOWED 20
AT&T
IN SUM OF $
P.O. Box 5019
Carol Stream, IL 60197-5019
$440.87
ON ACCOUNT OF APPROPRIATION FOR
Brookshire Golf Club
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT
Board Members
1207 I 1429028102 I 43-440.00 I $440.87 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
Tuesday, July 24, 2012
A �L/ -
Director, Brookshire r4lf Club
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))
07/07/12 1429028102 Phone $440.87
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