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219182 04/23/2013 °u. CITY OF CARMEL, INDIANA VENDOR: 359662 Page 1 of 1 ONE CIVIC SQUARE AT&T CHECK AMOUNT: $487.72 CARMEL, INDIANA 46032 PO BOX 5019 94ioH�p CAROL STREAM IL 60197-5019 CHECK NUMBER: 219182 CHECK DATE: 4/2312013 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1207 4344000 2275340203 487 . 72 8310001392396 (NON-LIST)BROOKSHIRE;GO Page 1 of 2 12120 BROOKSHIRE PWKY Account Number 831-000-1392 396 CARMEL,IN,46032 Billing Date Apr 7,2013 Questions? 1 800 235-7524 { at&t Web Site att.com Invoice 2275340203 Invoice Group#000001-Continued One Time Charges: Previous-Bill 449..38 3. PTA Regulatory Fee Adjustment- 9.58 February 2013 Payment-Tlrank-Y"ou! 430:000-R- Qty:1.00Items at 9.58 4. FRF Regulatory Fee Adjustment- 5:76 Adjustments .00 February 2013 j I Past-Dae-Please-Pay-tmm-ediatel 11.9-38 Qty:1.00 Items at 5.76 i Total Regulatory/Other Fees-Federal 58.31 Current- 87772 Charges for Subscriber/Router ID 0272347132 3178159263 -lo-WA $501.1 U 12120 BROOKSHIRE CARMEL,IN 46033 Voice Over IP _Current Charges-Due;in Full by._ _ _.. - _. May 2,2013 Recurring Charges: Apr 7,2013 thru May 6,2013 5. Premium Feature Package 360.00 Qty:9.00 Minutes at 40.00 6. Telephone Numbers 3.00 QtyAO.00 Minutes at.30 One Time Charges: - - For detailed information of our charges o to 7. Ot O 1.30 I Charge 1.61 Y 9 9 Qty:31.301tems www.businessdirect.att.com Total Voice Over IP 364.61 Questions?Call: 1 800 235-7524 Surcharges and Other Fees 8. Universal Connectivity Charge-Interstate 39.32 AT&T Business Services 9. Administrative Expense Fee-Interstate 2.07 10. Property Tax Allotment-Interstate 9.56 Group#000001 11. Federal Regulatory Fee-Interstate 5.75 Sub-Account#831-000-1532 783 487.72 Total Surcharges and Other Fees 56.70 Total Group#000001 487.72 Taxes Total Current Charges 487.72 State: 12. IN/STATE 911 CHARGE 8.10 Total Taxes 8.10 Total Subscriber/Router 10 0272347132 429.41 Total Sub-Account#831-000-1532 783 487.72 Total Group#000001 487.72 a Group#000001 Total Current Charges 487.72 Sub-Account#831-000-1532 783 Regulatory/Other Fees-Federal One Time Charges: 1. UCC Regulatory Fee Adjustment- 40.90 r.:- .'�, IM M_February 2013 ' - .61 Qty:1.00 Items at 40.90 News You Can Use 2.AEF Regulatory Fee Adjustment- 2.07 February 2013 ACCOUNT STATUS Qty:1.00 Items at 2.07 Where allowed by law,AT&T may implement late payment interest of no more than 18%annually.Rates will vary based on state regulations. Interestwill 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 Printed on Recydahle Paper Return bottom portion with your check in the enclosed envelope. �yy -� (NON-LIST)BROOKSHIRE;GO Page 2 of 2 12120 BROOKSHIRE PWKY Account Number 831-000-1392 396 CARMEL,I N,46032 Billing Date Apr 7,2013 Questions? 1 800 235-7524 Web Site att.com News You Can Use ACCOUNTSTATUS-Continued will be billed on a monthly basis.Accounts billed outside the US will not be charged LPI. Where allowed by law,AT&T may implement a$25 service fee for restoration of service where delinquency has caused an interruption. This fee will be applicable to each accountthat is being restored and will be included on your monthly billing statement Attention customers:AT&T will charge a S25 fee for any check returned for insufficient funds,applied on your next invoice.AT&T values your business and thanks you for your cooperation in this matter. Some products require electronic billing as their official bill media. When electronic billing is the 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 informational statement has a tear-off that can be used to submit your payment JUST FOR YOUR BUSINESS For Billing Inquiries: Web Hosting:1.888.932.4678 Tech Support360:1.866.497.5073 Microsoft Office 365:1.866.531.4891 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! r•�y1 Copyright 2012 AT&T Intellectual Property.All Rights Reserved. 5982.001.004083.01.01.0000000 NNNNNNNY 8165.8165 VOUCHER NO. WARRANT NO. ALLOWED 20 AT&T IN SUM OF $ P.O. Box 5019 Carol Stream, IL 60197-5019 $487.72 ON ACCOUNT OF APPROPRIATION FOR Brookshire Golf Club PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members 1207 I 2275340203 I 43-440.00 I $487.72 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 Monday, April 22, 2013 d' Director, Broo hire Golf 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)) 04/07/13 2275340203 Phone $487.72 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