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223362 08/26/2013 CITY OF CARMEL, INDIANA VENDOR: 359662 Page 1 of 1 ONE CIVIC SQUARE AT&T CARMEL, INDIANA 46032 PO BOX 5019 CHECK AMOUNT: $436.66 CAROL STREAM IL 60197-5019 CHECK NUMBER: 223362 CHECK DATE: 8/2612013 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1207 4344000 8716571208 436 . 66 8310001392396 (NON-LIST)BROOKSHIRE;GO Page 1 of 2 12120 BROOKSHIRE PWKY Account Number 831-000-1392 396 CARMEL,IN,46032 Billing Date Aug 7,2013 Questions? 1 800 235-7524 Web Site att.00111 at... C2 9FM Invoice 8716571208 Invoice _.. Group#000001-Continued j Previous Bill 428.91. One Time Charges: 3. LU OffNet Charge 8.89 Qty:177.56 Items a Payment-Thank You! 428.91CR Total Voice Over IP 371.89 Surcharges and Other Fees Adjustments .00 4. Universal Connectivity Charge-Interstate 39.05 5. Administrative Expense Fee-Interstate 2.09 6. Property Tax Allotment-Interstate 9.70 @awfance .00 7. Federal Regulatory Fee-Interstate 5.83 Total Surcharges and Other Fees 56.67 __Cu.rmnLChacges 436.66 Taxes Total Amount Due $436.66 State: 8. IN/STATE 911 CHARGE 8.10 Total Taxes 8.10 Payment"Due.Date. : Sep 2,2013 Total Subscriber/Router ID 0272347132 436.66 Total Sub-Account#831-000-1532 783 436.66 Total Group#000001 436.66 Total Current Charges 436.66 - For detailed information of your charges go to www.businessdirect.att.com Questions?Call: 1 800 235-7524 AT&T Business Services News You Can Use Group#000001 ACCOUNT STATUS Sub-Account#831-000-1532 783 436.66 Where allowed by law,AT&T may implement late payment interest of no Total Group#000001 436.66 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 436.66 applicable for each day that a delinquent balance is outstanding.This charge will apply to all balances that are delinquentthrouyh 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$25 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 3178159263 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 Aug 7,2013 thru Sep 6,2013 statement may be sent containing some of the same information as the 1. Premium Feature Package 360.00 electronic bill. The informational statement is not your bill.However, Qty: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 Recyclable Paper (NON-LIST)BROOKSHIRE;GO Page 2 of 2 12120 BROOKSHIRE PWKY Account Number 831-000-1392 396 CARMEL,IN,46032 Billing Date Aug 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 Oev 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 2013 AT&T Intellectual Property.All Rights Reserved. 7430.001.004693.01.01.0000000 NNNNNNNY 9385.9385 VOUCHER NO. WARRANT NO. ALLOWED 20 AT&T IN SUM OF $ P.O. Box 5019 Carol Stream, IL 60197-5019 $436.66 ON ACCOUNT OF APPROPRIATION FOR Brookshire Golf Club PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members 1207 I 8716571208 I 43-440.00 I $436.66 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, August 19, 2013 Director, Bro ire 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)) 08/07/13 8716571208 Phone $436.66 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