HomeMy WebLinkAbout227540 12/18/2013 cMf CITY OF CARMEL, INDIANA VENDOR: 00350980 Page 1 of 1
ONE CIVIC SQUARE VERIZON WIRELESS
CARMEL, INDIANA 46032 P.0 BOX 25505 CHECK AMOUNT: $351.33
LEHIGH VALLEY PA 18002-5505
CHECK NUMBER: 227540
CHECK DATE: 12/1812013
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1401 4344100 9716027720 351 .33 480888597-00001
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CITY OF CARMEL CITY COUNC Previous Balance(see back for details) $352.09
1 CIVIC SQ Payment—Thank You —$352.09
CARMEL,IN 46032-2584
Balance Forward $.00
Monthly Charges $339.12
Usage and Purchase Charges
Voice $.00
Messaging $1.58
Data $.00
Verizon Wireless'Surcharges
and Other Charges&Credits $10.63
Taxes,Governmental Surcharges&Fees $.00
Total Current Charges $351.33
Total Charges Due by December 29, 2013 $351.33
Pay from Wireless Pay on the Web Questions:
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Explanation of Charges Payments
Verizon Wireless'Surcharges Previous Balance $352.09
Verizon Wireless' Surcharges include (i) a Regulatory Charge
(which helps defray various government charges we pay including Payment—Thank You
® government number administration and license fees); (ii) a Payment Received 11/18/13 —352.09
® Federal Universal Service Charge (and, if applicable, a State
Universal Service Charge)to recover charges imposed on us by Total Payments —$352.09
the government to support universal service; and (iii) an Balance Forward $.00
Administrative Charge, which helps defray certain expenses we
incur, including charges we or our agents pay local telephone
® companies for delivering calls from our customers to their
® customers, fees and assessments on our network facilities and
® services, and costs and charges associated with proceedings
related to cell sites, local number portability, and other
® government mandates. Please note that these are Verizon
Wireless charges,not taxes.These charges,and what's included,
® are subject to change from time to time.
Taxes,Governmental Surcharges and Fees
Includes sales, excise and other taxes and governmental
surcharges and tees that we are required by law to bill
customers. These taxes, surcharges and fees may change from
time to time without notice.
Late Fee Information
A late payment applies for unpaid balances.The charge is the
greater of S5 or 1.5%per month,&as permitted by law.
Verizon Wireless'Other Charges and Credits
Includes charges for products and services,and credits owing.
Correspryondence Address Venzan Wireless Attn Correspondyence Team PO Bax 5029r;Wa111ngford�CT 06, 2
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Overview of Lines
Vzw
Usage Surcharges Taxes,
and and Other Governmental Third-Party Voice
Page Monthly Purchase Equipment Charges and Surcharges Charges Total Plan Messaging Data Voice Messaging Data
Lines Charges Number Charges Charges Charges Credits and Fees (includes Tax) Charges Usage Usage Usage Roaming Roaming Roaming
317-408-9071 Councilmember Schleif 4 $70.18 -- -- $3.33 $.00 -- $73.51 96 -- 110,715KB -- -- --
317-416-9059 Rick Sharp 5 $29.99 -- -- S.02 S.00 -- $30.01 -- -- -- -- -- --
317-503-7095 Kevin Rider 6 $70.18 -- -- $3.33 $.00 -- $73.51 209 29 28,527KB -- -- --
317-607-9244 Mifi Device K.Rider 7 $29.99 -- -- $.02 $.00 -- $30.01 -- -- -- -- -- --
317-690-3422 Mifi Device E.Seidensticker 8 $29.99 -- -- $.02 S.00 -- $30.01 -- -- 14GB -- -- --
317-710-0162 Ron Carter 9 $108.79 $1.58 -- $3.91 $.00 -- $114.28 1069 55 * -- -- --
Total Current Charges $339.12 $1.58 $.00 $10.63 $.00 $.00 $351.33 *The plan for this line was changed during the bill cycle.
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Summary for Councilmember Schleif: 317-408-9071
Your Plan Monthly Charges
Americas Ch Email&Data 1000 12/04—01/03 93.58
Americas Ch Email&Data 1000 25%Access Discount 12/04—01/03 —23.40
$93.58 monthly charge
$70.18
1000 monthly allowance minutes
$.25 per minute after allowance Usage and Purchase Charges
Friends&Family Voice Allowance Used Billable Cost
Email&Data Unlimited Calling Plan minutes 1000 96 -- --
Unlimited monthly Mobile to Mobile minutes unlimited 3 -- -- _
Night/Weekend minutes unlimited 29 -- --
Beginning on 09/18/12: Total Voice $.00
25%Access Discount
Data
Beginning on 03/10/13: Kilobyte Usage kilobytes unlimited 110,715 -- --
25 Bonus Minutes Available for Use Within 1 Total Data $.00
Year Total Usage and Purchase Charges $.00
25 remaining
Verizon Wireless'Surcharges
TXT Messaging Unlimited Fed Universal Service Charge 2.04
Unlimited monthly Text Message Regulatory Charge .21
IN Utility Receipts Surcharge .77
M2M National Unlimited IN Telecom Relay Surcharge .03
Unlimited monthly Mobile to Mobile IN Universal Service Fee .22
IN State PUC Fee .06
UNL Night&Weekend Min $3.33
Unlimited monthly OFFPEAK
Total Current Charges for 317-408-9071 $73.51
Have more questions about your charges?
Get details for usage charges at
vzw.com/mybusinessaccount.
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Summary for Rick Sharp: 317-416-9059
Your Plan Monthly Charges
4G Mobile Broadband Unlimited 12/04—01/03 29.99
4G Mobile Broadband Unlimited $29.99
$29.99 monthly charge
$.25 per minute
Verizon Wireless'Surcharges
MBB Unlimited Regulatory Charge .02
Unlimited monthly gigabyte $,02
Total Current Charges for 317-416-9059 $30.01
Have more questions about your charges?
Get details for usage charges at
vzw.com/mybusinessaccount.
