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243831 3 /31/2015 J,i° • CITY OF CARMEL, INDIANA VENDOR: 314125 i ONE CIVIC SQUARE UPS CHECK AMOUNT: $****■*i*34.76` �a CARMEL, INDIANA 46032 LOCKBOX 577 CHECK NUMBER: 243831 ♦,y,�TON. ` CAROL STREAM IL 60132-0577 CHECK DATE: 03/31/15 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 601 5023990 76V77A115 34.76 OTHER EXPENSES Delivery Service Invoice Invoice date March 14, 2015 Shipped from: Invoice number 000076V77A115 CARMEL UTILITIES DISTRIBUTION Shipper number 76V77A 3450 W 1031ST ST Control ID K777 TM WESTFIELD,IN 46074 Page 1 of 4- Sign up for electronic billing today! 0749A000076V77A4 77366020066835 Visit ups.com/billing AB 01 065818 89517 H 192 A For questions about your invoice,call: I"I1111n1111!'II'I�'I�'ll�'�ell��leelneeleu�ll�l��ll�l"II�� (800)811-1648 Monday-Friday CARMEL UTILITIES 8:OOam.-9:OOp.m.E.T. 3450 611 131ST ST or write: CARMEL, IN 46074-5267 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 $34.40 Page Charge Your amount due this period includes these savings. Outbound See incentive summary section for details. 3 UPS Internet Shipping $34.62 Account Status Summary 4 Adjustments&Other Charges $0.14 Weekly Payment Plan Amount due this period $34.76 �-.-----Amount Due This.P_eriod_ -- Amount Outstanding(prior invoices) $69.28 UPS payment terms require payment of this invoice by March 25, Total Amount Outstanding $104.04 2015' Please include the Return Portion of each outstanding invoice with your payment.See/account Status for details. Payments received late are subject to a late payment fee of 6%of the Amount Due This Period.(see Tariff/Terms and Conditions of _— Questions about your charges?. Service at ups.com for details) 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. The published fuel surcharge is 5.51Y.for UPS Ground — ups.com/invOlceguide. Services and 3.5%for UPS Air Services,UPS 3 Day Select and International services.For more information,visit ups.com. Delivery Service In voice Invoice date March 14, 2015 Invoice number 000076V77A115 Shipper number 76V77A n Page 2 of 4 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 Ground Commercial Package 000076V77A055 01/31/2016 $14.18 03/14/2015 LNWF410 Custom 7 56.62 -31.41 Account Status Delivery Area Surcharge-Extended Weekly Payment Plan 03/14/2015 LPD17553 Amount Outstanding(prior invoices): Custom 4 8.80 -0.64 Please include the Return Portion of each outstanding invoice - -- -- --- - ----- --- - - with your payment_ Fuel Surcharge -- `-- 03/14/2015 YAD6116 Invoice Number Invoice Date Due Basic 7 3.60 -2.36 000076V77A075 02/14/2015 $55.10 Contractual Rates Applied 000076V77A095 02/28/2015 $14.18 Total Outbound -34.40 Total $69.28 Total Incentives -34.40 Outstanding balances reflect any payments received as of 03/13/2015.Please ignore this message if a recent payment has been made for any outstanding invoices. Delivery Service Invoice Invoice date March 14, 2015 Invoice number 000076V77A115 Shipper number 76V77A tw Page 3 of 4 Outbound UPS Internet Shipping Pickup ZIP Published Incentive Billed Date Tracking Number Service Code Zone Weight Charge Credit Charge 03/09 1Z76V77A0392044575 Ground Commercial 47250 2 9 8.72 -5.05 3.67 Customer Weight 8 Delivery Area Surcharge-Extended 2.20 -0.16 2.04 Fuel Surcharge 0.60 -0.39 0.21 Customer Entered Dimensions=12 x 12 x 10 in Total 11.52 -5.60 5.92 1st