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216322 01/15/2013 CITY OF CARMEL, INDIANA VENDOR: 364452 Page 1 of 1 ONE CIVIC SQUARE CINCINNATI BELL CARMEL, INDIANA 46032 PO BOX 748001 CHECK AMOUNT: $494.12 ' ? CINCINNATI OH 45274-8001 CHECK NUMBER: 216322 CHECK DATE: 1/15/2013 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1091 4344000 4862587 329 .41 4862587 1125 4344000 4862587 164 . 71 4862587 If payment is not received within 30 days of this statement date, a 1.51 monthly www.cinbell.com/evolve late-payment charge will be added to the unpaid balance. Customer Name Account Number Invoice Date Due Date Billing Period CARMEL CLAY PARKS & RECREATION 4862587 01/10/13 02/09/13 12/10/12 - 01/09/13 1411 E. 116TH ST. CARMEL IN 46032-0000 Account Summary eVolve Business Solutions LLC Previous Balance 491.19 Online Access is now available! Payments 491.19CR Visit us on the web at Adjustments .00 CincinnatiBell.com Download a copy of your bill Review your payment history View your call detail records Submit trouble tickets Don't forget to bookmark this link in your web browser for convenient Balance Forward 0.00 account access. ISununary of New Charges Calls Through 1/09/13 58.11 Other Charges and Credits 68.34 Services 366.95 Federal Tax .72 State Tax .00 Local Tax .00 Total New Charges Due 494.]2 ITotal Amount Due 02/09/13 494.12 Nonpayment of long distance s e may c sult in disconnection o —e iction of these services and lmay be subject to collection actions. For inquiries call: (888) 638-1699 __ _ Please detach and return bottom nortion with oavment - do not fold. THANK YOU! ACCOUNTS PAYABLE VOUCHER CITY OF CARMEL An invoice of 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. 364452 Cincinnati Bell Terms P.O. Box 748001 Date Due Cincinnati, OH 45274-8001 Invoice Invoice Description Date Number (or note attached invoice(s) or bill(s)) Amount 1/10/13 4862587 Lonq Distance charges $ 164.71 1/10/13 4862587 Long Distance charges $ 329.41 Total $ 494.12 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. 364452 Cincinnati Bell Allowed 20 P.O. Box 748001 Cincinnati, OH 45274-8001 In Sum of$ $ 494.12 I ON ACCOUNT OF APPROPRIATION FOR 101 -General Fund / 109 Monon Center PO#or INVOICE NO. ACCT#/TITLE AMOUNT Board Members Dept# 1125 4862587 4344000 $ 164.71 1 hereby certify that the attached,invoice(s), or 1091 4862587 4344000 $ 329.41 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 14-Jan 2013 Signature $ 494.12 Accounts payable Coordinator Cost distribution ledger classification if Title claim paid motor vehicle highway fund