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Summary for Kevin Rider: 317-503-7095
Your Plan Monthly Charges
Americas Ch Email&Data 1000 12/04—01/03 93.58
Americas Ch Email&Data 1000 25%Access Discount 12/04—01/03 —23.40
$93.58 monthly charge
$70.18
1000 monthly allowance minutes
$.25 per minute after allowance Usage and Purchase Charges
Friends&Family Voice Allowance Used Billable Cost
Email&Data Unlimited Calling Plan minutes 1000 209 -- --
Unlimited monthly Mobile to Mobile minutes unlimited 157 -- --
Night/Weekend minutes unlimited 30 -- --
Beginning on 09/18/12: Total Voice $.00
25%Access Discount
Messaging
Beginning on 03/10/13: Text messages unlimited 8 -- --
25 Bonus Minutes Available for Use Within 1 Unlimited M2M Text messages unlimited 1 21 1 -- 1 --
Year Total Messaging $.00
25 remaining Data
M2M National Unlimited Unbilled Usage from Previous Months
Unlimited monthly Mobile to Mobile Kilobyte Usage kilobytes 65 -- --
Current Data Usage
UNL Night&Weekend Min Kilobyte Usage kilobytes unlimited 1 28,527 -- --
Unlimited monthly OFFPEAK Total Data $.00
Total Usage and Purchase Charges $.00
UNL Picture/Video MSG
Unlimited monthly Picture&Video Verizon Wireless'Surcharges
Fed Universal Service Charge 2.04
Have more questions about your charges? Regulatory Charge .21
Get details for usage charges at IN Utility Receipts Surcharge .77
vzw.com/mybuslnessaccount. IN Telecom Relay Surcharge .03
IN Universal Service Fee .22
IN State PUC Fee .06
$3.33
N I Total Current Charges for 317-503-7095 $73.51
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Summary for Mifi Device K.Rider: 317-607-9244
Your Plan Monthly Charges
4G Mobile Broadband Unlimited 12104—01/03 29.99
4G Mobile Broadband Unlimited $29.99
$29.99 monthly charge
$.25 per minute
Verizon Wireless'Surcharges
MBB Unlimited Regulatory Charge .02
Unlimited monthly gigabyte $,02
Total Current Charges for 317-607-9244 $30.01
Have more questions about your charges?
Get details for usage charges at
vzw.com/mybusinessaccount.
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Summary for Mifi Device E.Seidensticker: 317-690-3422
Your Plan Monthly Charges
4G Mobile Broadband Unlimited 12/04—01/03 29.99
4G Mobile Broadband Unlimited $29.99
$29.99 monthly charge
$.25 per minute Usage and Purchase Charges
MBB Unlimited Data Allowance Used Billable Cost
Unlimited monthly gigabyte
Gigabyte Usage gigabytes unlimited 14 -- --
Total Data $.00
Have more questions about your charges? Total Usage and Purchase Charges $.00
Get details for usage charges at
vzw.com/mybusinessaccount. Verizon Wireless'Surcharges
Regulatory Charge .02
$.02
Total Current Charges for 317-690-3422 $30.01
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Summary for Ron Carter: 317-710-0162
Your Plan Monthly Charges
Extra Ch 1350 Email&Data 12/04—01/03 79.99
Extra Ch 1350 Email&Data 19%Access Discount 12/04—01/03 —15.20
$79.99 monthly charge Email&Data EVDO Unlimited 12/04—01/03 30.00
1350 monthly allowance minutes 20%—Feature Discount 12/04—01/03 —6.00
$.25 per minute after allowance MBB Cnnct Mob Hotspot 2GB 12/04—01/03 20.00
Email&Data EVDO Unlimited $108.79
$30.00 monthly charge
Unlimited monthly Usage and Purchase Charges
Unlimited Night&Weekend Mins Voice Allowance Used Billable Cost
Calling Plan minutes 1350 1069 -- --
Beginning on 01/12/12: Promotional minutes 83 --
19%Access Discount Mobile to Mobile minutes unlimited 422 -- --
Total Voice $.00
Beginning on 02/24/09:
20%—Feature Discount Messaging
Text—Sent me�sages -
ges — 6 6 .60
Begin ning on 03/10/13: Text—Rcv'd me — 49 49 .98
25 Bonus Minutes Available for Use Within 1 Total Messaging $1.58
Year
Data
25 remaining
Kilobyte Usage kilobytes unlimited 1 110,147 -- --
M2M National Unlimited Mobile Broadband Connect gigabytes 2 1 -- --
Unlimited monthly Mobile to Mobile Total Data $.00
Total Usage and Purchase Charges $1.58
MBB Cnnct Mob Hotspot 2GB
$20.00 monthly charge Verizon Wireless'Surcharges
2 monthly gigabyte allowance Fed Universal Service Charge 2.40
$20.00 per GB after allowance Regulatory Charge .21
IN Utility Receipts Surcharge .93
IN Telecom Relay Surcharge .03
Have more questions about your charges? IN Universal Service Fee .27
Get details for usage charges at IN State PUC Fee .07
vzw.com/mybusinessaccount.
