Loading...
HomeMy WebLinkAbout215517 12/18/2012 CITY OF CARMEL;INDIANA VENDOR: 359662 Page 1 of 2 ONE CIVIC SQUARE AT&T CHECK AMOUNT: $8,232.54 CARMEL, INDIANA 46032 PO BOX 5080 s� CAROL STREAM IL 60197-5080 CHECK NUMBER: 215517 CHECK DATE: 12/18/2012 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1110 4344000 317571240012 1, 698 .41 TELEPHONE LINE CHARGE 1115 4350900 317571240012 752 . 21 OTHER CONT SERVICES 1120 4344000 317571240012 1, 338 . 34 TELEPHONE LINE CHARGE 1160 4344000 317571240012 201 . 01 TELEPHONE LINE CHARGE 1192 4344000 317571240012 637 . 75 TELEPHONE LINE CHARGE 1203 4344000 317571240012 117 . 25 TELEPHONE LINE CHARGE 1205 4344000 317571240012 576 . 84 TELEPHONE LINE CHARGE 1301 4344000 317571240012 273 . 33 TELEPHONE LINE CHARGE 1701 4344000 317571240012 236 . 37 TELEPHONE LINE CHARGE 209 4344000 317571240012 197 . 61 TELEPHONE LINE CHARGE 2200 4344000 317571240012 317 .22 TELEPHONE LINE CHARGE 2201 4344000 317571240012 50 . 80 TELEPHONE LINE CHARGE 601 5023990 317571240012 876 . 76 OTHER EXPENSES CITY OF CARMEL, INDIANA VENDOR: 359662 Page 2 of 2 t ONE CIVIC SQUARE AT&T CHECK AMOUNT: $8,232.54 CARMEL, INDIANA 46032 PO Box 5080 CAROL STREAM IL 60197-5080 CHECK NUMBER: 215517 CHECK DATE: 12/18/2012 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 651 5023990 317571240012 497 . 98 OTHER EXPENSES 902 4344000 317571240012 257 . 89 TELEPHONE LINE CHARGE 911 4344000 317571240012 202 . 77 TELEPHONE LINE CHARGE V This is a summary of the ATT billing for 121712012 Department Name Totals Administration $352.28 G+CCC $752.2 Clerk Treasurer $236.37 Community Relations $117.25 Court $273.33 CRC $257.89 D®CS $637.75 Drugs Task Force $202.77 Engineering $317.22 Fire $1,338.34 Is $224.56 Law $197.61 Mayor $201.01 Police $1,698.41 Sewer $201.28 .Sewer Dist $48.97 Street $50.80 Utilities $495.45 Water $543.86 Water Dist $85.18 Total for the ATT Bill: $8,232.5 Thursday,December 13,2012 Page I of 1 CARMEL CITY OF Page 1 of 2 ATTN JANET ARNONE Account Number 317 571-2400 053 2 31 1STAVE NW Billing Date Dec 7,2012 CARMEL,IN 46032-1715 t&t Web Site att.com Invoice Number 317571240012 Monthly Statement Nov 8 - Dec 7, 2012 Previous Bill 8,709.16 Monthly Service-Dec 7 thru Jan 6 Customer Service Record Payment Received 12-07-Thank You I 8,709.16CR 1 reports-S 5.00 ea 5.00 Monthly Charges 7,883.10 Adjustments .00 Total Monthly Service 7,888.10 Balance .00 Surcharges and Other Fees 9-1-1 Emergency System Current Charges 8,232.54 ' Billed for the State of Indiana 71.10 Federal Universal Service Fee 71.40 Total Amount Due $8,232.54 IN Universal Service Surcharge 37.60 IN Utility Receipt Surcharge 102.80 ( Telecommunications Relay Service 1.54 _Amount Due in Full by ^_ _ Dec 28,2012 J Total Surcharges and Other Fees 284.44 Total Plans and Services 8,172.54 Billing Questions?Visit att.com/billing Plans and Services 8,172.54 Notice:Charges appearing in this section are for services provided by 1-800-480-8088 AT&T Corp.and/or by AT&T Illinois,AT&T Indiana,AT&T Michigan,AT&T Repair Service: Ohio,or AT&T Wisconsin,based upon your service address location. 1-800-727-2273 For Billing Inquiries: AT&T Internet Services 60.00 High Speed Internet(DSL): 1.800.660.3000 1-877-722-3755 Web Hosting:1.888.932.4678 Tech Support360:1.866.497.5073 Total of Current Charges 8,232.54 AT&T Yahoo!Web Hosting:1.866.722.9932 Microsoft Office 365:1.866.531.4891 AT&T Wi-Fi contact information located at attwifi.com. Itemized Charges and Credits No. Date Description Services for 37111711 1 11-20 AT&T HSI PRO-S 60.00 Service Date:11/19/12-12/18/12 CARMEL CITY OF HSI No.317 571-4144 carine114915Qatt.net Total AT&T Internet Services 60.00 •PREVENT DISCONNECT •LOCAL TOLL INFO •LONG DISTANCE INFO •WALK-IN BILL PAYMENT See"News You Can Use'for additional information. 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. Return bottom portion with your check in the enclosed envelope. GO GREEN•Enroll in paperless billing. Printed on Recyclable Paper m mw CARMEL CITY OF Page 2 of 2 ATTN JANET ARNONE Account Number 317 571-2400 053 2 at&t 31 1ST AVE NW Billing Date Dec 7,2012 CARMEL,IN 46032-1715 Invoice Number 317571240012 News You Can Use 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 58,232.54. If you don't agree with the amount due,you should dispute the portion you disagree with before the payment due date. LOCAL TOLL INFO 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. WALK-IN BILL PAYMENT Effective 12/1/2012,the convenience fee charged by AT&T Authorized/Contracted Payment Agents on wireline customer payments will increase to$2.00.This fee,which must be paid in cash,is separate from the AT&T monthly bill and is paid to the payment vendor for processing bill payment transactions. Other payment options that do not require a convenience fee include payments via automatic debit from a bank account,online payment,pay-by-phone IVR transaction,a mailed check,or payments at an AT&T Company-Owned Retail Store. 9715.002.013458.01.02.0000000 NNNNNNYY 26935.26935 0 2006 AT&T Knowledge Ventures.All rights reserved. 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 I Purchase Order No. Terms Date Due Invoice Invoice Description Amount Date Number (or note attached invoice(s) or bill(s)) /u nau % 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. ALLOWED 20 IN SUM OF $ I� 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 X0 20 Signature Title Cost distribution ledger classification if claim paid motor vehicle highway fund 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 ATT Purchase Order No. P. O. Box 8100 Terms Aurora, Illinois 60507-8100 Date Due Invoice Invoice Description Amount Date Number (or note attached invoice(s) or bill(s)) Telep one line charges per the attached: Statement Dated 12/14/12 $197.61 Total $197.61 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 ATT IN SUM OF $ P.O. Box 8100 Aurora, Illinois 60507-8100 $ $197.61 ON ACCOUNT OF APPROPRIATION FOR DEFERRAL FEE FUND - 209 430-44000 Telephone Line Charges Board Members PO#or INVOICE NO. ACCT#/TITLE AMOUNT DEPT.# I hereby certify that the attached invoice(s), or 209 12-7-12 $197.61 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 %y 20 42—�- ig 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 $752.21 ON ACCOUNT OF APPROPRIATION FOR Carmel Clay Communications PO#/Dept. INVOICE NO. I ACCT#/TITLE AMOUNT Board Members 1115 43-509.00 $752.21 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, December 13, 2012 Director Tit le - 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)) 12/07/12 $752.21 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 A T & T IN SUM OF $ P. O. Box 8100 Aurora, IL 60507-8100 $50.80 ON ACCOUNT OF APPROPRIATION FOR Carmel Street Department PO#/Dept. INVOICE NO. I ACCT#!TITLE AMOUNT Board Members 2201 I I 43-440.001 $50.80 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 pia k %t s �/ / Frig ay, D�c i,ber44f2012 W 'l-rvIU c treet:51Domm`i§signer 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)) 12/07/12 $50.80 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 $0.03 ON ACCOUNT OF APPROPRIATION FOR Carmel Street Department PO#/Dept. INVOICE NO. I ACCT#/TITLE AMOUNT Board Members 2201 I ( 43-440.001 $0.03 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 w Frida , D amber 2012 / e 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)) 12/12/12 $0.03 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 ATT IN SUM OF $ P.O. Box 8100 Aurora, IL 60507-8100 $637.75 ON ACCOUNT OF APPROPRIATION FOR Carmel DOCS PO#1 Dept. INVOICE NO. I ACCT#ITITLE AMOUNT Board Members 1192 43-440.00 $637.75 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, December 14, 2012 3 Di rec 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)) 12/14/12 Monthly line charges $637.75 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 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 12/7/2012 0 Local Phone $ 317.22 Total $ 317.22 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 NC WARRANT NO. ATT Local ALLOWED 20 POB 8100 IN SUM OF $ Aurora, IL 60507-8100 $ 317.22 ON ACCOUNT OF APPROPRIATION FOR Board Members Po#or INVOICE NO. ACCT#/TITI- AMOUNT DEPT# I hereby certify that the attached invoice(s), 0 0 2200-4344000 $ 31722 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 r rl;, 0/2012 f ®Signature XA Id l.b qty- Engineer Cost Distribution ledger classification if Title claim paid motor vehicle highway fund VOUCHER NO. WARRANT NO. ALLOWED 20 ATT IN SUM OF $ P. O. Box 8100 Aurora, IL 60507-8100 $117.25 ON ACCOUNT OF APPROPRIATION FOR Community Relations PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members 1203 Statement 43-440.00 $117.25 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 Monday, December 17, 2012 Co munity Relations 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)) 12/07/12 Statement $117.25 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 # 123086 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 $123.87 5712262 01-6360-08 $123.86 t� Voucher Total $247.73 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 12/14/2012 Invoice Invoice Description Date Number (or note attached invoice(s) or bill(s)) Amount 12/14/201; 5712262 $247.73 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 0 lc . VOUCHER # 126363 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 5712262 01-7360-07 $123.81 5712262 01-7360-08 $123.81 Voucher Total $247.62 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 12/14/2012 Invoice Invoice Description Date Number (or note attached invoice(s) or bill(s)) Amount 12/14/201; 5712262 $247.62 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 Date O er VOUCHER NO. WARRANT NO. ALLOWED 20 ATT IN SUM OF $ P.O. Box 8100 Aurora, IL 60507-8100 $352.28 ON ACCOUNT OF APPROPRIATION FOR Administration Department PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members 1205 12.07.12 43-440.00 $352.28 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 Monday, December 17, 2012 Director, Administr tion 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)) 12/07/12 12.07.12 GA $352.28 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 ATT IN SUM OF $ P. O. Box 8100 Aurora, IL 60507-8100 $201.01 ON ACCOUNT OF APPROPRIATION FOR Mayor's Office PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members 1160 Statement 43-440.00 $201.01 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, December 14, 2012 .mac.. 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)) 12/07/12 Statement $201.01 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 $31.57 ON ACCOUNT OF APPROPRIATION FOR Carmel Police Department PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members 1110 43-440.00 $31.57 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 Wednesday, December 12, 2012 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)) 12/01/12 monthly payment $31.57 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 $1,698.41 ON ACCOUNT OF APPROPRIATION FOR Carmel Police Department PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members 1110 43-440.00 $1,698.41 I hereby certify that the attached invoice(s), or 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 Friday, December 14, 2012 Chief of Police Title Cost distribution ledger classification if claim paid motor vehicle highway fund 6 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)) 12/07/12 monthly payment $1,698.41 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 $202.77 ON ACCOUNT OF APPROPRIATION FOR Project 2012-911 Task 2012-2 PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members 911 43-440.00 $202.77 I hereby certify that the attached invoice(s), or 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 Monday, December 17, 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)) 12/07/12 $202.77 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