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Home My WebLink About212075 08/27/2012 CITY OF CARMEL, INDIANA VENDOR: 359662 Page 1 of 2 ONE CIVIC SQUARE AT&T CARMEL, INDIANA 46032 PO Box 5080 CHECK AMOUNT: $8,155.79 >, ?° CAROL STREAM IL 60197-5080 CHECK NUMBER: 212075 CHECK DATE: 8/27/2012 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1110 4344000 3175712400 1, 682 . 15-TELEPHONE LINE CHARGE 1115 4350900 3175712400 1, 025 . 52-OTHER CONT SERVICES 1120 4344000 3175712400 1, 329 . 35-TELEPHONE LINE CHARGE 1160 4344000 3175712400 183 . 52zTELEPHONE LINE CHARGE 1180 4344000 3175712400 178 . 91 TELEPHONE LINE CHARGE 1192 4344000 3175712400 571 . 66'TELEPHONE LINE CHARGE 1203 4344000 3175712400 107 . 53-TELEPHONE LINE CHARGE 1205 4344000 3175712400 531 . 80-'TELEPHONE LINE CHARGE 1301 4344000 3175712'400 236 . 84' TELEPHONE LINE CHARGE 1701 4344000 3175712400 215 . 02/TELEPHONE LINE CHARGE 2200 4344000 3175712400 286 . 15-TELEPHONE LINE CHARGE 2201 4344000 3175712400 50 . 62 -TELEPHONE LINE CHARGE 601 5023990 3175712400 812 . 99 OTHER EXPENSES CITY OF CARMEL, INDIANA VENDOR: 359662 Page 2 of 2 ONE CIVIC SQUARE AT&T CHECK AMOUNT: $8,155.79 CARMEL, INDIANA 46032 PO Box 5080 CAROL STREAM IL 60197-5080 CHECK NUMBER: 212075 CHECK DATE: 8127/2012 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 651 5023990 3175712400 485 . 72 OTHER EXPENSES 902 4344000 3175712400 256 .40 TELEPHONE LINE CHARGE 911 4344000 3175712400 201 . 61-TELEPHONE LINE CHARGE This is a summary of the ATT billing for 81712012 Department Name Totals Administration $316.39 ✓ CCCC $1,025.5K57Z Clerk Treasurer $215.02 Community Relations $107.53\/ Court $236.8411// CRC $256.40 D®CS $571.66 Drugs Task Force $201.61 Engineering $286.15 / Fire $1,329.35 Is $215.41 Law $178.91 Mayor $183.52 ��VV�, Police $1,682.15` Sewer $191.00 Sewer Dist $48.63 Street $50.62 Utilities $492.18 / Water $482.06 Water Dist $84.84 Total for the ATT Bill: $8,155. q Wednesday,August 15,2012 Page 1 of 1 CARMEL CITY OF Page 1 of 2 ATTN JANET ARNONE Account Number 317 571-2400 053 2 31 1STAVE NW Billing Date Aug 7,2012 CARMEL,IN 46032-1715 Web site att.com 0 t&t Invoice Number 317571240008 Monthly Statement Jul 8 - Aug 7, 2012 I Previous Bill 16,344.94 Item No. Date Description Adjustments Payments Payment-Thank You! 16,344.94CR 1 7-06 Payment 8,091.92 2 8-04 Payment 8,253.02 Adjustments .00 Totals .00 16,344.94 I Balance .00 I Current Charges 8,155.79 Total Amount Due $8,155.79 Monthly Service-Aug_7thruSep_6 _ Customer Service Record 2 reports-S 5.00 ea 10.00 Amount Due in Full by Aug 27,2012 Monthly Charges 7,855.55 Total Monthly Service 7,865.55 Information Charges _ 411 and 555-1212 4 Listing(s)requested from 1+411 Billing Questions?Visit att.com/billing 4 Listing(s)billed at$1.89 each 7.56 1 Listing(s)requested from 1+411 Plans and Services 8,155.79 1 Listing(s)billed at S1.99 each 1.99 1-800-480-8088 Total Information Charges 9.55 Repair Service: 1-800-727-2273 Local Toll _ No. Date Time Place Called Number Code Min Total of Current Charges 8,155.79 Calls Charged to 317 571-2500 411 and 555-1212 2 Listing(s)billed at S1.89 each Calls Charged to 317 571-2580 411 and 555-1212 1 Listing(s)billed at S1.99 each Calls Charged to 317 571-2581 411 and 555-1212 1 Listing(s)billed at$1.89 each Calls Charged to 317 571-2582 411 and 555-1212 1 Listing(s)billed at S1.89 each Surcharges and Other Fees 9-1-1 Emergency System Billed for the State of Indiana 72.00 Federal Universal Service Fee 66.24 IN Universal Service Surcharge 37.41 IN Utility Receipt Surcharge 103.45 =` Telecommunications Relay Service 1.59 PREVENT DISCONNECT •LOCAL TOLL INFO Total Surcharges and Other Fees 280.69 • •LONG DISTANCE INFO •RELAY SERVICE Total Plans and Services 8,155.79 •900#INFORMATION •DO NOT CALL See"News You Can Use'for additional inlonnation. Local Services provided by AT&T Illinois,AT&T Indiana,AT&T Michigan, AT&T Ohio or AT&T Wisconsin based upon the service address location. .