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243347 3 /18/2015 i .y ur...4�gy • ' CITY OF CARMEL, INDIANA VENDOR: 314125 I, 1 ONE CIVIC SQUARE UPS CHECK AMOUNT: $********69.28* CARMEL, INDIANA 46032 LOCKBOX 577 CHECK NUMBER: 243347 9Mt T0'ii`�,` CAROL STREAM IL 60132-0577 CHECK DATE: 03/18/15 I DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 601 5023990 075 55.10, OTHER EXPENSES 601 5023990 095 14.18; OTHER EXPENSES I Delivery Service Invoice Invoice date February 28, 2015 ' Shipped-from: Invoice number 000076V77A095 CARMEL UTILITIES DISTRIBUTION Shipper number; 76V77A 3450 W 1031ST ST Control ID OR51 7° WESTFIELD,IN 46074 Page 1 of 3 Sign up for electronic billing today! 0749A000076V77A4 77366400065596 Visit ups.com/billing AB 01 065767 79998 H 195 A For questions about your invoice,call: (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 I Thank you for using UPS Incentive Savings Summary of Charges Total incentive savings this period $1.24 Wage ! Charge Your amount due this period includes these savings. Outbound See incentive summary section for details. 3 UPS Internet Shipping $14.18 Account Status Summa pp g � Amount due this period $14.18 Weekly Payment Plan = —_ Amount Due This Period $14.18 _ UPS payment terms require payment of this invoice by March 11, _ Amount Outstanding(prior invoices) ` $69.28 -- Total Amount Outstanding $83.46 Please include the Return Portion of each outstanding invoice with Payments received late are subject to a late payment fee of 6%of your payment.See Account Status for details. the Amount Due This Period.(see Tariff/Terms and Conditions of — Service at ups.com for details) — 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 6.50%for UPS Ground g g ry g g Services and 5.0%for UPS Air Services,UPS 3 Day Select,and _ ups.com/invoiceguide. International services.For more information,visit ups.com. _ Delivety Service Invoice Invoice date February 28, 2015 ' Invoice number 000076V77A095 Shipper number 76V77A TM 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 02/28/2015 000076V77A025 01/10/2015 $30.41 -0.08 000076V77A035 01/17/2015 $14.23 Ground Commercial Package 000076V77A045 01/24/2015 $54.71 02/28/2015 DTCZ778 Account Status Electronic Processed Basic 2 14.48 -1.16 Weekly Payment Plan Total Outbound -1.24 Amount Outstanding(prior-invoices): - - Please include the Return Portion of each outstanding invoice Total Incentives -1.24 with your payment. Balance Invoice Number Invoice Date Due 000076V77A055 01/31/2015 $14.18 000076V77A075 02/14/2015 $55.10 Total $69.28 Outstanding balances reflect any payments received as of 02/2712015.Please ignore this message if a recent payment has been made for any outstanding invoices. Delivery Service Invoice OTM Invoice date February 28, 2015 Invoice number 000076V77A095 Shipper number Page 3 of 3 Outbound UPS Internet Shipping Pickup ZIP Published Incentive Billed Date Tracking Number Service Code Zone Weight Charge Credit Charge 02/25 1Z76V77A0399187426 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 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 iZ76V77A0399611814 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 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 15.42 -1.24 14.18 Total UPS Internet Shipping 2 Package(s) 15.42 -1.24 14.18 Total Outbound 2 Package(s) 15.42 -1.24 14.18 Delivery Service Invoice Invoice date 1 February 14, 2015 ' Shipped from: Invoice number 1 000076V77A075 CARMEL UTILITIES DISTRIBUTION Shipper number' 76V77A 3450 W 1031ST ST Control ID F975 WESTFIELD,IN 46074 Page 1 of 4 Sign up for electronic billing today! 0749A000076V77A4 77366200067480 Visit ups.com/billing AB 01 033021 70815 H 96 A For questions about your invoice,call: 111111111111'1111111'lF111-1-1-11"11111lll'lll"1'1'11111111111 (800)811-1648 Monday-Friday CARMEL UTILITIES 8:00 am.-9.00p.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 $3.99 Page I ChFg-e- Your amount due this period includes these savings. Outbound See incentive summary section for details. 3 UPS Internet Shipping $55.10 Account Status Summary Amount due this period $55.10 Weekly Payment Plan = Amount Due This Period $55.10 UPS payment terms require payment of this invoice by February Amount-Outst— ing(prior invoices $113.53 -25-2015. Total Amount Outstanding $168.63 Please include the Return Portion of each outstanding invoice with Payments received late are subject to a late payment fee of 6%of your payment.See Account Status for details. the Amount Due This Period.(see Tariff/Terms and Conditions of Service at ups.com for details) 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 6.50%for UPS Ground Services and 5.095 for UPS Air Services,UPS 3 Day Select,and — ups.com/invoiceguide. International services.For more information,visit ups.com. 1 - Delivery Service Invoice Invoice date February 14, 2015 ' Invoice number 000076V77A075 Shipper number 76V77A n Page 2 of 4 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 02/14/2015 -0.25 000076V77A025 01/10/2015 $30.41 000076V77A035 01/17/2015 $14.23 Ground Commercial Package 000076V77A045 01/24/2015 $54.71 02/14/2015 DTCZ778 Electronic Processed Basic 6 46.69 -3.74 000076V77A055 01/31/2015 $14.18 Total Outbound -3.99 Total $113.53 Outstanding balances reflect any payments received as of Total Incentives -3.99 02/13/2015.Please ignore this message if a recent payment has been made for any outstanding invoices. Delivery Service Invoice Invoice date February 14, 2015 07M Invoice number 000076V77A075 Shipper number 76V77A Page 3 of 4 Outbound UPS Internet Shipping Pickup ZIP Published Incentive Billed Date Tracking Number Service Code Zone Weight Charge Credit Charge 02/04 1Z76V77A0393877521 Ground Commercial 46383 2 2 7.24 -0.58 6.66 Customer Weight 0.6 Fuel Surcharge 0.47 -0.04 0.43 Customer Entered Dimensions=8 x 5 x 5 in Total 7.71 -0.62 7.09 UserlD:CarmelWater Sender :Jaimie Foreman Receiver:Alex Hood Carmel Water-Plant 1 ME Simpson Co,Inc 4915 E.106th Street 3406 Enterprise Ave. CARMEL IN 46033 VALPARAISO IN 46383 Message Codes :r 02/09 iZ76V77A0390365357 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:PWS 5229004 POE 5 Raw TOC UserlD:CarmelWater Sender :Jaimie Foreman Receiver:Whitney Carmel Water-Plant 1 Environmental Labs 4915 E.106th Street 635 Green Rd CARMEL IN 46033 MADISON IN 47250 Message Codes :r - ----1Z76V77A0390601332-Ground-Commercial- --46202-- 2 - 2- -7-.24--0.-58-----6:6 - Fuel Surcharge 0.47 -0.04 0:43 Total 7.71 -0.62 7.09 1st ref:weekly fluoride 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. iZ76V77A0393813563 Ground Commercial 47250 2 2 7.24 -0.58 6.66 Delivery Area Surcharge-Extended 2.20 2.20 Fuel Surcharge 0.61 -0.04 0.57 Total 10.05 -0.62 9.43 1st ref:weekly fluoride UserlD:CarmelWater -...-:. ---- Sender-:Jaimie-Foreman Receiver:Whitney - Carmel Water-Plant 1 Environmental Labs 4915 E.106th Street 635 Green Rd CARMEL IN 46033 MADISON IN 47250 iZ76V77A0394515946 Ground Commercial 47250 2 4 7.59 -0.61 6.98 Customer Weight 2 Delivery Area Surcharge-Extended 2.20 2.20 Fuel Surcharge 0:64 -0.04 0.60 Customer Entered Dimensions=9 x 8 x 7 in Total 10.43 -0.65 9.78 1st ref:POE 2,3,4 Sodium PWS 5229004 UserlD:CarmelWater Sender :Jaimie Foreman Receiver:Whitney Carmel Water-Plant 1 Environmental Labs 4915 E.106th Street 635 Green Rd CARMEL IN 46033 MADISON IN 47250 Message Codes :r 033021 2/2 beiivery Service Invoice Invoice date February 14, 2015 Invoice number 000076V77A075 Shipper number 76V77A OW Page 4 of 4 Outbound UPS Internet Shipping(continued) Pickup ZIP Published Incentive Billed Date Tracking Number Service Code Zone Weight Charge Credit Charge 02/09 1Z76V77A0399801609 Ground Commercial 47250 2 14 10.03 -0.80 9.23 Customer Weight 12 Delivery Area Surcharge-Extended 2.20 2.20 Fuel Surcharge 0.79 -0.05 0.74 Customer Entered Dimensions=14 x 13 x 12 in Total 13.02 -0.85 12.17 1st ref:PWS 5229004 Plant 1 VOC,IOC,525.5 UserlD:CarmelWater Sender :Jaimie Foreman Receiver:Whitney Carmel Water-Plant 1 Environmental Labs 4915 E.106th Street 635 Green Rd CARMEL IN 46033 MADISON IN 47250 Message Codes :r Total for Internet-ID:CarmelWater 59.09 -3.99 55.10 Total UPS Internet Shipping 6 Package(s) 59.09 -3.99 55.10 Total Outbound 6 Package(s) 59.09 -3.99 55.10 Invoice Messaging Code Message r Dimensional weight applied VOUCHER # 151164 WARRANT# ALLOWED 314125 IN SUM OF $ UPS LOCKBOX 577 CAROL STREAM, IL 60132 Carmel Water Utility ON ACCOUNT OF APPROPRIATION FOR Board members PO# INV# ACCT# AMOUNT Audit Trail Code 095 01-6360-03 $14.18 C)-7 ti 55.10 Voucher Total 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 3/10/2015 Invoice Invoice Description Date Number (or note attached invoice(s) or bill(s)) Amount 3/10/2015 095 $14.18 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 F fficer