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226568 12/02/2013
CITY OF CARMEL, INDIANA VENDOR: 359662 Page 1 of 1 ONE CIVIC SQUARE A T&T CHECK AMOUNT: $895.40 ,?a CARMEL,INDIANA 46032 'PO Box 5080 CAROL STREAM IL 60197-5080 CHECK NUMBER: 226568 CHECK DATE: 1212/2013 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1091 4344000 317574120711 83 . 73 31757412074998 1091 4344000 317815176311 157 . 50 31781517630544 1208 4344000 317815845711 238 . 82 31781584576216 1207 4344000 317815926311 176 . 98 31781592634478 1125 4344000 317816030811 238 . 37 31781603081593 CARMEL CLAY PARKS Page 1 of 1 1411 E 116TH ST Account Number 317 815-1763 054 4 CARMEL,IN 46032-3455 Billing Date Nov 16,2013 at&t Web Site att.com ]jam Invoice Number 317815176311 NOV 215 2013 Monthly Statement Oct 17 Nov 16, 2013 �--_ lafis and Services Previous Bill 157.44 Monthly Service-Nov 16 thru Dec 15 Charges for 317 815-1763 Payment Received 11-07-Thank You 157.44CR Monthly Charges 74.90 Adjustments .00 Charges for 317815-1874 Monthly Charges 74,90 Balance .00 Total Monthly Service 149,80 Current Charges 157.50 Surcharges and Other Fees 9-1-1 Emergency System Total Amount Due $157.50 Billed for the State of Indiana 1.80 Federal Universal Service Fee 3.14 Amount Due in Full by Dec 7,2013 IN Universal Service Surcharge .72 IN Utility Receipt Surcharge 1.98 Telecommunications Relay Service .06 Total Surcharges and Other Fees 7.70 Billi�g Summ Plans and Services 157.50 Biiiing Questions?Visit att.com/billing • Plans and Services 157.50 1-800-480-8088 Repair Service: PREVENT DISCONNECT 1-800-727-2273 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 Total of Current Charges 157.50 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 S157.50. If you don't agree with the amount due,you should dispute the portion you disagree with before the payment due date. CARRIER INFO Owest Communications Corp.,or a company that resells their service, is your long distance and local toll carrier. •PREVENT DISCONNECT •CARRIER INFO 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. 7s P Return bottom portion with your check in the enclosed envelope. GO GREEN-Enroll in paperless billing. `aU Printed on Recyclable Paper CJ.Y.Yiy.:,lAIU 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. 359662 AT&T Terms P.O. Box 5080 Date Due Carol Stream, IL 60197-5080 Invoice Invoice Description Date Number (or note attached invoice(s) or bill(s)) Amount 11/16/13 317815176311 DTS Alarm West Conf room, MDF $ 157.50 31781517630544 Total $ 157.50 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. 359662 AT&T Allowed 20 P.O. Box 5080 Carol Stream, IL 60197-5080 In Sum of$ $ 157.50 ON ACCOUNT OF APPROPRIATION FOR 109 Monon Center PO#or Board Members Dept# INVOICE NO. ACCT#!TITLE AMOUNT 1091 317815176311 4344000 $ 157.50 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 27-Nov 2013 iA Signature $ 157.50 Accounts Payable Coordinator Cost distribution ledger classification if Title claim paid motor vehicle highway fund CARMEL CLAY PARKS Page 1 of 1 1411 E 116TH ST Account Number 317 574-1207 499 8 CARMEL,IN 46032-3455 Billing Date Nov 22,2013 =DEC2 Web Site att.COm at&t Invoice Number 317574120711 Monthly Statement Oct 23 - Nov 22, 2013 Previous Bill 83.68 Monthly Service-Nov 22 thru Dec 21 Monthly Charges 80,39 Payment Received 11-07-Thank You! 83.68CR Surcharges and Other Fees Adjustments .00 9-1-1 Emergency System Billed for the State of Indiana ,90 Balance 00 Federal Universal Service Fee .91 IN Universal Service Surcharge .36 Current Charges 83.73 IN Utility Receipt Surcharge 1,14 Telecommunications Relay Service .03 Total Amount Due $83.73 Total Surcharges and Other Fees 3.34 Amount Due in Full by Dec 13,2013 Total Plans and Services 83,73 11111114111 Us PREVENT DISCONNECT Bil!ing Questions?Visit att.comfbilling Thank you for heina.a valued customer. It is importantto inform you that all charges must be paid each month to keep your account current Plans and Services 83.73 and prevent collection activities. In addition,please be aware that 1-800-480-8088 we are required to inforin you of certain charges that MUST be paid in Repair Service: order to prevent interruption of basic local service. These charges 1-800-727-2273 are already included in the Total Amount Due and are$83.73. If you don't agree with the amount due,you should dispute the portion Total of Current Charges 83.73 you disagree with before the payment due date. CARRIER INFO Owest Coln inunications Corp.,or a company that resells their service, is your long distance and local toll carrier. •PREVENT DISCONNECT •CARRIER INFO 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. J 7J� Printed on Recyclable Paper Return bottom portion with your check in the enclosed envelope. GO GREEN-Enroll in paperless billing. 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. 359662 AT&T Terms PO Box 5080 Date Due Carol Stream, IL 60197-5080 Invoice Invoice Description Date Number (or note attached invoice(s) or bill(s)) Amount 11/22113 317574120711 Fitlinxx Computer Lab DSL $ 83.73 Acct# 31757412074998 Total $ 83.73 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 5-11-10-1.6 120 Clerk-Treasurer Voucher No. Warrant No. 359662 AT&T Allowed 20 PO Box 5080 Carol Stream, IL 60197-5080 In Sum of$ $ 83.73 ON ACCOUNT OF APPROPRIATION FOR 109 - Morton Center PO#or INVOICE NO. ACCT#/TITLE AMOUNT Board Members Dept# 1091 317574120711 4344000 $ 83.73 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 2-Dec 2013 Signature $ 83.73 Accounts Payable Coordinator Cost distribution ledger classification if Title claim paid motor vehicle highway fund CARMEL CLAY Page Iof3 1411 E 116TH ST Account Number 317 816-0308 159 3 }}77� 'CARMEL,IN 46032-3455 Billing Date Nov 16,2013 t y IF 1 Web Site att.COm at&t NOV 2 2013 Invoice Number 317816030811 Monthly Statement Oct 17 Nov 16, 2013 KrM e its- Previous Bill 245.85 •Total AT&T Savings 263.60 Payment Received 11-07-Thank You! 245.85CR Adjustments .00 ' Balance .00 Monthly Service-Nov 16 thru Dec 15 Charges for 317 816-0308 Current Charges 238.37 Monthly Charges 11.40 Bus Local Calling Unlimited B 45.00 Total Amount Due $238.37 Indiv Msg Business Hunting Ln Unlimited Local Usage Calling Name Display Amount Due in Full by Dec 7,2013 Caller Identification By choosing Bus Local Calling Unlimited B, you are saving S65.90 over the cost of the same ry services purchased separately. Billing Questions?Visit att.com/billing Charges for 317 816-0312 Monthly Charges 5.90 Plans and Services 221.97 Bus Local Calling Unlimited B 45.00 1-800-480-8088 Indiv Msg Business Hunting Ln Repair Service: Unlimited Local Usage 1-800-727-2273 Calling Name Display Caller Identification AT&T Long Distance 16.40 g choosing Bus Local Catlin Unlimited B, 1-800-480-8088 y g g you are saving$65.90 over the cost of the same Total of Current Charges 238.37 services purchased separately. Charges for 317 816-0314 Monthly Charges 5.90 Bus Local Calling Unlimited B 45.00 Indiv Msg Business Hunting Ln Unlimited Local Usage Calling Name Display Caller Identification By choosing Bus Local Calling Unlimited B, you are saving$65.90 over the cost of the same services purchased separately. Charges for 317 816-0345 Monthly Charges 5.90 •PREVENT DISCONNECT •CARRIER INFO •LOCALUSAGE 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. Printed on Recyclable Paper Return bottom portion with your check in the enclosed envelope. GO GREEN-Enroll in paperless billing. `�4� Al CARMEL CLAY Page 2 of 3 � 1411 E 116TH ST Account Number 317 816-0308 159 3 t&t CARMEL,IN 46032-3455 Billing Date Nov 16,2013 may. Invoice Number 317816030811 Invoice Summary (as of November 03, 2013) Monthly Service-Continued Current Charges Bus Local Calling Unlimited B 45.00 Service Charges 15.00 Indiv Msg Business Hunting Ln Credits and Adjustments ,00 Unlimited Local Usage Call Charges ,00 Calling Name Display Surcharges and Other Fees 1.40 Caller Identification Taxes .00 Total Invoice Summary 16.40 By choosing Bus Local Calling Unlimited B, you are saving