240992 01/13/15 ur c�;cM
CITY OF CARMEL, INDIANA VENDOR: 093000
ONE CIVIC SQUARE FEDEX-SHIPPING CHARGES CHECK AMOUNT: $**.......f3, 9.56*
CARMEL, INDIANA 46032=a PO BOX 94515 CHECK NUMBER: 240992
'MUTON�O` PALATINE IL 60094-4515 CHECK DATE: 01/13/15
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
651 5023990 2-887-44200 9.56 1062-2307-6
Fedlz.
Invoice Number Invoice Date Account Number Page
2-887-44200 Dec 24 2014 1 Of
FedEx Tax ID: 71-0427007
Billing Address: Shipping Address:
CITY OF CARMEUMAYOR'S OFC CITY OF CARMEL Invoice Questions?
SHARON KIBBE 1 CIVIC SQ
Contact FedEx Revenue Services
1 CIVIC SQ CARMEL IN 46032-2584 Phone: (800)622-1147
CARMEL IN 46032-2584 M-F 7 AM to 8 PM CST
Sa 7 AM to 6 PM CST
Fax: (800)548-3020
Invoice Summary Dec 24,2014 Internet: www.fedex.com
FedEx Ground Services
Transportation Charges 6.95
Other Handling Charges 2.61
Total Charges USD $9.56
TOTAL THIS INVOICE USD $9.56
Other discounts may apply.
Detailed descriptions of surcharges can be located at fedexcorn
Invoice Number Invoice Date F Account Number Page
2-887-44200 Dec 24, 2014 2 of 4
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.fedex.com or calling
800.622.1147. Please use multiple forms for additional requests.
Please complete all fields in black ink.
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Re uestor 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 Date
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a Phone I I I I WWW I I I I I Fax# WWW I I I I I I I I I
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t. E-mail Address 0 Yes,I want to update account contact with the above information.
R: Tracking Number Bill to Account $Amount
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ADR-Address Correction INW-Incorrect Weight OVS- Oversize Surcharge For all Service failures or other
oDVC-Declared Value INS- Incorrect Service RSU- Residential Delivery surcharges please use our web
e IAN- Invalid Acct# OCF- Gird Pick-up Fee PND - Pwrshp Not Delivered site www.fedex.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
e l 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 • W WW11 1 XI I I IXI I I I
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Fed-;-!&
° Invoice Number Invoice Date Account Number Page
2-887-44200 Dec 24 2014 3 of 4
FedEx Ground Shipment Summary By Reference
FedEx Ground Shipments(Original)
Rated
Weight i4farisoortation_ Other Handling _ Ret Chg(Tax
Reference Shipments lbs_ Charges_: Charges Credit§/Othe Total Cha rges
NO REFERENCE INFORMATION 1 3 6.95 2.61 9.56
Total This Invoice USD $9.56
1357-01-00-0040917-0001-0091 ago
Invoice Number Invoice Date F—Account Number Page
2-887-44200 Dec 24, 2014 11 4 of 4
FedEx Ground Shipment Detail By Reference (Original)
Pickup Date �;ec f�:;NQfREFERENCE INFORMATION
—cust.Re P0
P Third P:
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Tracking ID 772230704218 Sender Recipient Transportation Charge 6.95
Service Type Bill 3rd Party,Dom Carme WWTP AFC INTERNATIONAL OAS Comm 2.07
Zone 02 Carme WWTP ATTN;SERVICE Fuel Surcharge 0.54
Packages 1 9609 Hazell Dell Pkwy 715 ALMOND ST SW Total Charge USD 59.56
Actual Weight 2.2 lbs Indianapolis IN 46280 DEMOTTE IN 46310-880115
Rated Weight 3lbs
Delivered Dec 16,2014
NO REFERENCE INFORMATION Reference Subtotal USD $9-56
Total FedEx Ground USD $9.56
1357-01-00-0040917-0001-0091420
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 of service rendered, by whom, rates per day, number of units,
price per unit, etc.
Payee
93000
FEDEX Purchase Order No.
PO BOX 94515 Terms
PALATINE, IL 60094 Due Date 12/30/2014
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
12/30/201, 2-887-44200 $9.56
I hereby certify that the attached invoice(s), or bill(s) is (are) true and
correct and II have audited same in accordance"with IC 5-11-10-1.6
Date Officer
VOUCHER # 146366 WARRANT # ALLOWED
93000 IN SUM OF $
FEDEX
PO BOX 94515
PALATINE, IL 60094
Carmel Wastewater Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO# INV# ACCT# AMOUNT Audit Trail Code
i
2-887-44200 01-7362-06 $9.56 j
i
I
ti
Voucher Total $9.56
Cost distribution ledger classification if
claim paid under vehicle highway fund