211135 07/25/2012 CITY OF CARMEL, INDIANA VENDOR: 00350980 Page 1 of 1
ONE CIVIC SQUARE VERIZON WIRELESS CHECK AMOUNT: $1,154.41
CARMEL, INDIANA 46032 P.0.sox 25505
LEHIGH VALLEY PA 18002-5505 CHECK NUMBER: 211135
CHECK DATE: 7/25/2012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
2201 4344100 2766514250 1, 154 .41 380888601-00001
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Previous Balance(see back for details) $1.158.06
CITY DFCAnMEL
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STREET DEPARTMENT
Payment— —' -- ` --
1 CIVIC oq Balance Forward $.0
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Monthly Access Ch $1,102.98
Usage Charges
Voice $.00
Messaging $1.50
Data $.00
Vohmn Wireless'Surcharges
and Other Charges&CmdUu $4903
Taxes,Governmental Surcharges&Fo $OO
Total Current Charges $1.154.41
Total Charges Due by July 29' 2012 $1'154.41
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Invoice Number Account Number Date Due Page
' 2766514250 380888601=00001.:07/29/12 Z%,,1126
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Explanation of Charges Payments
Verizon Wireless'Surcharges Previous Balance $1,156.06
Verizon Wireless' Surcharges include (i) a Regulatory Charge
(which helps defray various government charges we pay including Payment—Thank You
government number administration and license fees); (ii) a Payment Received 06/22/12 —1,156.06
Federal Universal Service Charge (and, if applicable, a State
Universal Service Charge)to recover charges imposed on us by Total Payments —$1,156.06
the government to support universal service; and (iii) an Balance Forward $.00
Administrative Charge, which helps defray certain expenses we
incur, including charges we or our agents pay local telephone
companies for delivering calls from our customers to their
customers, fees and assessments on our network facilities and
services, and costs and charges associated with new cell site
construction, local number portability, and other government
mandates. 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.
Verizon Wireless'Other Charges and Credits
Includes charges for products and services,and credits owing.
Correspondence Address:Verizon,Wireless Operatons:Support P.O_ ox 9058 Dublin, OH 4301.7 ,,. , „
VOUCHER NO. WARRANT NO.
ALLOWED 20
Verizon Wireless
IN SUM OF $
P. O. Box 25505
Lehigh Valley, PA 18002-5005
$1,154.41
ON ACCOUNT OF APPROPRIATION FOR
Carmel Street Department
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT
Board Member:
2201 I 2766514250 1 43-441.001 $1,154.41 i hereby certify that the attached invoice(s), or
I 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
Friday, July 20, 2012
VVWWStreet omAs's oner
Title v
Street Comrylissioner
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))
07/29/12 2766514250 $1,154.41
I 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