S65.90 over the cost of the same Service Charges services purchased separately. Monthly Service Charges Total Monthly Service 209.10 Type of Service Period Qty Local Calls 1. BUS BOT 250MIN II 1Y 11102-12101 1 15.00 Call(s)Charged to 317 816-0308 Total Monthly Service Charges 15.00 Unlimited Local Usage Plan Summary Total Service Charges 15.00 1 Call(s)billed at no charge per call .00 Total Call(s)Charged to 317 816-0308 .00 Surcharges and Other Fees Call(s)Charged to 317 816-0314 2. Federal Regulatory Fee 17 Unlimited Local Usage Plan Summary 3. Federal Universal Service Fee 1.07 1 Call(s)billed at no charge per call .00 4. IN Universal Service Surcharge .05 Total Call(s)Charged to 317 816-0314 .00 5. IN Utility Receipts Tax Recovery .11 Total Local Calls .00 Total Surcharges and Other Fees 1.40 Surcharges and Other Fees Taxes 9-1-1 Emergency System 6. Federal .00 Billed for the State of Indiana 3.60 7• State .00 Federal Universal Service Fee 6.28 8. Municipal .00 g, Non Nome State .00 IN Universal Service Surcharge .64 Total Taxes .00 IN Utility Receipt Surcharge 2.23 Telecommunications Relay Service .12 Total Surcharges and Other Fees 12.87 Total Invoice Charges 16.40 Total Plans and Services 221.97 Total AT&T Long Distance 16.40 FEDERAL REGULATORY FEE RATE INCREASE: PREVENT DISCONNECT Effective January 12,2014,AT&T Long Distance Thank you for being a valued customer. It is important to inform you will increase the Federal Regulatory Fee from that all charges must be paid each monde to keep your account current 2.09%to 2.82%.The Federal Regulatory Fee applies and prevent collection activities. In addition,please be aware that to the total billed charges for interstate and we are required to inform you of certain charges that MUST be paid in international telecommunications services.This order to prevent interruption of basic local service. These charges fee is a non-discountable monthly charge to are already included in the Total Amount Due and are$238.37. recover amounts paid to the federal government If you don't agree with die amount due,you should dispute the portion for regulatory costs and telecommunications you disagree with before the payment due date. services for the hearing impaired.Please contact your Account Manager or the number on your bill CARRIER INFO for more information. AT&T Long Distance,or a company that resells their service, Message Regarding Terms&Conditions: is your long distance and local toll carrier. To view your Terms&Conditions for AT&T Long Distance,access www.attcom/servicepublications or call AT&T at the toll free number on your bill. 5 4584.002.006338.01.02.0000000 NNNNNNNY 12695.12695 ©2006 AT&T Knowledge Ventures.All rights reserved. CARMEL CLAY Page 3 of 3 1411 E 116TH ST Account Number 317 816-0308 159 3 at&t CARMEL,IN 46032-3455 Billing Date Nov 16,2013 Invoice Number 317816030811 You. News You Can Use-Continued LOCAL USAGE Effective January 1,2014,the local usage message rate will increase from$0.31 to$0.37.For questions on this change or information about discount calling plans that could save you money,please call the number listed on your bill or visit www.attcom. i r No. Warrant No. 2 AT&T Allowed 20 P.O. Box 5080 Carol Stream, IL 60197-5080 I u.0 In Sum of$ $ 238.37 ; z ON ACCOUNT OF APPROPRIATION FOR 101 - General Fund or Board Members INVOICE NO. ACCT#/TITLE AMOUNT 5 317816030811 4344000 $ 238.37 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 27-Nov 2013 Signature $ 238.37 Accounts Payable Coordinator Cost distribution ledger classification if Title claim paid motor vehicle highway fund i I 1 t co O �- =3 LD O co Payee Purchase Order No. 359662 AT&T Terms P.O. Box 5080 Date Due Carol Stream, IL 60197-5080 Invoice Invoice Description Date Number (or note attached invoice(s) or bill(s)) Amount 11/16/13 317816030811 Telephone line charges.AO $ 238.37 Acct# 31781603081593 Total $ 238.37 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 CITY OF CARMEL Page 1 of 2 GAYLOR ELECTRIC BILL Account Number 317 