$3.91
g Total Current Charges for 317-710-0162 $114.28
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Detail for Ron Carter: 317-710-0162
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Airtime Long Dist/
Date Time Number Rate Usage Type Origination Destination Min. Charges Other Chgs Total
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0 11/04 8:23A Unavailable Peak PlanAllow Carmel IN Incoming CL 3 -- -- --
11/04 9:04A 317-847-6970 Peak PlanAllow Carmel IN Indlanapls IN 5 -- -- --
a 11/04 10:21A 317-201-8640 Peak PlanAllow Carmel IN Incoming CL 7 -- -- --
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Detail for Ron Carter: 317-710-0962
Voice, continued
Airtime Long Dist/
Date Time Number Rate Usage Type Origination Destination Min. Charges Other Chgs Total
11/04 10:38A 317-502-9006 Peak PlanAllow Carmel IN Indianapls IN 2 -- -- --
® 11/04 10:42A 317-776-4039 Peak PlanAllow Carmel IN NoblesvllN 4 -- -- --
® 11/04 10:46A 317-848-4200 Peak PlanAllow Carmel IN Carmel IN 1 -- -- --
11/04 10:48A 317-571-2404 Peak PlanAllovd Carmel IN Carmel IN 1 -- -- —
11/04 10:49A 317-571-2529 Peak PlanAllow Carmel IN Carmel IN 3 -- -- --
® 11104 11:02A 630-879-6400 Peak PlanAIIDw Carmel IN Batavia IL 2 -- -- --
11/04 11:09A 317-446-1825 Peak M2MAIlow Carmel IN Indianapls IN 5 -- -- --
® 11/04 11:23A Unavailable Peak PlanAllow Carmel IN Incoming CL 8 -- --
11/04 12:02P 317-848-4200 Peak PlanAllow Carmel IN Incoming CL 6 -- -- --
11/04 12:15P 317-417-5055 Peak M2MAIlow Carmel IN Indianapls IN 2 -- -- --
11/04 12:36P 317-446-1825 Peak M2MAIlow Carmel IN Incoming CL 18 -- -- --
® 11/04 1:02P 317-575-0116 Peak PlanAllow Indianapol IN Carmel IN 1 -- -- --
11/04 2:04P 813-324-8000 Peak PlanAllow Carmel IN Incoming CL 6 -- -- --
11/04 2:1 OP 317-571-5850 Peak PlanAllow Carmel IN Carmel IN 2 -- -- --
11/04 2:13P 317-446-1825 Peak M2MAllow Carmel IN Indianapls IN 1 -- -- --
11/04 2:15P 317-446-1825 Peak M2011ovv Carmel IN Incoming CL 3 -- -- --
11/04 2:18P 877-336-8082 Peak PlanAllow Carmel IN Toll—Free CL 8 -- -- --
11/04 2:26P 855-733-7293 Peak PlanAllow Carmel IN Toll—Free CL 5 -- -- --
11/04 2:35P 317-446-1825 Peak M2MAIlow Carmel IN Indianapls IN 4 -- --
11/04 2:40P 317-251-4992 Peak PlanAllow Carmel IN Incoming CL 4 -- --
11/04 2:55P Unavailable Peak PlanAllow Carmel IN Incoming CL 4 -- -- --
11/04 4:04P 317-221-2222 Peak PlanAllow Carmel IN Indianapls IN 1 -- -- --
11/04 4:05P 317-221-2222 Peak PlanAllow Carmel IN Indianapls IN 4 -- -- --
11/04 4:15P 317-776-8500 Peak PlanAllow Carmel IN NoblesvllN 1 -- --
11/04 4:16P 317-776-8500 Peak PlanAllow Carmel IN NoblesvllN 2 -- -- --
11/05 8:17A 317-776-9600 Peak PlanAllow Carmel IN NoblesvllN 2 -- -- --
11705 8:21A 317-776-9600 Peak PlanAllow Carmel IN Incoming CL 13 -- -- --
11/05 10:53A 811-000-0000 Peak PlanAllow Carmel IN 811—DIG 2 -- -- --
11/05 10:56A 317-848-4200 Peak PlanAllow Indianapol IN Incoming CL 4 -- -- --
11/05 11:OOA 811-000-0000 Peak PlanAllow Indianapol IN 811—DIG 2 -- -- --
11/05 11:02A 317-339-8583 Peak M2MAIlow Indianapol IN Indianapls IN 1 -- -- --
11/05 11:03A 811-000-0000 Peak PlanAllow Carmel IN 811—DIG 9 -- -- --
11/05 11:13A 630-879-6400 Peak PlanAllow Carmel IN Batavia IL 21 -- -- --
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11/05 3:10P 317-446-1825 Peak M2MAllow Carmel IN Incoming CL 1 -- -- --
11/05 3:11P 317-848-3474 Peak PlanAllow Carmel IN Carmel IN 2 -- -- --
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11/05 3:15P 317-407-8726 Peak M2MAIlow Carmel IN Indianapls IN 1 -- -- --
0 11/05 3:17P 317-571-2495 Peak PlanAllow Carmel IN Carmel IN 4 -- -- --
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0 11/05 3:40P 317-687-6541 Peak PlanAllow Carmel IN Indianapls IN 1 -- -- --
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11/05 3:41P 317-687-6541 Peak PlanAllow Carmel IN Indianapls IN 4 -- -- --
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Voice, continued
Airtime Long Dist/
Date Time Number Rate Usage Type Origination Destination Min. Charges Other Chgs Total
11/05 4:59P 317-446-0278 Peak PlanAllow Carmel IN Incoming CL 10 -- -- --
11/06 10:37A 317-776-8589 Peak PlanAllow Carmel IN NoblesvllN 7 -- -- --
11/06 10:47A 317-776-9612 Peak PlanAllow Carmel IN NoblesvllN 4 -- -- --
11/06 11:27A 317-776-9600 Peak PlanAllow Carmel IN NoblesvllN 2 -- -- --
11/06 2:OOP 317-571-2306 Peak PlanAllow Fairland IN Carmel IN 2 -- -- --
11/06 2:05P 317-684-5172 Peak PlanAllow Shelbyvill IN Indianapls IN 1 -- -- --
11/06 2:06P 317-684-5172 Peak PlanAllow Shelbyvill IN Indianapls IN 4 -- -- --
11/06 2:11P 317-407-8726 Peak M2MAIlow Shelbyvill IN Indianapls IN 1 -- -- --
11/06 2:11P 317-407-8726 Peak M2MAIlow Shelbyvill IN Indianapls IN 3 -- -- --
11/06 2:19P 317-571-2500 Peak PlanAllow Saint Paul IN Incoming CL 11 -- -- --
11/06 2:37P 317-843-9059 Peak PlanAllow Batesville IN Incoming CL 6 -- -- --
11/06 2:46P 317-339-8472 Peak M2MAIlow Saint Leon IN Incoming CL 5 -- -- --
11/06 3:01P 317-917-4644 Peak PlanAllow Cleves OH Incoming CL 2 -- -- --
11/06 3:19P 317-776-9612 Peak PlanAllow Hebron KY Noblesvl IN 2 -- -- --
11/06 3:32P 317-571-2400 Peak PlanAllow Florence KY Carmel IN 2 -- -- --
11/06 3:42P 317-489-4444 Peak PlanAllow Walton KY Incoming CL 2 -- -- --
11/06 4:14P 317-776-9612 Peak PlanAllow Sadieville KY Noblesvl IN 3 -- -- --
11/06 4:36P 317-571-2467 Peak PlanAllow Lexington KY Incoming CL 2 -- -- --
11/07 8:59A 317-515-7414 Peak M2MAIIow Knoxville TN Incoming CL 15 -- -- --
11/07 10:52A 317-201-8640 Peak PlanAllow Waynesvill NC Indianapls IN 2 -- -- --
11/07 3:22P 336-869-6715 Peak PlanAllow Asheville NC High Point NC 3 -- -- --
11/09 4:14P 317-407-8726 Off—Peak M2MAIlow High Point NC Indianapls IN 5 -- -- --
11/10 5:55P 828-255-4863 Off—Peak PromoAllow Asheville NC Asheville NC 2 -- -- --
11/10 5:56P 828-255-4863 Off—Peak PromoAllow Asheville NC Asheville NC 3 -- -- --
11111 11:27A 317-997-9406 Peak M2MAIlow Kodak TN Incoming CL 27 -- -- --
11/11 12:12P 317-997-9406 Peak M2MAIIovv Lake City TN Incoming CL 2 -- -- --
11/11 1:07P 317-339-8583 Peak M2MAII0w Corbin KY Indianapls IN 3 -- -- --
11/11 1:43P 317-997-9406 Peak M2MAII0w Corbin KY Incoming CL 5 -- -- —
11/11 1:48P 317-968-5516 Peak PlanAllow Corbin KY Indianapls IN 1 -- -- --
11/11 1:48P 317-319-5952 Peak PlanAllow Corbin KY Indianapls IN 1 -- -- --
11/11 1:49P 317-968-5516 Peak PlanAllow Corbin KY Indianapls IN 2 -- -- --
11/11 1:55P 800-436-3644 Peak PlanAllow Corbin KY Toll—Free CL 3 -- -- --
0 11/11 2:10P 317-997-9406 Peak M2MAIl0w Corbin KY Indianapls IN 1 -- -- --
g 11/11 2:18P 317-496-4777 Peak PlanAllow London KY Incoming CL 5 -- -- --
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11111 2:25P 317-997-9406 Peak M2MAIlow East Berns KY Indianapls IN 1 -- -- --
0 11/11 2:25P 317-997-9406 Peak M2MAIlow East Berns KY Indianapls IN 3 -- -- --
0
0 11112 9:16A 317-446-1825 Peak M2MAIlow Carmel IN Indianapls IN 3 -- -- --
0 11/12 9:58A 317-997-9406 Peak M2MAIlow Carmel IN Indianapls IN 6 -- -- --
0 11/12 10:04A 317-431-7477 Peak PlanAllow Indianapol IN Indianapls IN 3 -- -- --
11/12 10:07A 317-997-9406 Peak M2MAIlow Indianapol IN Indianapls IN 6 -- -- --
0
11/12 10:13A 317-496-4777 Peak PlanAllow Indianapol IN Indianapls IN 2 -- -- --
g 11/12 10:16A 317-250-1912 Peak PlanAllow Indianapol IN Indianapls IN 25 -- -- --
0 11/12 10:41A 317-997-9406 Peak M2MAIlow Indianapol IN Indianapls IN 1 -- -- --
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11/12 10:42A 317-997-9406 Peak M2MAIlow it ianapol IN Indianapls IN 4 -- -- --
8 11/12 10:53A Unavailable Peak PlanAllow Indianapol IN Incoming CL 7 -- -- --
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® Airtime Long Dist/
Date Time Number Rate Usage Type Origination Destination Min. Charges OtherChgs Total
® 11/12 12:10P 317-253-8678 Peak PlanAllow Indianapol IN Indianapls IN 3 -- -- --
® 11/12 12:15P 317-407-8726 Peak M2MAIlow Indianapol IN Indianapls IN 11 -- -- --
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® 11/12 12:30P 317-446-0278 Peak PlanAllow Indianapol IN Indianapls IN 2 -- -- --
11/12 2:13P 317-446-1825 Peak M2MAIlow Indianapol IN Indianapls IN 13 -- -- --
® 11112 2:34P 317-446-1825 Peak M21VIAIIow Carmel IN Indianapls IN 2 -- -- --
® 11112 2:42P 317-777-7490 Peak PlanAllow Carmel IN Incoming CL 2 -- -- --
11!12 2:58P 317-590-6410 Peak PlanAllow Carmel IN Indianapls IN 1 -- -- --
11112 3:16P 317-590-6410 Peak PlanAllow Carmel IN Indianapls IN 21 -- -- --
® 11112 3:37P 317-407-8726 Peak M2MAIIow Carmel IN Indianapls IN 3 -- -- --
® 11112 4:02P 317-446-1825 Peak M21VIAllovv Carmel IN Incoming CL 3 -- -- --
11/12 4:48P 317-440-1181 Peak PlanAlloav Carmel IN Indianapls IN 12 -- -- --
® 11112 5:01P 920-716-7744 Peak M2MAllow Carmel IN Appleton WI 2 -- — --
11/12 5:07P 317-250-1912 Peak PlanAllow Carmel IN Incoming CL 8 -- -- --
11/12 6:16P 800-645-2411 Peak PlanAllow Carmel IN Toll—Free CL 4 -- -- --
11113 8:35A 317-246-8517 Peak PlanAllow Carmel IN Incoming CL 1 -- -- --
11/13 9:08A 317-446-1825 Peak M2MAIlow Carmel IN Incoming CL 8 -- -- --
11/13 10:11A 317-446-1825 Peak M2MAllow Carmel IN Indianapls IN 1 -- -- --
11/13 10:14A 317-431-7477 Peak PlanAllow Carmel IN Incoming CL 3 -- -- --
11/13 10:28A 317-446-1825 Peak M21VAllow Carmel IN Incoming CL 2 -- -- --
11/13 11:18A 317-733-6259 Peak PlanAllow Carmel IN Zionsville IN 1 -- -- --
11/13 11:21A 317-571-2404 Peak PlanAllow Carmel IN Carmel IN 1 -- -- --
