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222278 07/29/2013 CITY OF CARMEL, INDIANA VENDOR: 359662 Page 1 of 1 ONE CIVIC SQUARE AT&T CARMEL, INDIANA 46032 PO BOX 5019 CHECK AMOUNT: $428.91 ' ? CAROL STREAM IL 60197-5019 CHECK NUMBER: 222278 Uah c CHECK DATE: 7/29/2013 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1207 4344000 7623411200 428 . 91 831001392396 (NON-LIST)BROOKSHIRE;GO Page 1 of 2 12120 BROOKSHIRE PWKY Account Number 831-000-1392 396 CARMEL,IN,46032 Billing Date Jul 7,2013 Questions? 1 800 235-7524 Web Site att.com at&t Invoice 7623411200 Invoice Group#000001-Continued Previous Bill 430.61 One Time Charges: 3. LD OffNet Charge 2.07 Oty:40.02 Items Payment-Thank You! 430.61CR Total Voice Over IP 365.07 Surcharges and Other Fees Adjustments .00 4. Universal Connectivity Charge-Interstate 38.37 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 55.74 Current Charges 428.91 Taxes Total Amount Due $428.91 State: 8. IN/STATE 911 CHARGE 8.10 Total Taxes 8.10 Payment Due Date Aug 1,2013 Total Subscriber/Router ID 0272347132 428.91 Total Sub-Account#831-000-1532 783 428.91 Total Group#000001 428.91 Total Current Charges 428.91 - For detailed information of your charges go to www.businessdirect.att.com Questions?Call: 1 800 235-7524 AT&T Business Services News You Call Use Group#000001 ACCOUNT STATUS Sub-Account#831-000-1532 783 428.91 Where allowed bylaw,AT&T may implement late payment interest of no Total Group#000001 428.91 more than 18%annually.Rates will vary based on state regulations. Interest will be calculated based upon daily balances and will be Total Current Charges 428.91 applicable for each day drat 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. Where allowed by law,AT&T may implement a S25 service fee for restoration of service where delinquency has caused an interruption. Group#000001 This fee will be applicable to each account that is being restored and Sub-Account#831-000-1532 783 will be included on your monthly billing statement. Charges for Subscriber/Router ID 0272347132 Attention customers:AT&T will charge a S25 fee for any check returned 3178159163 for insufficient funds,applied on your next invoice.AT&T values your 12120 BROOKSHIRE business and thanks you for your cooperation in this matter. CARMEL,IN 46033 Voice Over IP Some products require electronic billing as their official bill media. Recurring Charges: When electronic billing is the official bill media,an informational Jul 7,2013 thru Aug 6,2013 statement may be sent containing some of the same information as the 1. Premimn Feature Package 360.00 electronic bill. The informational statement is not your bill.However, Oty:9.00 Minutes at 40.00 if you choose to mail your payment instead of paying electronically,the 2.Telephone Numbers 3.00 informational statement has a tear-off that can be used to submit your Oty:10.00 Minutes at.30 payment. REGULATORY NEWS Attention California Customers: The following charges are"Government Fees and Taxes":Federal Excise Return bottom portion with your check in the enclosed envelope. Printed on Recyr.(able Paper _ \sue (NON-LIST)BROOKSHIRE;GO Page 2 of 2 12120 BROOKSHIRE PWKY Account Number 831-000-1392 396 CARMEL,IN,46032 Billing Date Jul 7,2013 Questions? 1 800 235-7524 Web Site att.com News You Can Use REGULATORY NEWS-Continued 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 2012 AT&T Intellectual Property.All Rights Reserved. ,ht r 7796.001.004517.01.01.0000000 NNNNNNNY 9033.9033 VOUCHER NO. WARRANT NO. ALLOWED 20 AT&T IN SUM OF $ P.O. Box 5019 Carol Stream, IL 60197-5019 $428.91 ON ACCOUNT OF APPROPRIATION FOR Brookshire Golf Club PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members 1207 I 831-000-1392 I 43-440.00 I $428.91 1 hereby certify that the attached invoice(s), or zoa 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 Tuesday, July 23, 2013 LL Director, BrooksNe 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)) 07/07/13 831-000-1392 396 Phone $428.91 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