242945 03/11/15 Y� CITY OF CARMEL, INDIANA VENDOR: 093000
ONE CIVIC SQUARE FEDEX-SHIPPING CHARGES CHECK AMOUNT: $*********8.53'
r ?� CARMEL, INDIANA 46032 PO BOX 94515 CHECK NUMBER: 242945
94j,�T.�N.%'p� PALATINE IL 60094-4515 CHECK DATE: 03/11/15
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1093 4350000 2-956-87047 8.53 EQUIPMENT REPAIRS & M
FedEK,,, Dinvoice Number Invoice Date Account Number Page
2-956-87047 Mar 04 2015 1 of 4
FedEx Tax ID: 71-0427007
Billing Address:
CARMEL CLAY PARKS&RECREATION Invoice Questions?
Contact FedEx Revenue Services
1411 E 116TH ST Phone: (800)622-1147
CARMEL IN 46032-7611
M-F 7 AM to 8 PM CST
Sa 7 AM to 6 PM CST
Fax: (800)548-3020
Invoice Summary Mar 04,2015 Internet: www.fedox.com
FedEx Ground Services
Transportation Charges 8.39
Other Handling Charges 0.48
Performance Pricing Discount -0.34
Total Charges USD $8.53 P
TOTAL THIS INVOICE USD $0.53 - - '
MAR 0.4 2015
You saved$0.34 in discounts this period!
1Y:
Other discounts may apply.
Detailed descriptions of surcharges can be located at fedex.com -------------______
FedExo Invoice Number Invoice Date Account Number Page
2-956-87047 Mar 04 2015 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.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/ W
Phone ( I I I -I I I I -I ( I I I Fax# I I I I -I I I I -I I IJ
E-mail Address Dyes,I wantto update account contact with the above information.
Tracking Number _ Bill to Account $Amount
IIIIIIIIIIIIIIII ( IIIIIIIII ( IIIIIIII
IIIIIIIIIIIIIIII IIIIIIIIII 111111L_I_J
IIIIIIIIIIIIIIII IIIIIIIIII IIII _LJ I I I
IIIIIIIIIIIIIIII ( IIIIIIIII IIII _LJ I__II
IIIIIIIIIIIIIIII ( IIIIIIIII IIIIIIIII
ADR-Address Correction INW-Incorrect Weight OVS- Oversize Surcharge For all Service failures or other
o DVC-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 (B00)622-1147
Rerate information only (round to nearest inch)
Tracking Number Code $Amount LBS L W H
( IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIxIIIIxIIII
x L_L__LJ x LW
IIIIIIIIIIIIIIIIIIIIIIIIII W IIIIIIIIxIIIIxIIII
IIIIIIIIlIIIIIIIIIIIIIIIII W IIIIIIIIxIIIIxIIII
( IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIxIIIIxIIII
Check all that apply Effective Date
❑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 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
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 LJ
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 Li
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 I I city I I I I I I I I I I I I I I I I LJ
State IBJ Zip Code I I I I I I -( I I I D State I I I Zip Code
Phone Phone
Fax# ( I I I -I I I I -L-1--I--IJ Fax#
FwJEx0
Invoice Number Invoice Date F Account Number Page
2-956-87047 Mar 04 2015 3 of 4
FedEx Ground Shipment Summary By Payor Type
FedEx Ground Shi menta(Original)
Ground-Bill Third Party
02/26 1 5 8.39 0.48 -0.34 8.53
Ground-Bill Third Party Subtotal $8.53
Total This Invoice USD $8.53
FedExo
Invoice Number Invoice Date Account Number Page
2-956-87047 Mar 04,2015 4of4
FedEx Ground Bill Third Party Detail(Original)
Tracking ID 780268129206 Sender Recipien Transportation Charge 8.39
Service Type Bill 3rd Party,Dom Carmel Clay Parks&Recreation ATTN:KIM NICHOLAS Fuel Surcharge 0.48
Zone 03 Carmel Clay Parks&Recreation GREAT LAKES LAUNDRY Performance Pricing -0.34
Packages 1 1411 E 116th Street 3455 BYRON CENTER AVE SW Total Charge USD $8.53
Actual Weight 4.21bs Carmel IN 46032 WYOMING MI 49519-325755
Rated Weight 5lbs
Delivered Feb 27,2015
Bill Third Party Subtotal USD $8.53
Total FedEx Ground USD $8.53
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
3/4/15 295687047 Shipping for Lint screens xx1786 $ 8.53
_ ---- ---
Total $ 8.53
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.
093000 FedEx Allowed 20
P.O. Box 94515
Palatine, IL 60094-4515
In Sum of$
$ 8.53
ON ACCOUNT OF APPROPRIATION FOR
109 Monon Center
PO#or INVOICE NO. ACCT#/TITLE AMOUNT Board Members
Dept#
I
1093 295687047 4350000 $ 8.53 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
i
March 5, 2015
1P*k&WYUAJ
Signature
$ 8.53 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund