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241864 02/03/15 (9, CITY OF CARMEL, INDIANA VENDOR: 314125 ONE CIVIC SQUARE UPS CHECK AMOUNT: $********44.64* CARMEL, INDIANA 46032 LOCKBOX 577 CHECK NUMBER: 241864 CAROL STREAM IL 60132-0577 CHECK DATE: 02/03/15 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 601 5023990 025 30.41 000076V77A025 601 5023990 035 14.23 000076V77A035 Delivery Service Invoice Invoice date January 10, 2015 O.T Shipped from: Invoice number 000076V77A025 CARMEL UTILITIES DISTRIBUTION Shipper number 76V77A 3450 W 1031ST ST Control ID M384 WESTFIELD,IN 46074 Page 1 of 3 Sign up for electronic billing today! 0749A00 076V77A 77366200067048 Visit ups.com/billing • 4 AB 01 042022 46510 H 117 A For questions about your invoice,call: =- II111111I'llllllllllll'I'III'I'111111'lllll�ll��l'llll�l'llllllll (800)811-1648 Monday-Friday CARMEL UTILITIES s:oo am.-s:oo p.m.E.T. 3450 W 131ST ST or write: CARMEL, IN 46074-8267 UPS - _— - - - - P.O.Box 7247_-0244 Philadelphia,PA 19170-0601 Thank you for using UPS Incentive Savings Summary of Charges Total incentive savings this period $2.46 age Charge Your amount due this period includes these savings. Outbound See incentive summary section for details. 3 UPS Internet Shipping $30.41 Account Status Summary Amount due this period $30.41 Weekly Payment Plan =_ Amount Due This Period _ $30.41 UPS payment terms require payment of this invoice by January J Amount Outstanding(prior invoices) i $51.33 21,2015-.- -` — - - - Total Amount Outstanding $81.74 Please include the Return Portion of each outstanding invoice with Payments not received by February 4,2015 are subject to a late your payment.See Account Status for details. fee of 6%of the Amount Due This Period.(Details in UPS Tariff, available at ups.com) .Questions about your charges? To get a better understanding of the charges on your invoice, Note.This invoice may contain a fuel surcharge as described at visit our invoice guide and glossary of billing charges at ups.com. The published fuel surcharge is 6.531.for UPS Ground Services and 7.1131.for UPS Air Services,UPS 3 Day Select,and — ups.com/invoiceguide. International services.For more information,visit ups.com. Delivery Service Invoice Invoice date January 10, 2015 gym Invoice number 000076V77A025 Shipper number 76V77A Page 2 of 3 Incentives Account Status Outbound Weekly Payment Plan Service Date Incentive Plan Amount Outstanding(prior invoices): Published Incentive Please include the Return Portion of each outstanding invoice Incentive Level Count Charges Credit with your payment. Fuel SurchargeBalance Invoice Number Invoice Date Due 01/10/2015 -0.16 000076V77A504 12/13/2014 $21.49 Ground Commercial Package 000076V77A514 12/20/2014 $29.84 01/10/2015 DTCZ778 Total $51.33 Electronic Processed Basic 4 28.67 -2.30 Outstanding balances reflect any payments received as of _ _ _ _ —0-1/09/2015.-Please-ignore this message if a recent payment has Total Outbound -2.46 been made for any outstanding invoices. Total Incentives -2.46 Delivery Service Invoice Invoice date January 10, 2015 VTM Invoice number 000076V77A025 Shipper number 76V77A Page 3 of 3 Outbound UPS Internet Shipping Pickup ZIP Published Incentive Billed Date Tracking Number Service Code Zone Weight Charge Credit Charge 12/23 1Z76V77AP297893386 Ground Commercial 46202 2 2 6.84 -0.55 6.29 Fuel Surcharge 0.44 -0.04 0.40 Total 7.28 -0.59 6.69 1st ref:Weekly Fluoride Samples UserlD:CarmelWater Sender :Jaimie Foreman Receiver: Carmel Water-Plant 1 Indiana State Dept.of Health 4915 E.106th Street 550 W.16th Street CARMEL IN 46033 INDIANAPOLIS IN 46202 01/08 1Z76V77A0390880479 Ground Commercial 46202 2 2 7.24 -0.58 6.66 Fuel Surcharge 0.47 -0.04 0.43 - - Total 7.71 -0.62 7.09 1st ref:weekly fluoride samples UserlD:CarmelWater Sender :Jaimie Foreman Receiver: Carmel Water-Plant 1 Indiana State Dept.of Health 4915 E.106th Street 550 W. 16th Street CARMEL IN 46033 INDIANAPOLIS IN 46202 1Z76V77A0392657252 Ground Commercial 47250 2 3 7.35 -0.59 6.76 Customer Weight 2 Delivery Area Surcharge-Extended 2.20 2.20 Fuel Surcharge 0.62 -0.04 0.58 Customer Entered Dimensions=8 x 7 x 6 in Total 10.17 -0.63 9.54 -_ _ 1st ref:Plant 1 Jan.TOC UserlD:CarmelWater Sen ed :Jaimie of Deman- ---" -- -Receiver:Whitney - - Carmel Water-Plant 1 Environmental Labs _- 4915 E.106th Street 635 Green Rd CARMEL IN 46033 MADISON IN 47250 Message Codes :r -_ 1Z76V77A0394597466 Ground Commercial 46202 2 2 7.24 -0.58 6.66 Fuel Surcharge 0.47 -0.04 0.43 Total 7.71 -0.62 7.09 1st ref:weekly fluoride samples UserlD:CarmelWater -_ Sender :Jaimie Foreman Receiver: Carmel Water-Plant 1 Indiana State Dept.of Health 4915 E.106th Street 550 W.16th Street CARMEL IN 46033 INDIANAPOLIS IN 46202 Total for Internet-ID:CarmelWater 32.87 -2.46 30.41 . _.._.. - ....ac - Total UPS Internet Shipping 4_Pkages) 32.-7 -2.46 30.41 Total Outbound 4 Package(s) 32.87 -2.46 30.41 Invoice Messaging Code Message r Dimensional weight applied 042022 212 Delivery Service Invoice Invoice date January 17, 2015 Shipped from: Invoice number 000076V77A035 CARMEL UTILITIES DISTRIBUTION Shipper number 76V77A 3450 W 1031ST ST Control ID G415 TM WESTFIELD,IN 46074 Page 1 of 3 Sign up for electronic billing today! 0749A000076V77A4 77366300069108 Visit ups.com/billing AB 01 067534 51641 H 196 A For questions about your invoice,call: I��II�II��I1��1111111�11111��11�1�1'I"�'lllll�"IIIII�IIIII� (800)811-1648 Monday-Friday CARMEL UTILITIES 8:OOam.-9:OOp.m.E.T. 3450 W 131ST ST or write: CARMEL, IN 46074-8267 UPS P.O.Box 7247-0244 Philadelphia,PA 19170-0001 Thank you for using UPS Incentive Savings Summary of Charges Total incentive savings this period $0.62 Page Charge Your amount due this period includes these savings" Outbound See incentive summary section for details. 3 UPS Internet Shipping $7"09 Account Status Summary 3 Adjustments&Other Charges $7.14 Weekly Payment Plan Amount due this period $14.23 —_ - Amount Due This Period _ _ _ —$-14.23 Amount Outstanding(prior invoices) $81.74 UPS payment terms require payment of this invoice by January Total Amount Outstanding $95.97 28,2015' Please include the Return Portion of each outstanding invoice with your payment.See Account Status for details. Payments not received by February 11,2015 are subject to a late fee of 6%of the Amount Due This Period.(Details in UPS Tariff, — Questions about your charges?. available at ups.com) To get a better understanding of the charges on your invoice, visit our invoice guide and glossary of billing charges at Note:This invoice may contain a fuel surcharge as described at ups.com/invoiceguide. ups.com. The published fuel surcharge is 6.536 for UPS Ground _ Services and 7.0'0 for UPS Air Services,UPS 3 Day Select,and /� International services.For more information, visit ups.com. Delivery Service In voice Invoice date January 17, 2015 01M Invoice number 000076V77A035 Shipper number 76V77A Page 2 of 3 Incentives Account Status Outbound Weekly Payment Plan Service Date Incentive Plan Amount Outstanding(prior invoices): Published Incentive Please include the Return Portion of each outstanding invoice Incentive Level Count Charges Credit with your payment. Balance Fuel Surcharge Invoice Number Invoice Date Due 01/17/2015 -0.04 000076V77A504 12/13/2014 $21.49 000076V77A514 12/20/2014 $29.84 Ground Commercial Package 01/17/2015 DTCZ778 000076V77A025 01/10/2015 $30.41 Electronic Processed Basic 1 7.24 -0.58 Total $81.74 - Outstanding balances reflect any payments received as of Total Outbound -0.62 01/1612015.Please ignore this message if a recent payment has been made for any outstanding invoices. Total Incentives -0.62 Delivery Service Invoice Invoice date January 17, 2015 Invoice number 000076V77A035 Shipper number 76V77A n Page 3 of 3 Outbound UPS Internet Shipping Pickup ZIP Published Incentive Billed Date Tracking Number Service Code Zone Weight Charge Credit Charge 01/15 1Z76V77A0394610280 Ground Commercial 46202 2 2 7.24 -0.58 6.66 Fuel Surcharge 0.47 -0.04 0.43 Total 7.71 -0.62 7.09 1st ref:weekly fluoride samples UserlD:CarmelWater Sender :Jaimie Foreman Receiver: Carmel Water-Plant 1 Indiana State Dept.of Health 4915 E.106th Street 550 W.16th Street CARMEL IN 46033 INDIANAPOLIS IN 46202 Total for Internet-ID:CarmelWater 7.71 -0.62 7.09 Total UPS Internet Shipping 1 Package(s) 7.71 -0.62 7.09 Totaf Outbound 1 Package(s) 7.71. --0.62 - _ 7.09 Adjustments & Other Charges On-Call Pickup Requests Date of Published Incentive Billed Date Request Pickup Request No. Service Charge Credit Charge 01/15 01/15 2930F1E9KQH Same Day Pickup-Web Request 6.70 6.70 Fuel Surcharge 0.44 0.44 Total 7.14 7.14 — Pickup Address:Jaimie Foreman Carmel_Water-PI-ant 1 4915 E.106th Street CARMEL IN 46033 _® Total On-Call Pickup Requests 1 Request(s) 7.14 7.14 Total Adjustments&Other Charges 7.14 067534 2/2 I VOUCHER # 142867 WARRANT # i ALLOWED IN SUM OF $ 314125 UPS LOCKBOX 577 CAROL STREAM, IL 60132 Carmel Water Utility ON ACCOUNT OF APPROPRIATION FOR I I Board members PO# INV# ACCT# AMOUNT Audit Trail Code 035 01-6360-03 $14.23 Cas a 36,q� Voucher Total L4L-l. Cost distribution ledger classification if claim paid under 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 of service rendered, by whom, rates per day, number of units, price per unit, etc. Payee 314125 UPS Purchase Order No. LOCKBOX 577 Terms CAROL STREAM, IL 60132 Due Date 1/26/2015 Invoice Invoice Description Date Number (or note attached invoice(s) or bill(s)) Amount 1/26/2015 035 $14.23 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 Date Officer