11/13 12:11P 317-590-6410 Peak PlanAllow Carmel IN Indianapls IN 4 -- -- --
11/13 12:15P 317-571-2404 Peak PlanAllow Carmel IN Carmel IN 1 -- — --
11/13 1:42P 818-456-2832 Peak PlanAllow Carmel IN Incoming CL 3 -- -- --
11/13 2:16P 317-431-7477 Peak PlanAllow Carmel IN Incoming CL 1 -- — --
11/13 2:17P 317-431-7477 Peak PlanAllow Carmel IN Incoming CL 4 -- -- --
11/13 2:44P 317-440-7050 Peak PlanAllow Carmel IN Indianapls IN 6 -- -- --
11/13 2:57P 317-571-2404 Peak PlanAllow Carmel IN Carmel IN 2 -- -- --
11/13 3:02P 317-590-6410 Peak PlanAllow Carmel IN Indianapls IN 3 -- -- --
11/13 3:07P Unavailable Peak PlanAllow Carmel IN Incoming CL 16 -- -- --
11113 3:43P 317-446-1825 Peak M2MAIlow Carmel IN Incoming CL 4 -- — --
11/13 4:20P Unavailable Peak PlanAllow Carmel IN Incoming CL 7 -- -- --
0 11/13 4:37P 317-571-0024 Peak PlanAllow Carmel IN Incoming CL 17 -- -- --
m
11/13 5:14P 317-446-1825 Peak M2MAIlow Carmel IN Indianapls IN 6
o -- -- --
0
0 11/13 5:23P 317-341-0044 Peak PlanAllow Carmel IN Incoming CL 22 -- -- —
0 11/13 6:28P 317-987-6427 Peak PlanAllovd Carmel IN Incoming CL 1 -- -- --
0
0
° 11/13 6:33P 317-776-4039 Peak PlanAllow Carmel IN Incoming CL 2 -- -- --
0 11/13 6:51P 317-446-1825 Peak M2MAIIow Carmel IN Incoming CL 1 -- -- --
11/14 8:45A 317-774-8888 Peak PlanAllow Carmel IN NoblesvllN 1 -- -- --
11/14 5:46A 317-774-8888 Peak PlanAllow Carmel IN NoblesvllN 3 -- -- --
0
11/14 9:07A 317-846-7721 Peak PlanAllow Carmel IN Carmel IN 2 -- -- --
$ 11/14 9:22A 317-446-1825 Peak M2MAllow Carmel IN Incoming CL 4 -- -- --
0
r 11/14 9:35A 317-774-7807 Peak PlanAllow Carmel IN Incoming CL 5 -- -- --
0
11/14 9:42A 317-774-7807 Peak PlanAllow Carmel IN Incoming CL 9 -- -- --
11/14 10:02A 765-341-6286 Peak PlanAllovi Carmel IN Incoming CL 10 -- -- --
0
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Invoice Number Account Number Date Due Page
� X16027720 ! 480888597 00001 12/29/13 13 of,,18
Detail for Ron Carter: 317-710-0162
Voice, continued
Airtime Long Dist/
Date Time Number Rate Usage Type Origination Destination Min. Charges Other Chgs Total
11/14 10:40A 317-439-6889 Peak M2MAllow Indianapol IN Indianapls IN 1 -- -- --
11/14 10:44A 317-773-5050 Peak PlanAllow Indianapol IN NoblesvllN 2 -- -- --
11/14 10:46A 317-446-1825 Peak M2MAllow Indianapol IN Indianapls IN 11 -- -- --
11/14 10:56A 317-776-4038 Peak PlanAllow,CallWait Carmel IN Incoming CL 11 -- -- --
11/14 11:09A 818-456-2832 Peak PlanAllow Carmel IN Canogapark CA 1 -- -- --
11/14 2:15P 317-900-3146 Peak PlanAllow Carmel IN Incoming CL 1 -- -- --
11/14 2:44P 260-415-4652 Peak PlanAllow Carmel IN Incoming CL 2 -- -- . --
11/14 4:36P 317-989-7662 Peak PlanAllow Carmel IN Indianapls IN 1 -- -- --
11114 6:47P 317-706-8888 Peak PIanAllow Carmel IN Carmel IN 3 -- -- --
11/15 8:48A 317-446-1825 Peak M2MAllow Carmel IN Incoming CL 2 -- -- --
11/15 8:58A 317-201-8640 Peak PlanAllow Carmel IN Incoming CL 2 -- -- --
11/15 10:15A 317-414-3912 Peak PlanAllow Carmel IN Indianapls IN 3 -- -- --
11/15 10:30A 317-823-5060 Peak PlanAllow Carmel IN Oaklandon IN 2 -- -- --
11115 10:31A 317-496-3599 Peak PlanAllow Carmel IN Indianapls IN 1 -- -- --
11/15 10:53A 800-288-2020 Peak PlanAllow Carmel IN Incoming CL 1 -- -- --
11/15 11:10A 317-446-1825 Peak M2MAllow Carmel IN Incoming CL 3 -- -- --
11/15 1:44P 317-587-1693 Peak PlanAllow Carmel IN Carmel IN 4 -- -- --
11/15 1:48P- 317-997-9406 Peak M2MAIlow Indianapol IN Indianapls IN 4 -- -- --
11/15 1:53P 309-714-1674 Peak M21VIAllow Carmel IN Geneseo IL 2 -- -- --
11/15 4:29P 317-496-3599 Peak PlanAllow Carmel IN Indianapls IN 1 -- -- --
11115 4:31P 317-446-1825 Peak M2MAllow Carmel IN Indianapls IN 1 -- -- --
11/15 4:33P 317-496-3599 Peak PlanAllow Carmel IN Incoming CL 7 -- -- --
11/15 5:29P 317-201-8640 Peak PlanAllow Carmel IN Indianapls IN 3 -- -- --
11/16 10:20A 317-432-7320 Off–Peak M2MAllow Carmel IN Indianapls IN 3 -- -- --
11/16 10:45A 317-847-4145 Off–Peak M2MAllow Carmel IN Incoming CL 3 -- -- --
11/16 11:24A 317-201-8640 Off–Peak PromoAllow Carmel IN Incoming CL 7 -- -- --
11/16 3:17P 317-575-0116 Off–Peak PromoAllow Carmel IN Incoming CL 1 -- -- --
11/16 4:54P 502-471-1350 Off–Peak PromoAllow Carmel IN Incoming CL 7 -- -- --
11/16 5:42P 317-621-6262 Off–Peak PromoAllow Carmel IN Fishers IN 1 -- -- --
11/16 5:43P 317-454-4696 Off–Peak PromoAllow Carmel IN Indianapls IN 2 -- -- --
11/17 1:36P 317-454-4696 Off–Peak PromoAllow Carmel IN Indianapls IN 2 -- -- --
11/17 1:41P 317-454-4696 Off–Peak PromoAllow Carmel IN Incoming CL 2 -- -- --
11/17 1:48P 317-201-8640 Off–Peak PromoAllow Carmel IN Incoming CL 13 -- -- --
N
0 11/17 6:09P 502-471-1350 Off–Peak PromoAllow Carmel IN Incoming CL 5 -- -- --