�'"rr. Pnnted on Recyclable Paper Return bottom portion with your check in the enclosed envelope. GO GREEN-Enroll in paperless billing. 'ON CARMEL CITY OF Page 2 of 2 ATTN JANET ARNONE Account Number 317 571-2400 053 2 %!;!'m 31 1 STAVE NVV Billing Date Aug 7,2012 CARMEL,IN 46032-1715 '31 at&t Invoice Number 317571240008 doll-Elm PREVENT DISCONNECT Thank you for being a valued customer. It is important to inform you that all charges must be paid each month to keep your account current and prevent collection activities. In addition,please be aware that we are required to inform you of certain charges that MUST be paid in order to prevent interruption of basic local service. These charges are already included in the Total Amount Due and are 58,155.79. If you don't agree with the amount due,you should dispute the portion you disagree with before the payment due date. LOCALTOLLINFO You have selected multiple local toll companies.You also have slamming protection,which prohibits a change of carriers without a specific request from you to lift the protection.To lift the slamming protection you must call or write your AT&T local business office. LONG DISTANCE INFO You have selected multiple long distance companies.You also have slamming protection,which prohibits a change of carriers without a specific request from you to lift the protection.To lift the slamming protection you must call or write your AT&T local business office. RELAY SERVICE Dial 711 is a Telecommunications Relay Service for customers with hearing and speech disabilities.AT&T offers products and services for customers with visual,hearing,speech or physical disabilities.For more information,please go to att.com or refer to the customer guide section in your AT&T telephone directory. 900#INFORMATION 900 Number information services are provided over telephone numbers beginning with the prefix 900. If you fail to pay legitimate charges for calls to 900 numbers,your access to 900 numbers may be involuntarily blocked. To protect customers from unexpected 900 charges,AT&T offers 900 Call Blocking at no cost For further details on 900 Call Blocking,call your AT&T Service Representative. Note that 900 charges incurred from purchasing products and services from the Internet cannot be blocked.You may withhold payment for 900 charges if you dispute the charges within 60 days. Action to collect disputed amounts will be suspended pending investigation of the dispute. Your local and long-distance telephone service cannot be suspended or disconnected for nonpayment of 900 charges. However,the company that provides the 900 service may take other actions to collect charges you have not paid and have not disputed. You are not to be billed for pay-per-call services that do not comply with federal laws and regulations. DO NOT CALL If your business makes outbound telephone solicitations,you must comply with National Do-Not-Call laws and regulations(47 C.F.R. 64.1200 and 16 C.F.R.310)and any applicable state laws. yf 2527.002.014011.01.02.0000000 NNNNNNNY 28043.28043 (f)2006 AT&T Knowledge Ventures.All rights reserved. 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 A-7�T Purchase Order No. Terms Date Due Invoice Invoice Description Amount Date Number (or note attached invoice(s) or bill(s)) Total 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 VOUCHER NO. WARRANT NO. ' T ALLOWED 20 jkT 4 IN SUM OF $ L L6a f7 l g $ �oz, ON ACCOUNT OF APPROPRIATION FOR Board Members Po#or INVOICE NO. ACCT#!TITLE AMOUNT DEPT.# 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 20 Title Cost distribution ledger classification if claim paid motor vehicle highway fund VOUCHER NO. WARRANT NO. ALLOWED 20 AT & T IN SUM OF $ P.O. Box 8100 Aurora, IL 60507-8100 $1,329.35 ON ACCOUNT OF APPROPRIATION FOR Carmel Fire Department PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members 1120 I I 43-440.00 I $1,329.35 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 AUG 2 7 2012 (a - bj Fire Chief 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)) $1,329.35 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. WARRANT NO. ALLOWED 20 ATT IN SUM OF $ P.O. Box 8100 Aurora, IL 60507-8100 $571.66 ON ACCOUNT OF APPROPRIATION FOR Carmel DOCS PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members 1192 43-440.00 $571.66 I hereby certify that the attached invoice(s), or I I 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 Thursday, August J3, 2012 CY Director 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)) 08/17/12 Monthly Line Charges $571.66 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 VOUCHER NO. WARRANT NO. ALLOWED 20 AT&T IN SUM OF $ P.O. Box 8100 Aurora, IL 60507-8100 $201.61 ON ACCOUNT OF APPROPRIATION FOR Project 2012-911 Task 2012-2 PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members 911 43-440.00 $201.61 1 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 Monday, August 20, 2012 Major 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 $201.61 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. WARRANT NO. ALLOWED 20 A T & T IN SUM OF $ P. O. Box 8100 Aurora, IL 60507-8100 $50.62 ON ACCOUNT OF APPROPRIATION FOR Carmel Street Department PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members 2201 I 43-440.001 $50.62 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 Thum ay, us 2 012 reeet�'O�r fir�'S r 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 $50.62 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. WARRANT NO. ALLOWED 20 ATT IN SUM OF $ P. O. Box 8100 Aurora, IL 60507-8100 $107.53 ON ACCOUNT OF APPROPRIATION FOR Community Relations PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members 1203 Invoice 43-440.00 $107.53 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 Friday, August 24, 2012 yal6w,4 ZL�� ommunity Relations Title Cost distribution ledger classification if r 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 Invoice $107.53 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 VOUCHER NO. WARRANT NO. ALLOWED 20 AT&T IN SUM OF $ P.O. Box 8100 Aurora, IL 60507-8100 $1,025.52 ON ACCOUNT OF APPROPRIATION FOR Carmel Clay Communications PO#/Dept. INVOICE NO. I ACCT#/TITLE AMOUNT Board Members 1115 I I 43-509.00 I $1,025.52 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 Friday, August 24, 2012 Director 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 $1,025.52 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 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 ATT Local Purchase Order No. POB 8100 Terms Aurora, IL 60507-8100 Date Due Invoice Invoice Description Date Number (or note attached invoice(s) or bill(s) Amount 8/7/2012 0 Local Phone $ 286.15 Total $ 286.15 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 VOUCHER NO WARRANT NO. ATT Local ALLOWED 20 POB 8100 IN SUM OF $ Aurora, IL 60507-8100 $ 286.15 ON ACCOUNT OF APPROPRIATION FOR Board Members PO#or INVOICE NO. ACCT#/TITLE AMOUNT DEPT# I hereby certify that the attached invoice(s), or 0 0 2200-4344000 286.15 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 A!��/-47/2012 Signat re City Engineer Cost Distribution ledger classification if Title claim paid motor vehicle highway fund VOUCHER # 121938 WARRANT # ALLOWED 359662 IN SUM OF $ AT & T8100 PO BOX 8100 AURORA, IL 60507 Carmel Water Utility ON ACCOUNT OF APPROPRIATION FOR Board members PO# INV# ACCT# AMOUNT Audit Trail Code 5712262 01-6360-07 $123.04 5712262 01-6360-08 $123.05 Voucher Total $246.09 Cost distribution ledger classification if claim paid under 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 of service rendered, by whom, rates per day, number of units, price per unit, etc. Payee 359662 AT &T 8100 Purchase Order No. PO BOX 8100 Terms AURORA, IL 60507 Due Date 8/20/2012 Invoice Invoice Description Date Number (or note attached invoice(s) or bill(s)) Amount 8/20/2012 5712262 $246.09 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 Date Officer VOUCHER # 125566 WARRANT # ALLOWED 359662 IN SUM OF $ AT & T8100 PO BOX 8100 AURORA, IL 60507-8100 Carmel Wastewater Utility ON ACCOUNT OF APPROPRIATION FOR Board members PO# INV# ACCT# AMOUNT Audit Trail Code 5712620 01-7362-05 $152.77 5712620 01-736H-08 $38.23 5119 6 01 Z O.0( L(5,&3 D�,��►5'1( �2ba of X36(),07 1 �1 e(.73100•0� c 23.0 Voucher Total Cost distribution ledger classification if claim paid under 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 of service rendered, by whom, rates per day, number of units, price per unit, etc. Payee 359662 AT &T 8100 Purchase Order No. PO BOX 8100 Terms AURORA, IL 60507-8100 Due Date 8/20/2012 Invoice Invoice Description Date Number (or note attached invoice(s) or bill(s)) Amount 8/20/2012 5712620 $191.00 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 Date Officer VOUCHER NO. WARRANT NO. ALLOWED 20 ATT IN SUM OF $ P.O. Box 8100 Aurora, IL 60507-8100 $531.80 ON ACCOUNT OF APPROPRIATION FOR Administration Department PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members 1205 08.07.12 43-440.00 $215.41 I hereby certify that the attached invoice(s), or bill(s) is (are)true and correct and that the 1205 08.07.12 43-440.00 $316.39 materials or services itemized thereon for which charge is made were ordered and received except Monda , August 27, 2012 Director, Administration 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 08.07.12 IS $215.41 08/07/12 08.07.12 HR $316.39 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. WARRANT NO. ALLOWED 20 AT & T IN SUM OF $ P.O. Box 8100 Aurora„ IL 60507-8100 $1,682.15 ON ACCOUNT OF APPROPRIATION FOR Carmel Police Department PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members 1110 43-440.00 $1,682.15 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 Thursday, August 23, 2012 IAR-41 Chief of Police 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 monthly payment $1,682.15 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 Prescribed by State Board of Accounts ACCOUNTS PAYABLE VOUCHER City Form No.201(Rev.1995) 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 A7--F Purchase Order No. Po �� (� Terms -L o s-6 �a) Date Due Invoice Invoice Description Amount Patq Number (or note attached invoice(s) or bill(s)) Total 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 VOUCHER NO. WARRANT NO. aT r ALLOWED 20 Po 80K K/0-D IN SUM OF $ al/L 1Q-0 YQ� ��L- ON ACCOUNT OF APPROPRIATION FOR (?,,out/,2 / Board Members PO#or INVOICE NO. ACCT#!TITLE AMOUNT DEPT.# I hereby certify that the attached invoice(s), or U -36. 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 20 Signature Title Cost distribution ledger classification if claim paid motor vehicle highway fund VOUCHER NO. WARRANT NO. ALLOWED 20 ATT IN SUM OF$ P. O. Box 8100 Aurora, IL 60507-8100 $183.52 ON ACCOUNT OF APPROPRIATION FOR Mayor's Office PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members 1160 Statement 43-440.00 $183.52 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 Friday, August 24, 2012 Mayor 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 Statement $183.52 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