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212089 08/27/2012 a CITY OF CARMEL, INDIANA VENDOR: 359662 Page 1 of 1 ONE CIVIC SQUARE AT&T CARMEL, INDIANA 46032 PO BOX 5019 CHECK AMOUNT: $445.48 t' CAROL STREAM IL 60197-5019 CHECK NUMBER: 212089 1 ruh c0 CHECK DATE: 8/27/2012 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1207 4344000 3730487100 445 .48 8310001392396 (NON-LIST)BROOKSHIRE;GO Page 1 of 2 12120 BROOKSHIRE PWKY Account Number 831-000-1392 396 CARMEL,IN,46032 Billing Date Aug 7,2012 Questions? 1 800 235-7524 Web Site att.com at&t Invoice 3730487100 Invoice Group#000001-Continued Previous Bill 440.87 One Time Charges: 4. LID OffNet Charge 5.97 Total Voice Over IP 369.00 Payment-Thank You! 440.B7CR Surcharges and Other Fees 5. Universal Connectivity Charge-Interstate 40.27 Adjustments .00 6. Administrative Expense Fee-Interstate 2.07 7. Property Tax Allotment-Interstate 9.65 Balance .00 8. Federal Regulatory Fee-Interstate 5.80 Total Surcharges and Other Fees 57.79 Current Charges 445.48 Taxes State: Total Amount Due $445.48 9. IN/INDIANA 10.59 10. IN/STATE 911 CHARGE 8.10 Total Taxes 18.69 Payment Due Date Sep 3,2012 Total Subscriber/Router ID 0272347132 445.48 Total Sub-Account#831-000-1532 783 445.48 Total Group#000001 445.48 Total Current Charges 445.48 For detailed information of your charges go to www.businessdirect.att.com Questions?Call: 1 800 235-7524 AT&T Business Services News You Can Use Group#000001 ACCOUNT STATUS Sub-Account 4831-000-1532 783 445.48 Where allowed by law,AT&T may implement late paymentinterest of no Total Group#000001 445.48 more than 18%annually.Rates will vary based on state regulations. Interest will be calculated based upon daily balances and will be Total Current Charges 445.48 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$25 service fee for restoration of service where delinquency has caused an interruption. Group#000001 This fee will be applicable to each account that is being restored and Sub-Account#831-000-1532 783 will be included on your monthly billing statement Charges for Subscriber/Router ID 0272347132 Attention customers:AT&T will charge a S25 fee for any check returned 3178159263 for insufficient funds,applied on your next invoice.AT&T values your 12120 BROOKSHIRE business and thanks you for your cooperation in this matter. CARMEL,IN 46033 Voice Over IP Please note that effective August 1,2012,your check payment address Recurring Charges: may have changed. Aug 7,2012 thru Sep 6,2012 Please review the remittance advice attached to your invoice.If your 1. Premium Feature Package 360.00 check payment address has changed,please adjust your records Oty:9.00 Minutes at$40.00 accordingly. Thank you for your cooperation. 2.Telephone Numbers 3.00 Oty:10.00 Minutes at$30 Some products require electronic billing as their official bill media. One Time Charges: When electronic billing is the official bill media,an informational 3. International OilNet Charge .03 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 Return bottom portion with your check in the enclosed envelope. U.S.Pat.13410,950 and D414,510 Printed on Recyclable Paper 1 (NON-LIST)BROOKSHIRE;GO Page 2 of 2 12120 BROOKSHIRE PWKY Account Number 831-000-1392 396 CARMEL,IN,46032 Billing Date Aug 7,2012 Questions? 1 800 235-7524 Web Site att.com News You Can Use ACCOUNT STATUS-Continued 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. 4184.001.004275.01.01.0000000 NNNNNNNY 8549.8549 i VOUCHER NO. WARRANT NO. ALLOWED 20 AT&T IN SUM OF $ P.O. Box 5019 Carol Stream, IL 60197-5019 $445.48 ON ACCOUNT OF APPROPRIATION FOR Brookshire Golf Club PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members 1207 I 3730487100 I 43-440.00 I $445.48 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 Wednesday, August 22, 2012 Director, BrookshMi Golf 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)) 08/07/12 3730487100 Phone $445.48 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