0
0 11/18 10:22A 800-286-6800 Peak PlanAllow Carmel IN Toll–Free CL 43 -- -- --
m
0 11/18 11:05A 877-625-0205 Peak PlanAllow Carmel IN Toll–Free CL 6 -- -- --
0
0
N 11/18 11:12A 317-571-5850 Peak PlanAllow Carmel IN Carmel IN 2 -- -- --
tt
0 11/18 11:29A 317-777-7490 Peak PlanAllow Cannel IN Incoming CL 4 -- -- --
0 11/18 12:26P 317-446-0278 Peak PlanAllow Carmel IN Incoming CL 5 -- -- —
11/18 12:35P 317-776-8500 Peak PlanAllow Carmel IN NoblesvllN 2 -- -- --
0
– 11/18 2:29P 317-446-1825 Peak M2MAllow Carmel IN Indianapls IN 3 -- --
u
g 11/18 2:30P 317-446-1825 Peak WMAIIow,CallWait Carmel IN Incoming CL 6 -- -- —
U
0 11/18 3:12P 317-776-9600 Peak PlanAllow Carmel IN Incoming CL 2 -- -- --
m
11/18 3:25P 317-446-1825 Peak M2MAllow Carmel IN Incoming CL 6 -- -- --
11/18 3:32P 317-446-1825 Peak M2MAllow Carmel IN Incoming CL 3 -- -- --
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Invoice Number Account Number Date Due Page
` ry° � 9716027720 480888597-00001112/29/73 1`4 of 18
Detail for Ron Carter: 317-710-0162
Voice, continued
Airtime Long Dist/
® Date Time Number Rate Usage Type Origination Destination Min. Charges Other Chgs Total
® 11/18 3:49P 317-714-6157 Peak PlanAllow Carmel IN Indianapls IN 21 -- -- --
11/18 4:20P 317-446-1825 Peak M2MAIlow Carmel IN Incoming CL 2 -- -- --
11/18 7:46P 317-431-7477 Peak PlanAllow Carmel IN Incoming CL 1 -- -- --
11/19 11:OOA 317-446-1825 Peak M2MAllow Carmel IN Incoming CL 2 -- -- --
® 11/19 11:04A 317-446-1825 Peak M2MAllow Carmel IN Incoming CL 3 -- -- --
® 11119 12:35P 317-571-2418 Peak PlanAllow Carmel IN Carmel IN 2 -- -- --
® 11/19 12:40P 317-446-1825 Peak M2MAIlow Carmel IN Indianapls IN 2 -- -- --
® 11/19 3:29P 317-219-3423 Peak PlanAllovv Indianapol IN Incoming CL 7 -- -- --
11/19 4:10P 317-614-5835 Peak PlanAllow Carmel IN Incoming CL 16 -- -- --
11/19 4:36P 317-446-1825 Peak M21VIAllow Carmel IN Incoming CL 3 -- -- --
0
® 11120 9:54A 317-446-0278 Peak PlanAllow Noblesvill IN Incoming CL 2 -- -- --
® 11/20 9:55A 317-844-2005 Peak PlanAllow,CallWait Carmel IN Incoming CL 7 -- -- --
11/20 10:31A 317-571-2422 Peak PlanAllow Camby IN Carmel IN 1 -- -- --
11120 t 1:50A 317-515-7414 Peak M2MA11ow Bloomingto IN Incoming CL 2 -- -- --
11120 1:13P 317-446-1825 Peak M21VAIlow Bloomingto IN Indianapls IN 8 -- -- --
11/20 1:21P 765-480-1904 Peak PlanAllow Bloomingto IN Incoming CL 4 -- -- --
11/20 1:31P 765-418-6796 Peak PlanAllow Martinsvil IN Lafayette IN 1 -- -- --
11/20 2:53P 317-446-0278 Peak PlanAllow Indianapol IN Indianapls IN 2 -- -- --
11/20 2:54P 765-418-6796 Peak PlenAllow,CaliWait Indianapol IN Incoming CL 11 -- -- --
11/20 3:27P 317-446-1825 Peak M2MAIlow Indianapol IN Indianapls IN 6 -- -- --
11/20 3:58P 317-446-1825 Peak M2MAIlow Carmel IN Incoming CL 5 -- -- --
11/20 417P 317-446-1825 Peak M2MAIlow Carmel IN Incoming CL 2 -- -- --
11/20 6:35P 317-714-1198 Peak PlanAllow Carmel IN Incoming CL 17 -- -- --
11/21 9:35A 317-446-1825 Peak M21VIAIlow Carmel IN Incoming CL 6 -- -- --
11/21 10:33A 800-568-7625 Peak PlanAllow Carmel IN Toll—Free CL 12 — -- --
11/21 11:13A 317-446-1825 Peak M21VIAllow Carmel IN Incoming CL 2 -- -- --
11121 11:46A 818-456-2832 Peak PlanAllow Carmel IN Incoming CL 6 -- -- --
11121 12:05P 317-431-5393 Peak M2MAllow Carmel IN Indianapls IN 1 -- -- --
11/21 12:08P 317-848-5765 Peak PlanAllow Carmel IN Carmel IN 2 -- -- --
11/21 12:10P 317-917-4644 Peak PlanAllow Carmel IN Indianapls IN 4 -- -- --
11/21 12:19P 765-461-5686 Peak PlanAllow Carmel IN Kokomo IN 2 -- -- --
11/21 1:15P 317-985-0176 Peak PlanAllow Carmel IN Indianapls IN 2 -- — --
11121 1:19P 317-985-0176 Peak PlanAllow Carmel IN Incoming CL 2 -- -- --
0 1121 1:461` 317-446-1825 Peak M2MAllow Carmel IN Indianapls IN 2 -- -- --
0
0 0 1121 1:54P 317-846-6109 Peak PlanAllow Carmel IN Carmel IN 4 -- -- --
0 11/21 2:23P 317-446-1825 Peak M2MAIlow Carmel IN Incoming CL 3 -- -- --
0
0
° 1121 2:45P 317-773-7663 Peak PlanAllow Carmel IN Incoming CL 4 -- — --
0 1121 3:01P 317-439-7321 Peak M2MAllow Carmel IN Incoming CL 1 -- -- --
1121 3:02P 800-662-5378 Peak PlanAllow Carmel IN Toll—Free CL 5 -- -- --
1121 3:06P 317-446-1825 Peak M2MAllow Carmel IN Indianapls IN 1 -- -- --
0
1121 3:08P 317-777-7490 Peak PlanAllow Carmel IN Incoming CL 1 -- -- --
1121 3:47P 317-446-1825 Peak M2MAllow Carmel IN Indianapls IN 2 -- -- --
0
M 11/21 4:37P 765-461-5686 Peak PlanAllow Carmel IN Kokomo IN 1 -- -- --
0
1121 5:06P 765-461-5686 Peak PlanAllow Carmel IN Incoming CL 3 -- -- --
1121 5:53P 818-456-2832 Peak PlanAllow Carmel IN Canogapark CA 4 -- -- --
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9716027720, 4808885900001~ 12/29/13 15 of18
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Detail for Ron Carter: 317-710-0162
Voice, continued
Airtime Long Dist/
Date Time Number Rate Usage Type Origination Destination Min. Charges Other Chgs Total
1121 5:56P 317-446-1825 Peak M2MAllow Carmel IN Indianapls IN 1 -- -- --
1122 7:55A 317-714-1198 Peak PlanAllow Carmel IN Incoming CL 13 -- -- --
1122 10:12A 317-446-1825 Peak M2MAIlow Carmel IN Incoming CL 3 -- --
1122 11:11A 800-627-2799 Peak PlanAllow Carmel IN Toll—Free CL 1 -- -- --
1122 11:12A 800-627-2799 Peak PlanAllow Carmel IN Toll—Free CL 4 -- -- --
1122 11:16A 317-846-8965 Peak PlanAllow Carmel IN Incoming CL 2 -- -- --
1122 11:18A 800-627-2799 Peak PlanAllow Carmel IN Toll—Free CL 1 -- -- . --
1122 11:19A 800-627-2799 Peak PlanAllow Indianapol IN Toll—Free CL 3 -- -- --
1122 11:33A 800-627-2799 Peak PlanAllow Carmel IN Toll—Free CL 1 -- -- --
1122 11:34A 800-627-2799 Peak PlanAllow Carmel IN Toll—Free CL 13 -- -- --
1122 12:27P 317-446-1825 Peak M2MAllow Carmel IN Indianapls IN 1 -- -- --
1122 1229P 317-446-1825 Peak M2MAllow Carmel IN Incoming CL 4 -- -- --
1122 12:33P 317-848-5765 Peak PlanAllow Carmel IN Carmel IN 2 -- -- --
1122 12:36P 317-571-2400 Peak PlanAllow Carmel IN Carmel IN 1 -- -- --
1122 12:38P 317-571-2418 Peak PlanAllow Carmel IN Carmel IN 1 -- -- --
1122 12:39P 317-571-2441 Peak PlanAllow Carmel IN Carmel IN 2 -- -- --
1122 1:00P 800-568-7625 Peak PlanAllow Carmel IN Toll—Free CL 15 -- -- --
1122 2:11P Unavailable - Peak- PlanAllow --— Carmel IN Incoming CL 9
1122 2:50P 765-366-6754 Peak PlanAllow Carmel IN Incoming CL 4 -- -- --
1122 4:28P 765-460-7081 Peak PlanAllow Carmel IN Incoming CL 3 -- -- --
1122 5:45P 317-446-1825 Peak M2MAllow Carmel IN Incoming CL 3 -- -- --
1122 8:29P 317-373-3998 Peak PlanAllow Carmel IN Incoming CL 1 -- -- --
1122 8:30P 317-373-3998 Peak PlanAllow Carmel IN Incoming CL 5 -- -- --
1123 9:40A 317-446-1825 Off—Peak M2MAIlow Carmel IN Incoming CL 1 -- -- --
1123 1:48P 317-440-8250 Off—Peak M2MAllow Carmel IN Incoming CL 1 -- -- --
1123 2:04P 317-446-1825 Off—Peak M2MAIlow Carmel IN Indianapls IN 2 -- -- --
1123 2:10P 901-826-5287 Off—Peak PromoAllow Carmel IN Incoming CL 2 -- -- --
1123 3:14P 317-446-1825 Off—Peak M2MAllow Carmel IN Indianapls IN 3 -- -- --
1123 5:29P 317-446-1825 Off—Peak M2MAIlow Carmel IN Indianapls IN 2 -- -- --
1123 6:50P 317-844-2550 Off—Peak PromoAllow Carmel IN Carmel IN 1 -- -- --
1124 1:32P 317-341-0044 Off—Peak PromoAllow Carmel IN Incoming CL 9 -- -- --
1124 6:58P 765-461-5686 Off—Peak PromoAllow Carmel IN Kokomo IN 2 -- -- --
1124 7:39P 765-461-5686 Off—Peak PromoAllow Carmel IN Incoming CL 3 -- -- --
1125 11:02A 888-848-9555 Peak PlanAllow Carmel IN Toll—Free CL 4 -- --
o --
0
0 1125 11:08A 317-446-1825 Peak M2MAIlow Carmel IN Indianapls IN 2 -- --
0 1125 12:27P 920-716-7744 Peak M2MAIlow Carmel IN Appleton WI 8 -- -- --
0
0
N 1125 12:37P 888-848-9555 Peak PlanAllow Carmel IN Toll—Free CL 12 -- -- --
1125 12:51P 317-660-3396 Peak PlanAllow Carmel IN Carmel IN 5 -- -- --
1125 1:30P 317-571-2404 Peak PlanAllow Carmel IN Carmel IN 3 -- -- --
1125 3:43P 317-714-1198 Peak PlanAllow Carmel IN Incoming CL 6 -- -- --
0
1125 3:49P 317-714-1198 Peak PlanAllow Carmel IN Incoming CL 5 -- -- --
1125 4:01P 800-286-6800 Peak PlanAllow Carmel IN Toll—Free CL 38 -- -- --
c --— — — — -- — ——-- -- -- --- -- —
m 1125 4:54P 877-559-7866 Peak PlanAllow Carmel IN Toll—Free CL 4 -- -- --
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1126 9:12A 317-341-0044 Peak PlanAllow Noblesvilt IN Incoming CL 7 -- -- --
11126 1025A 317-636-2020 Peak PlanAllow Indianapol IN Incoming CL 3 -- -- --
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Detail for Ron Carter: 317-710-0162
® Voice, continued
® Airtime Long Dist/
Date Time. Number Rate Usage Type Origination Destination Min. Charges Other Chgs Total
11/26 11:05A 317-777-7490 Peak PlanAllow Indianapol IN Incoming CL 8 -- -- --
® 11/26 1:01P 317-571-2403 Peak PlanAllow Carmel IN Carmel IN 9 -- -- --
® 11/26 1:14P 317-571-2403 Peak PlanAllow Carmel IN Incoming CL 2 — --
11/26 1:20P 317-571-2400 Peak PlanAllow Carmel IN Carmel IN 3 -- -- --
11/26 1:59P 317-571-2500 Peak PlanAllow Carmel IN Incoming CL 42 -- -- --
® 11126 2:53P 317-446-1825 Peak M2MAllow Carmel IN Incoming CL 1 -- -- --
® 11/27 9:54A 877-559-7866 Peak PlanAllow Carmel IN Toll—Free CL 43 -- -- --
11/27 11:03A 317-590-6410 Peak PlanAllow Carmel IN Indianapls IN 8 -- --
® 11/27 11:14A 317-446-1825 Peak M2MAIlow Carmel IN Incoming CL 3 -- -- --
® 11/27 2:59P 317-446-1825 Peak M2MAllovd Carmel IN Incoming CL 1 -- -- --
11128 8:57A 502-471-1350 Peak PlanAllow Carmel IN Incoming CL 2 -- --
11/28 9:53A 317-273-1914 Peak PlanAllo%.v Indianapol IN Indianapls IN 4 -- -- --
11/28 10:21A 317-714-1998 Peak PlanAllow Edinburgh IN Indianapls IN 2 -- -- --
11/28 11:30A 317-714-1998 Peak PlanAllow Frankfort KY Incoming CL 19 -- -- --
11/28 11:49A 317-714-1998 Peak PlanAllow Crestwood KY Incoming CL 1 -- -- --
11/28 6:31P 765-418-6796 Peak PlanAllow Scottsburg IN Lafayette IN 1 -- -- --
11/29 10:57A 317-446-1825 Peak M2MAllow Carmel IN Incoming CL 4 -- --
11/29 11:19A 317-446-1825 Peak M2MAllow Carmel IN Incoming CL 2 -- -- --
11/29 7:39P 502-471-1350 Peak PlanAllow Carmel IN Louisville KY 1 -- -- --
11/30 2:25P 317-571-0077 Off—Peak PromoAllow Carmel IN Carmel IN 1 -- -- --
11/30 2:47P 765-853-5173 Off—Peak PromoAllow Carmel IN Incoming CL 15 -- --
11/30 3:42P 800-645-2411 Off—Peak PromoAllow Carmel IN Toll—Free CL 3 -- -- --
12101 11:09A 317-571-0077 Off—Peak PromoAllow Indianapol IN Carmel IN 2 -- -- --
12/02 11:08A 317-446-1825 Peak M2MAllow Carmel IN Indianapls IN 2 -- -- --
12/02 11:14A 317-446-1825 Peak M2MAIlow Carmel IN Incoming CL 5 -- -- --
12102 11:57A 317-571-2600 Peak PlanAllow Carmel IN Carmel IN 1 -- -- --
12/02 12:52P 317-573-1773 Peak PlanAllow Carmel IN Carmel IN 1 -- -- --
12102 1:12P 317-509-1534 Peak M2MAIlow Carmel IN Indianapls IN 2 -- -- --
12/02 1:32P 317-985-0176 Peak PlanAllow Carmel IN Indianapls IN 2 -- -- --
12/02 1:44P 317-850-6430 Peak PlanAllow Carmel IN Incoming CL 9 --
12/02 1:53P 317-571-2404 Peak PlanAllow Carmel IN Carmel IN 1 -- --
12102 2:02P 317-509-1534 Peak M21VIAllow Carmel IN Incoming CL 21 -- -- --
m 12/02 2:55P 317-777-7490 Peak PlanAllow Carmel IN Incoming CL 6 -- -- --
0 12/02 3:16P 317-446-1825 Peak M21VIAllow Carmel IN Indianapls IN 4 -- -- --
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12/02 3:22P 317-446-1825 Peak M2MAllow Carmel IN Incoming CL 1 — -- --
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0 12/02 3:26P 317-714-6157 Peak PlanAllow Carmel IN Indianapls IN 2 -- -- --
0
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$ 12102 3:57P 317-446-1825 Peak M2MAllow Carmel IN Incoming CL 2 -- -- --
p 12/02 4:26P 317-714-6157 Peak PlanAllow Carmel IN Incoming CL 10 -- -- --
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12/03 12:391` 317-844-4450 Peak PlanAllow Carmel IN Carmel IN 2 -- — --
12/03 12:42P 317-571-2404 Peak PlanAllow Carmel IN Carmel IN 1 -- -- --
0
12/03 12:43P 317-503-7095 Peak M21VIAllow Carmel IN Indianapls IN 1 -- -- --
$ 12/03 12:44P 317-446-1825 Peak M21VIAllow Carmel IN Indianapls IN 3 -- -- --
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Invoice Number Account Number Date Due Page
a y �\9716027720 480888597 0000112/29/13 17 of18
Detail for Ron Carter: 317-710-0162
Voice, continued
Airtime Long Dist/
Date Time Number Rate Usage Type Origination Destination Min. Charges Other Chgs Total
12/03 2:36P 317-446-1825 Peak M21VIAllow Carmel IN Indianapls IN 2 -- -- --
12103 2:51P 317-503-7095 Peak M21VIAllow Carmel IN Incoming CL 26 -- -- --
12/03 3:52P 317-446-1825 Peak M21VIAllow Carmel IN Incoming CL 1 -- -- --
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Need—to—Know Information
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when bills are processed and will not be honored. Please send such
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Introducing Verizon Quick Tasks
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Express Tools window on our main page will link you to Quick Tasks for
easy operation access.Now,checking your order status,changing user
information or voice mail passwords,and suspending/restoring service is
just a few clicks away.The new Verizon Wireless Quick Tasks
functionality simplifies your transaction access making your business
more efficient.
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Order#:6803 o~,mm n"mw^:2n00n27o-0v00'45« |111111 �UU|NU|0U | � UU| UU|||U0.=,."m`m""""^'^^"""'"..."" "="".."".."..
Prescribed by State Board of Accounts ACCOUNTS PAYABLE VOUCHER City Form No.201(Rev.1995)
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.
P�a,(ye�e�
Purchase Order No.
Terms
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoic,(s) or bill(s))
Total
I hereby certify that the attached invoice(s), or bill(s), is (are) true and correct and I have audited same in accor-
dance with IC 5-11-10-1.6.
, 20
Clerk-Treasurer
VOUCHER NO. WARRANT NO.
ALLOWED 20
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ON ACCOUNT OF APPROPRIATION FOR
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PO#or INVOICE NO. ACCT#/TITLE AMOUNT
DEPT.# I hereby certify that the attached invoice(s),
ILA q:Z/ 6�p 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
s� 20
Signature
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund