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236144 08/19/14
(9, CITY OF CARMEL, INDIANA VENDOR: 093000 ONE CIVIC SQUARE FEDEX-SHIPPING CHARGES CHECKAMOUNT: $********52.35* CARMEL, INDIANA 46032 PO BOX 94515 CHECK NUMBER: 236144 PALATINE IL 60094-4515 CHECK DATE: 08/19/14 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1093 4350100 272561396 52.35 BUILDING REPAIRS K--MA Invoice Number Invoice Date Account Number Page 2-725-61396 Ju 123,2014 Billing Address: Shipping Address: CARMEL CLAY PARKS&RECREATION CARMEL CLAY PARKS&RECREATION Invoice Questions? 1411 E 116TH ST 1411 E 116TH ST Contact FedEx Revenue Services CARMEL IN 46032-7611 CARMEL IN 46032-7611 Phone: (800)622-1147 M-F 7 AMto 8 PM CST Sa7AM to6PMCST Fax: (800)548-3020 Invoice Summary Jul 23,2014 Internet: www.fedex.com FedEx Ground Services Transportation Charges 53.18 Other Handling Charges 3.43 Performance Pricing Discount -4.26 Total Charges USD $52.35 TDTAI_`THIS INVOICE USD $52.35 You saved$4.26 in discounts this periodl Other discounts may apply. CPTN7ED AUG 13 2014 BY: Detailed descriptions of surcharges can be located at fedex.com FedEx. Invoice Number Invoice Date Account Number Page 2-725-61396 Jul 23 2014 2of4 Adjustment Request Fax to (800) 548-3020 Use this form to fax requests for adjustments due to the reasons indicated below. Requests for adjustments due to other reasons, including service failures,should be submitted by going to www.fedox.com or calling 800.622.1147. Please use multiple forms for additional requests. Please complete all fields in black ink. Requestor Name I I I I I I I I I I I I I I I I I I I I I I I I I I I J Date W/ W/ I I I Phone 11 1 1 -I I I I -I I I I I Fax# I I I I -I I I I -I I I I I E-mail Address El Yes,I wantto update account contactwith the above information. Tracking Number- B.illt_o.Account $Amount IIIIIIIIIIIIIIII IIIIIIIIII IIIIIII___U IIIIIIIIIIIIIIII IIIIIIIIII IIIIII �� IIIIIIIIIIIIIIII IIIIIIIIII IIIIIIIWJ IIIIIIIIIIIIIIII IIIIIIIIII I � IIIIW IIIIIIIIIIIIIIII IIIIIIIIII IIIIII �� ADR-Address Correction INW-Incorrect Weight OVS- Oversize Surcharge For all Service failures or other I DVC-Declared Value INS- Incorrect Service RSU- Residential Delivery surcharges please use our weh a IAN- Invalid Acct# OCF-Grd Pick-up Fee PND-Pwrshp Not Delivered site wwwJedex.com or call OCS-Exp Pick-up Fee SDR- Saturday Delivery (800)622-1147 Rerate information only (round to nearest inch) Tracking Number Code $Amount LBS L W H IIIIIIIIIIIIIIIIIIIIIIIIII WIIIIIIIIxIIIIxIIII I I I I I I I I I I I I I I I I I I I I I I I I I I I I I LL1J 1 1 1 1 x 1 I I I x I I I I IIIIIIIIIIIIIIII ( I I I I I I I I I I I I I I I II I I IxI I I IxI I I I IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIxIIIIxIIII IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIxIIIIxIIII Check all that apply Eftectiv©Date I .I I/'I I I i I ! I ❑Shipping Address(Physical Address) ❑Billing Address Only ❑Billing Same As Shipping Address Company I I I I I I I I I I I I I I I I I I Company I I I I I I I I I I I I I I I I I I Address ( I I I I' I I I I I I I I I I I I I Address I I I I I I I I I I I I I I I I Li Address I I I I I I I I I I I I I I I I I I Address I I I I I I I I I I I I I I I I Li Dept I I I I I I I I I I I I I I I I I I Dept I I I I I I I I I I I I I I I I LJ Floor I I I I I I Apt/Suite# I I I I I I Floor I I I I I I Apt/Suite# I I I I I I City I I I I I I I I I I I I I I I I 1 I City I I I I I I' I I I I I I I I I I Li State I—I J Zip Code I I I I I I -( ( I I I State Zip Code Phone I I I I -1 Phone Fax# ( I I I -I I I I -L-I--I—LJ Fax# F I saw edEx 00 1 Invoice Number Invoice 0 F Account Number Page 2-725-61396 Jul 23 2014 3 of 4 FedEx Ground Shipment Summary By Payor Type FedEx Ground Shipments(Original) Ground-Bill Third Parry 07/09 2 48 53.18 3.43 -4.26 52.35 Ground-Bill Third Parry Subtotal $52.35 Total This Invoice USD $52.35 Fe&c.. F Invoice Number I Invoice Date F Account Number Page 2-725-61396 Jul 23 2014 4 of 4 FedEx Ground Bill Third Party Detail(Original) Tracking ID 448 062910086358 Sender Recipient Transportation Charge 21.70 Service Type Bill 3rd Party,Dom DIGILOCK DIGILOCK Fuel Surcharge 1.40 Zone 08 DIGILOCK RMA#10998 Performance Pricing -1.74 Packages 1 9 willowbrook court 9 WILLOWBRO0K CT Total Charge USD $21.36 Rated Weight 19lbs Petaluma CA 94954 PETALUMA CA 94954.650709 Delivered Jul 14,2014 Tracking ID 448062910086341 Sender ec' ' Transportation Charge 31.46 Service Type Bill 3rd Party,Dom DIGILOCK DIGILOCK Fuel Surcharge 2.03 Zone 08 DIGILOCK RMA#10998 Performance Pricing -2.52 Packages 1 9 willowbrook court 9 WILLOWBROOK CT Total Charge USD $30.99 Actual Weight 2B.8 lbs Petaluma CA 94954 PETALUMA CA 94954-650709 Rated Weight 29lbs Delivered Jul 14,2014 Bill Third Party Subtotal USD $52.35 Total FedEx Ground USD $52.35 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. 093000 FedEx Terms P.O. Box 94515 Palatine, IL 60094-4515 Invoice Invoice Description Date Number (or note attached invoice(s)or bill(s)) PO# Amount 7/23/14 272561396 Locker shipping charges xx864 $ 52.35 Total $ 52.35 I 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. I 093000 FedEx Allowed 20 P.O. Box 94515 Palatine, IL 60094-4515 In Sum of$ $ 52.35 ON-ACCOUNT OF APPROPRIATION FOR 109 Monon Center I :' I PO#or I Board Members Dept# INVOICE NO. ACCT#/TITLE AMOUNT I 1093 272561396 4350100 $ 52.35 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 13-Aug 2014 Signature $ 52.35 Accounts Payable Coordinator Cost distribution ledger classification if Title claim paid motor vehicle highway fund