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215248 12/10/2012 CITY OF CARMEL, INDIANA VENDOR: 353561 Page 1 of 1 ONE CIVIC SQUARE BRIGHT HOUSE NETWORK }' CARMEL, INDIANA 46032 Po Box 30262 CHECK AMOUNT: $64.95 TAMPA FL 33630-3262 CHECK NUMBER: 215248 CHECK DATE: 12/10/2012 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 651 5023990 64 . 95 403066501 bright houseAccount # Billing Period Due Date Amount Due NETWORKS ��° .403066501 12/06-01/05 12/16/12 $64.95 Service Address: Customer Code: 6147 901 N Rangeline Rd This statement reflects payments received through November 25, 2012. Carmel IN 46032 �.. Previous Activity Previous Balance ............................................................. $64.95 Payments Received $64.95 CR EASYPay Previous Remaining Balance $0.00 Go paperless! Sign up for EASYPay """""""" ® ; and enjoy the convenience of automatic recurring online bill Current Charges payments. EASYPay lets you review High Speed Internet services ............................................ $64.95 your-monthly-statements-online-and — even select your method of payment. Total-Balanfc�Due'....................................................... Get started today at • brighth Get started today or call Thank you for your business. You are a valued Bright House Networks customer. We 1-855-222-1012. are committed to bringing you the best in home entertainment and information. In order to avoid a minimum late fee of$4.50,your Total Balance Due must be received in our office no later than 12/16/12. Thank You Important Information: Customer Code (Located below your Account Number) Your customer code is a unique identifier that we use to ensure the protection of your -- personal information. You may be asked to identify your customer code when registering for online access to your account and billing information. You will have to EASYpay: Sign-up today! enter your Customer Code during the Home Phone registration process. If this process Never miss a payment again. Pay is not completed you will not be able to view your Bright House Networks call details 1: your bill automatically each month online. with a credit card,debit card, i checking or savings account. You For immediate closed captioning complaints, please call 1-800-753-2253. Written_ i' can sign-up by filling out the complaints may be mailed to D. Kramer, Closed Captioning Coordinator, at Bright 11 EASYpay enrollment form included House Networks, 3030 Roosevelt Ave, Indianapolis, IN 46218 or by ! on the back of this statement or fax(317)713-0043 or email to ClosedCaptionini�IND @mvbrighthouse.com i! enroll online at brighthouse.com 01 . 73�0 , 0 1 r g ht Customer Account 403066501 Detail house � Monthly Charges for 12/06-01/05 NETWORKS T� Payment History Futhorize nvenience, if you 11/16 Payment-Thank you! ............................................... $64.95 CR ck as payment, you High Speed Internet services ght House Networks formation from your 12/06-01/05 Busin ess Solutions Service ...................................... $64.95 check to make a one-time electronic fund transfer from your Monthly Charges ................................................................................. $64.95 account. If you have any Previous Remaining Balance ................................................................. $0.00 questions, please call our Total Balance Due Customer Care number. To assist $64.95 you in future payments, your bank or credit card information may be electronically stored in our system in a secure encrypted manner. LLLJ Sales &Service Center 352 Gradle Drive Carmel, IN 46032 Mon-Fri 8:00am to 6:00pm Saturday 9:00am to 1:00pm If you have any questions or for customer support, please call Business Solutions at 1(866) 713-3278 or visit our website at http://business.brighthouse.com . Fiber Customers, please call 1(866)246-3423. Please email all questions and concerns to: customersupport.indiana @mybrighthouse.com Your franchising authority is the Indiana Utility Regulatory Commission,101 W.Washington St.,Suite 1500 E., Indianapolis,IN 46204,(317)232-2712 or toll free 1-800-851-4268.Your FCC Community Unit ID number is IN0087. VOUCHER # 126270 WARRANT # ALLOWED 353561 IN SUM OF $ BRIGHT HOUSE NETWORK PO Box 30262 TAMPA, FL 33630 Carmel Wastewater Utility ON ACCOUNT OF APPROPRIATION FOR Board members PO# INV# ACCT# AMOUNT Audit Trail Code 403066501 01-7360-01 $64.95 l i Voucher Total $64.95 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 353561 BRIGHT HOUSE NETWORK Purchase Order No. PO Box 30262 Terms TAMPA, FL 33630 Due Date 12/5/2012 Invoice Invoice Description Date Number (or note attached invoice(s) or bill(s)) Amount 12/5/2012 403066501 $64.95 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