212016 08/15/2012 CITY OF CARMEL, INDIANA VENDOR: 00350980 Page 1 of 1
ONE CIVIC SQUARE VERIZON WIRELESS CHECK AMOUNT: $1,150.73
CARMEL, INDIANA 46032 P.0 Box 25505
LEHIGH VALLEY PA 18002.5505 CHECK NUMBER: 212016
CHECK DATE: 8/15/2012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
2201 4344100 2780753235 1, 150 . 73 380888601-00001
\,B/er!Zc pwirefess
P.O.BOX 4002 Manage Your Account&View Your Usage Details Account Number Date Due
ACWORTH,GA 30101 e o :o:::.o o e o o e: •
fInvoice Number 2780753235
Quick Bill Summary Jul 04—Aug 03
40000012 12 SP 3.100 "SNGLP T2 2 4403 46032-258401 1 E MICH0310
Previous Balance(see back for details) $1,154.41
CITY OF CARMEL Payment—Thank You —$1,154.41
STREET DEPARTMENT
I CIVIC SO Balance Forward $.00
CARMEL,IN 46032-2584
Monthly Access Charges $1,100.17
Usage Charges
Voice $.00
Messaging $.75
Data $.00
Verizon Wireless'Surcharges
and Other Charges&Credits $49.81
Taxes,Governmental Surcharges&Fees $.00
Change To Your Service Total Current Charges $1,150.73
Thank you for your wireless business.
You recently made a change to your
service. Your new bill will reflect usage Total Charges Due by August 29, 2012 $1,150.73
from your last bill and service
adjustments resulting from the
plantfeature change.
Pay from Wireless Pay on the Web Questions:
Eve fiZopwireiess Invoice Number Account Number Date Due Page
:2780753235,,,��_
: 380888601 00001,'s08/29/12
Get Minutes Used Get Data Used Get Balance
Explanation of Charges Payments
Verizon Wireless'Surcharges Previous Balance $1,154.41
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 07/30/12 —1,154.41
Federal Universal Service Charge (and, if applicable, a State
Universal Service Charge)to recover charges imposed on us by Total Payments —$1,154.41
the government to support universal service; and (iii) an
Administrative Charge, which helps defray certain expenses we Balance Forward $•00
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 lime.
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.
-P.O.-Box 9058,Dublin. OH,43017-
CorresDondence s:46riziin'Wirel6ss Operations Support ,.
VOUCHER NO. WARRANT NO.
ALLOWED 20
Verizon Wireless
IN SUM OF $
P. O. Box 25505
Lehigh Valley, PA 18002-5005
$1,150.73
ON ACCOUNT OF APPROPRIATION FOR
Carmel Street Department
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
2201 I 2780753235 43-441.00 $1,150.73 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
T esd ,�4ugust 14, 2012
Street Comgis oner
Street Comrrf,,loner
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))
08/03/12 2780753235 $1,150.73
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