815-8457 6216 1 CIVIC SO Billing Date Nov 16,2013 CARMEL,IN 46032-7569 Web Site att.com at&t Invoice Number 317815845711 Monthly Statement Oct 17 - Nov 16, 2013 Mal Previous Bill 238.64 •Total AT&T Savings 485.40 Payment Received 11-07-Thank You! 238.64CR Adjustments .00 ' Balance .00 Monthly Service-Nov 16 thru Dec 15 Charges for 317 815-8457 Current Charges 238.82 Monthly Charges 11.40 Bus Local Calling Unlimited B 30.00 Total Amount Due $238.82 Individual Message Business Unlimited Local Usage Calling Name Display Amount Due in Full by Dec 7,2013 Caller Identification By choosing Bus Local Calling Unlimited B, you are saving$80.90 over the cost of the same services purchased separately. Billinn,Questions?Vic-it att.corn!bMing Charges for 317815-8509 Monthly Charges 5.90 Plans and Services 238.82 Bus Local Calling Unlimited B 30.00 1-800-480-8088 Individual Message Business Repair Service: Unlimited Local Usage 1-800-480-8088 Calling Naine Display For more information on products and services call Caller Identification 1-800-480-8088 By choosing Bus Local Calling Unlimited B, Total of Current Charges 238.82 you are saving$80.90 over the cost of the same services purchased separately. Charges for 317 815-8521 Monthly Charges 5.90 Bus Local Calling Unlimited B 30.00 Individual Message Business Unlimited Local Usage Calling Name Display Caller Identification By choosing Bus Local Calling Unlimited B, you are saving$80.90 over the cost of the same services purchased separately. Charges for 317 815-8527 Monthly Charges 5.90 EA•PREVENT DISCONNECT •LONG DISTANCE INFO•LOCAL USAGE 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. y GO GREEN-Enroll in paperless billing. -'7)� Printed on Recyclable Paper C1YY'l.N.�IAIU w. CITY OF CARMEL Page 2 of 2 GAYLOR ELECTRIC BILL Account Number 317 815-8457 6216 1 CIVIC SO Billing Dale Nov 16,2013 at&t CARMEL,IN 46032-7569 Invoice Number 317815845711 Surcharges and Other Fees 9-1-1 Emergency System Monthly Service-Continued Billed for the State of Indiana 5.40 Bus Local Calling Unlimited B 30.00 Federal Universal Service Fee 9.42 Individual Message Business IN Universal Service Surcharge .64 Unlimited Local Usage IN Utility Receipt Surcharge 2.28 Calling Name Display Telecommunications Relay Service .18 Caller Identification Total Surcharges and Other Fees 17.92 By choosing Bus Local Calling Unlimited B, Total Plans and Services 238.82 you are saving 580.90 over the cost of the same services purchased separately. Charges for 317 815-8528 Monthly Charges 5.90 PREVENT DISCONNECT Bus Local Calling Unlimited B 30.00 Thank you for being a valued customer. It is important to inform you Individual Message Business that all aid be must charges each month to keep p your account current Unlimited Local Usage 9 Calling Name Display and prevent collection activities. In addition,please be aware that Caller Identification we are required to inform you of certain charges that MUST be paid in order to prevent interruption of basic local service. These charges By choosing Bus Local Calling Unlimited B, are already included in the Total Amount Due and are$238.82. you are saving 580.90 over the cost of the same If you don't agree with the amount due,you should dispute the portion services purchased separately. you disagree with before the payment due date. Charges for 317815-8530 LONG DISTANCE INFO ^ Monthly Charges 5.90 Our records indicate that you have NO T selected a local toll Bus Local Calling Unlimited B 30.00 or long distance company. Individual Message Business Unlimited Local Usage LOCAL USAGE Calling Name Display Effective January 1,2014,the local usage message rate will increase Caller identification from 50.31 to$0.37.For questions on this change or information about discount calling plans thatcould save you money,please call the By choosing Bus Local Calling Unlimited B, number listed on your bill or visit www.att.com. you are saving 580.90 over the cost of the same services purchased separately. Total Monthly Service 220.90 Local Calls Call(s)Charged to 317 815-8521 Unlimited Local Usage Plan Summary 30 Call(s)billed at no charge per call .00 Total Call(s)Charged to 317 815-8521 .00 Call(s)Charged to 317 815-8528 Unlimited Local Usage Plan Summary 32 Call(s)billed at no charge per call .00 Total Call(s)Charged to 317 815-8528 .00 Call(s)Charged to 317 815-8530 Unlimited Local Usage Plan Summary 2 Call(s)billed at no charge per call .00 Total Call(s)Charged to 317 815-8530 .00 Total Local Calls .00 4584.002.006507.01.01.0000000 YNNNNNNY 13033.13033 ©2006 AT&T Knowledge Ventures.All rights reserved. VOUCHER NO. WARRANT NO. ALLOWED 20 AT&T IN SUM OF $ PO Box 5080 Carol Stream, IL 60197-5080 $238.82 ON ACCOUNT OF APPROPRIATION FOR Building Operations Account PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members 1208 I 317815845711 I 43-440.00 $238.82 I 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, December 02, 2013 Director, Adminstratio 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)) 11/16/13 317815845711 Nov-16- Dec15 $238.82 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 BROOKSH IRE GOLF CLUB Page loft 12120 BROOKSHIRE PKWY Account Number 317 815-9263 447 8 CARMEL,IN 46033-3314 Billing Date Nov 16,2013 Web Site att.com at&tInvoice Number 317815926311 Monthly Statement Oct 17 Nov 16, 2013 11 AvA,7, Pan Plan -and Service Previous Bill 206.46 Monthly Service-Nov 16 thru Dec 15 Monthly Charges 110.34 Payment Received 11-07 176.94CR Surcharges and Other Fees Adjustments .00 9-1-1 Emergency System Billed for the State of Indiana .90 Past Due-Please Pay Immediately 29.52 Federal Universal Service Fee .91 IN Universal Service Surcharge .52 Current Charges 176.98 IN Utility Receipt Surcharge 1.28 Telecommunications Relay Service .03 Total Amount Due $206.50 Total Surcharges and Other Fees 3.64 Taxes Current Charges Due in Full by Dec 7,2013 Federal at 3% 3.33 State at 7% 7.67 Total Taxes 11.00 ,Pilling Su Total Plans and Services 124.98 Billing Questions?Visit att.com/billing Plans and Services 124.98 1-800-321-2000 Repair Service: Notice:Charges appearing in this section are for services provided by 1-800-246-8464 AT&T Corp.and/or by AT&T Illinois,AT&T Indiana,AT&T Michigan,AT&T For more information on products and services call Ohio,or AT&T Wisconsin,based upon your service address location. 1-800-321-2000 For Billing Inquiries: AT&T Internet Services 52.00 High Speed Internet(DSL):1.877.722.3755 1-877-722-3755 Web Hosting:1.888.932.4678 Tech Support360:1.866.497.5073 Total of Current Charges 176.98 Microsoft Office 365:1.866.531.4891 AT&T Wi-Fi contact information located atattwifi.com. Itemized Charges and Credits No. Date Description Services for 28032791 1 11-04 AT&T HSI PRO 52.00 Service Date:11/03/13-12/02/13 BROOKSHIRE GOLF CLUB HSI No.317 815-9263 brookshiregolfclubQattnet Total AT&T Internet Services 52.00 •PREVENT DISCONNECT •LONG DISTANCE INFO 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 y BROOKSHIRE GOLF CLUB Page 2 of 2 R 12120 BROOKSHIRE PKWY Account Number 317 815-9263 447 8 t&t CARMEL,IN 46033-3314 Billing Date Nov 16,2013 Invoice Number 317815926311 • 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$206.50. If you don't agree with the amount due,you should dispute the portion you disagree with before the payment due date. LONG DISTANCE INFO Our records indicate that you have chosen not to have a local toll or a long distance company. 4584.002.006728.01.01.0000000 YNNNNNNY 13475.13475 0 2006 AT&T Knowledge Ventures.All rights reserved. VOUCHER NO. WARRANT NO. ALLOWED 20 AT & T IN SUM OF $ P.O. Box 5080 Carol Stream, IL 60197-5080 $176.98 ON ACCOUNT OF APPROPRIATION FOR Brookshire Golf Club PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members 1207 ) 317815926311 I 43-440.00 I $176.98 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 Tuesday, November 26, 2013 Director, Brookshir 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)) 11/16/13 I 317815926311 I Phone I $176.98 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