242260 02/17/15 Mf CITY OF CARMEL, INDIANA VENDOR: 093000
d °1 ONE CIVIC SQUARE FEDEX-SHIPPING CHARGES CHECK AMOUNT: $*******'75.19`
=4 CARMEL, INDIANA 46032 PO BOX 94515 CHECK NUMBER: 242260
PALATINE IL 60094-4515 CHECK DATE: 02/17/15
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1160 4342100 2-928-73519 75.19 POSTAGE
F�+
Invoice Number Invoice Date Account Number Page
2-928-73519 Feb 04, 2015 11 1 of 4
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 AMto 8 PM CST
Sa7AM to6PMCST
Fax: (800)548-3020
Invoice Summary Feb 04,2015 Internet: www.fedex.com
FedEx Express Services
Transportation Charges 61.95
Special Handling Charges 13.24
Total Charges USD $75.19
�= TOTAL THIS INVOICE USD $75.19
Other discounts may apply.
Detailed descriptions of surcharges can be located atfedex.com
Invoice Number Invoice Date Account Number Page
2-928-73519 Feb 04 2015 11 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.fedex.com or calling
800.622.1147. Please use multiple forms for additional requests.
C. Please complete all fields in black ink.
in 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 I Date W/ W/ W
t
a Phone l l l l -WWW I I I I I Fax# WWW I I I I I I I I I
c
to E-mail Address EJ Yes,I wantto update account contactwith the above information.
R Tracking Number Bill to Account $Amount
$ IIIIIIIIIIIIIIII IIIIIIIIII IIIIII• W
=b° IIIIIIIIIIIIIIII IIIIIIIIII IIIIII• W
'` IIIIIIIIIIIIIIII IIIIIIIIII IIIIII• W
I_ IIIIIIIIIIIIIIII IIIIIIIIII IIIIII• W
sIIIIIIIIIIIIIIII IIIIIIIIII IIIIII• W
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- Grd 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)
C Tracking Number Code $Amount LBS L W H
r.
e I I I I I I I I I I I I I I I 1 1 1 1 1 1 1 1 1 1 1• W I I I II I I IxI I I Ix I I I I
d.IIIIIIIIIIIIIIIIIIIIIIIIII • W WWWIIIIxIIIIX
t::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 WWW WWW x I x LWW
SI 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 I I I II I I IxI I I IxI I I I
-'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 WWI I I X1 I I Ixl I I I
- -- ::
-.- - - ------ -
F Eiiie�-:
Invoice Number Invoice Date Account Number Page
2-928-73519 Feb 04, 2015 3 of 4
FedEx Express Shipment Summary By Reference
FedEx Express shipments(Original)
Rated sdaia
Weight: Transporattoi . Ret.-C.h.
irax
fterues:
I.s
Tat I C
.f: re! Shipments lbgCh 6 t ::: Charges. Credits/Other.; D Ift M
NO REFERENCE INFORMATION 2 61.95 13.24 75.19
T,otaj r6dt. E 2
Total This Invoice USD $75.19
1034-01-00-0036 743-0001-008612 4
Invoice Number Page
Invoice Date F—Account Number
2-928-73519 Feb 04, 2015 4 of 4
FedEx Express Shipment Detail By Reference (Original)
T
i�4 Aij6:til! CU; R 8 [ON 6C
Payor sh e
4]
• Fuel Surcharge-FedEx has applied a fuel surcharge of 4.50%to this shipment.
• Distance Based Pricing,Zone 6
Automaton USAB Sender Reci�ient
Tracking ID 804869392023 MAYOR JIM BRAINARD
Service Type FedEx Priority Overnight CITY OF CARMEL MBS ASSU LLG
Package Type FedEx Envelope 1 civic SO 329 MAIN ST.
Zone 06 CARMEL IN 46032-2584 US CARBONDALE CO 81623 US
Packages I
Rated Weight N/A Transportation Charge 32.60 ---
Delivered Jan 29,201511:42 Direct Signature 4.00
Svc Area PM DASComrn 2.35
Signed by S.TRIBBLE Fuel Surcharge 1.57
FedEx Use 002882160/0000230/_ Total Charge USD S40.52
ust 64 NO Ad;ER:ENCE ANFORM R
Ref#
• Fuel Surcharge-FedEx has applied a fuel surcharge of 4.50%to this shipment.
• Distance Based Pricing,Zone 4
Automaton USAB Sender Recipient
Tracking 10 804869392034 MAYOR JIM BRAINARD MARIANNE HILLAUER
Service Type FedEx Standard Overnight CITY OF CARMEL DLA PIPER LLP US
Package Type FedEx Envelope 1 civic SO 6225 SMITH AVENUE
Zone .04 CARMEL IN 46032-2584 US BALTIMORE MD 21209 US
Packages I
Rated Weight N/A
Delivered Jan 29,2015 10:26 Transportation Charge 29.35
Svc Area Al Direct Signature 4.00
Signed by KHEARN Fuel Surcharge 1.32
FedEx Use 002882160/0000222/ Total Charge USD $34.67
NO REFERENCE INFORMATION Reference Subtotal USD $75.19
Total FedEx Express USD $75.19
1034-01-00-0036743-0001-0086124
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
I
whom, rates per day, number of hours, rate per hour, number of units, price per unit, etc.
Payee
Purchase Order No.
Terms
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
02/04/15 2-928-73519 $75.19
1
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
20
Clerk-Treasurer
VOUCHER NO. WARRANT NO.
ALLOWED 20
FedEx
IN SUM OF $
PO Box 94515
Palatine, IL 60094-4515
$75.19
ON ACCOUNT OF APPROPRIATION FOR
Mayor's Office
PO#/Dept. INVOICE NO. ACCT#!TITLE AMOUNT Board Members
1160 2-928-73519 43-421.00 $75.19 I 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
Monday, February 16, 2015
Mayor
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund