242104 02/10/15 J�/ �� CITY OF CARMEL, INDIANA VENDOR: 314125
r CHECK AMOUNT: $""""""""54.71"
.I; ® �• ONE CIVIC SQUARE UPS
?�; CARMEL, INDIANA 46032 LOCKBOX 577 CAROL STREAM IL 60132-0577 CHECK NUMBER: 242104
'"�>oN-� CHECK DATE: 02/10/15
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
601 5023990 76V77A045 54.71 76A77A
Delivery Service In voice
Invoice date January 24,2015
Stripped from: Invoice number 000076V77A045
CARMEL UTILITIES DISTRIBUTION Shipper number 76V77A
U1°
3450'W 1031 ST ST Control ID 284V
WESTFIELD,IN 46074
Page 1 of 3
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® CARMEL UTILITIES 8:0oam.-9:0op_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 IFPS
Incentive Savings Summary of Charges
Total incentive savings this period $4.76 Page Charge
Your amount due this period includes these savings_ Outbound
See incentive summary section for details. 3 UPS Internet Shipping $54.71
Account Status Summary Amount due this period $54.71
'Meekly Payment Pian
Amount Due This Period _ _ _ $54.71._ UPS payment terms re�c uire payment of this invoice by Februa�r!
Amount Outstanding(Prior invoices) — — $44.64 --
Total Amount Outstanding $99.35
Please include the Return Portion of each outstanding invoice with Payments not received by February 18,2015 are subject to a late
See Account Status for details_ fee of 610 of the Amount Due This Period.(Details in UPS Tariff,
your payment 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 !ossa of billing charges at ups.com. The published fuel surcharge is 6.591.for UPS Ground
g glossary g g Services and 7.09/.for UPS Air Services,UPS 3 Day Select,and —
ups.com/invoieeguide. International services_For more information, visit ups.com.
Delivery Service Invoice
Invoice date January 24, 2015
Invoice number 000076V77A045
Shipper number 76V77A
to
Page 2 of 3
Incentives Account Status
Outbound Weekly Payment Plan
Service Date Incentive Plan Payments Applied
Published Incentive
Incentive Level Count Charges Credit Amount
Invoice Number Invoice Date Paid
Fuel Surcharge
01/17/2015 000076V77A504 12/13/2014 $21.49
-0.29 000076V77A514 12/20/2014 $29.84
Ground Commercial Package Account Status
01/17/2015 DTCZ778 Weekly Payment Plan
Electronic Processed Basic 2 55.84 -4.47 Amount Outstanding(prior invoices):
—Please-include the Return Portion ofeach outstanding invoice.
Total Outbound -4.76 with your payment.
Total Incentives 4.76 Balance
Invoice Number Invoice Date Due
000076V77A025 01/10/2015 $30.41
000076V77A035 01/17/2015 $14.23
Total $44.64
Outstanding balances reflect any payments received as of
01/23/2015.Please ignore this message if a recent payment has
been made for any outstanding invoices.
Delivery Service In voice
1 Invoice date January 24, 2015
Invoice number 000076V77A045
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
01/15 iZ76V77A0394610897 Ground Commercial 78045 5 92 46.19 -3.70 42.49
Customer Weight 62
Fuel Surcharge 3.00 -0.24 2.76
Customer Entered Dimensions=33 x 22 x 21 in
Total 49.19 -3.94 45.25
tst ret:Heater from CL2 tank room Plant 1 UserlD:CarmelWater
Sender :Jaimie Foreman Receiver:
Carmel Water-Plant 1 Chromalox C/O
4915 E.106th Street 14218 Atlanta Dr
CARMEL IN 46033 LAREDO TX 78045
Message Codes:r
01116 - - iZ76V77A0397400797 Ground Commercial 16066 4 5 9.65 -0.77 8.88
Customer Weight 4
Fuel Surcharge 0.63 -0.05 0.58
Customer Entered Dimensions=12 x 10 x 6 in
Total 10.28 -0.82 9.46
1st ref :Return Card 7600-E 2nd ret:S/N PDSM
UserlD:CarmelWater
Sender :Jaimie Foreman Receiver:Sam Jones ext 1230
Carmel Water-Plant 1 GA Industries,Inc
4915 E.106th Street 9025 Marshall Road
CARMEL IN 46033 CRANBERRY TOWNSHIP PA 16066
Message Codes :r
Total for Internet-ID:CarmelWater 59.47 _4.76 54.71
Total UPS Internet Shipping 2 Package(s) 59.47 -4.76 54.71
Total Outbound 2 Package(s) 59.47 -4.76 54.71
Invoice Messaging
Code Message ®_
r Dimensional weight applied
Voucher # 142983 Warrant #
ALLOWED
314125
UPS a In SUM OF $
r
LOCKBOX 577
CAROL STREAM, IL 60132
�I
Carmel Water Utility
ON ACCOUNT OF APPROPRIATION FOR
Board Members
PO# INV# ACCT# AMOUNT Audit Trail Code
II.
1
045 01-6360-03 $54.71 S RECVG00004783
If
I
t
I(
11
it
Voucher Total $54.71 17
Cost Distribution ledger clasification 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 units,
price per unit, etc.
Payee
314125
UPS Purchase Order No.
LOCKBOX 577 Terms
CAROL STREAM, IL 60132
Due Date 2/5/2015
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
2/5/2015 045 $54.71
Blank`
I
i
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