212884 09/25/2012 CITY OF CARMEL, INDIANA VENDOR: 359662 Page 1 of 1
ONE CIVIC SQUARE AT&T CHECK AMOUNT: $440.62
CARMEL, INDIANA 46032 PO Box 5019
CAROL STREAM IL 60197-5019 CHECK NUMBER: 212884
CHECK DATE: 9/25/2012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1207 4344000 2605448106 440 . 62 8310001392396
(NON-LIST)BROOKSHIRE;GO Page 1 of 2
12120 BROOKSHIRE PWKY Account Number 831-000-1392 396
CARMEL,IN,46032
Billing Date Sep 7,2012
Questions? 1 800 235-7524
Web Site att.com
at&t Invoice 2605448106
Invoice
Ls
Group#000001-Continued
One Time Charges:
Previous Bill 445.48 3. LD OffNet Charge 1.88
Oty:.00 Items
Payment-Thank You! 445.48CR Total Voice Over IP 364.88
Surcharges and Other Fees
Adjustments .00 4. Universal Connectivity Charge-Interstate 39.86
5. Administrative Expense Fee-Interstate 2.07
Balance .00 6. Property Tax Allotment-Interstate 9.55
7. Federal Regulatory Fee-Interstate 5.75
Total Surcharges and Other Fees 57.23
Current Charges 440.62
Taxes
Total Amount Due $440.62 state:
8. IN/INDIANA 10.41
9. IN/STATE 911 CHARGE 8.10
Payment Due Date Oct 2,2012 Total Taxes 18.51
Total Subscriber/Router ID 0272347132 440.62
Total Sub-Account#831-000-1532 783 440.62
Total Group#000001 440.62
Billing Summary Total Current Charges 440.62
For detailed information of your charges go to
www.businessdirect.att.com
Questions?Call: 1 800 235-7524 News Yd
AT&T Business Services
News You Can Use
Group#000001
Sub-Account#831-000-1532 783 440.62 ACCOUNT STATUS
Total Group#000001 440.62 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 Current Charges 440.62 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.
Charges
Where allowed by law,AT&T may implement a S25 service fee for
Group#000001 restoration of service where delinquency has caused an interruption.
Sub-Account#831-000-1532 783 This fee will be applicable to each account that is being restored and
Charges for Subscriber/Router ID 0272347132 will be included on your monthly billing statement
3178159263 Attention customers:AT&T will charge a S25 fee for any check returned
12120 BROOKSHIRE for insufficient funds,applied on your next invoice.AT&T values your
CARMEL,IN 46033 business and thanks you for your cooperation in this matter.
Voice OverIP
Recurring Charges: Please note that effective August 1,2012,your check payment address
Sep 7,2012 thru Oct 6,2012 may have changed.
1. Premium Feature Package 360.00 Please review the remittance advice attached to your invoice.If your
Oty:9.00 Minutes at W.00 check payment address has changed,please adjust your records
2. Telephone Numbers 3.00 accordingly. Thank you for your cooperation.
Oty:10.00 Minutes at 5.30
Some products require electronic billing as their official bill media.
When electronic billing is tine 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
Return bottom portion with your check in the enclosed envelope. �.�y��..,.U.S.Pat.D410,950 and D414,510 Fad ''FUed on Rccyc�ahle Pape
(NON-LIST)BROOKSHIRE;GO Page 2 of 2
12120 BROOKSHIRE PWKY Account Number 831-000-1392 396
CARMEL,IN,46032
Billing Date Sep 7,2012
Questions? 1800 235-7524
Web Site att.com
News You Can Use
ACCOUNT STATUS-Continued
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,Coln 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. y;
6222.001.003555.01.01.0000000 NNNNNNNY 7109.7109
VOUCHER NO. WARRANT NO.
ALLOWED 20
AT&T
IN SUM OF $
P.O. Box 5019
Carol Stream, IL 60197-5019
$440.62
ON ACCOUNT OF APPROPRIATION FOR
Brookshire Golf Club
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT
Board Members
1207 I 2605448106 I 43-440.00 I $440.62 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, September 24, 2012
l
Director, Brookshire oIf 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))
09/07/12 2605448106 Phone $440.62
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