ref:Carmel Clay TTHM/HAAS 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 03/10 iZ76V77A0395324436 Ground Commercial 46202 2 2 7.24 -3.81 3.43 Fuel Surcharge 0.40 -0.27 0.13 Total 7.64 -4.08 3.56 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 1Z76V77A0399858844 Ground Commercial 46202 2 2 7.24 -3.81 3.43 Fuel Surcharge 0.40 -0.27 0.13 _ Total 7.64 -4.08 3.56 1st-ref:weekly#luoride 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 03/11 1Z76V77A0390276613 Ground Commercial 46617 2 8 8.56 -4.96 3.60 Customer Weight 6 Fuel Surcharge 0.47 -0.34 0.13 Customer Entered Dimensions=13 x 10 x 9 in Total 9.03 -5.30 3.73 1st ref:PWS 5229004 POE5 Crypto Q1 UserlD:CarmelWater Sender :Jaimie Foreman Receiver: Carmel Water-Plant 1 Eurofins-Eaton Analyti cal 4915 E.106th Street 110 South Hill Street CARMEL IN-46033 SOUTH BEND IN 46617 Message Codes :r 1Z76V77A0391674404 Ground Commercial 47250 2 4 7.59 -4.16 3.43 Customer Weight 2 Delivery Area Surcharge-Extended 2.20 -0.16 2.04 Fuel Surcharge 0.54 -0.33 0.21 Customer Entered Dimensions=9 x 8 x 8 in Total 10.33 -4.65 5.68 1st ref:PWS 5229004 POE5 TOC sample 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 066818 2/2 Delivery Service Invoice Invoice date March 14, 2015 uclu Invoice number 000076V77A115 Shipper number 76V77A Page 4 of 4 Outbound UPS Internet Shipping(continued) Pickup ZIP Published Incentive Billed Date Tracking Number Service Code Zone Weight Charge Credit Charge 03/11 1Z76V77A0392362383 Ground Commercial 47250 2 14 10.03 -5.81 4.22 Customer Weight 10 Delivery Area Surcharge-Extended 2.20 -0.16 2.04 Fuel Surcharge 0.67 -0.43 0.24 Customer Entered Dimensions=15 x 15 x 10 in Total 12.90 -6.40 6.50 1st ref:PWS 5229004 TTHM/HAAS Q1 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 iZ76V77A0393790990 Ground Commercial 47250 2 2 7.24 -3.81 3.43 Delivery Area Surcharge-Extended 2.20 -0.16 2.04 Fuel Surcharge 0.52 -0.32 020 Total 9.96 -4.29 5.67 1st ref:PWS 2290801 Flowing Well Nitrate 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 Total for Internet-ID:CarmelWater 69.02 -34.40 34.62 Total UPS Internet Shipping 7 Package(s) 69.02 -34.40 34.62 Total Outbound 7 Package(s) 69.02 -34.40 34.62 Adjustments & Other Charges Shipping Charge Corrections Learn how to avoid future shipping charge corrections.Visit www.ups.com/avoidcharges. Pickup Tracking Original Service/ ZIP Published Incentive Billed Adjustment Date Number Corrected Service Code Zone Weight Charge Credit Charge Amount 03/09 1Z76V77A0392044575 Ground 47250 2 9 8.72 -5.05 3.67 Ground 47250 2 11.0 9.40 -5-59 3.81 Audited Dimensions=13 x 13 x 10 in Customer Entered Dimensions=12 x 12 x 10 in Fuel Surcharge 0.04 -0.04 0.00 0.14 1st ref:Carmel Clay TTHM/HAA5 Sender : Receiver:Whitney CARMEL UTILITIES DISTRIBUTION Environmental Labs WESTFIELD IN 46074 MADISON IN 47250 Total Shipping Charge Corrections 1 Packages) 0.14 Total Adjustments&Other Charges 0.14 Invoice Messaging Code Message - r Dimensional weight applied L 6 VOUCHER# 151343 WARRANT # ALLOWED 314125 IN SUM OF $ UPS LOCKBOX 577 CAROL STREAM, IL 60132 Carmel Water Utility .I. ON ACCOUNT OF APPROPRIATION FOR �II 4 i Board members PO# INV# ACCT# AMOUNT { Audit Trail Code 115 01-6360-03 $34.76 p Voucher Total $34.76 Cost distribution ledger classification if I claim paid under vehicle highway fund 1� 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 3/25/2015 Invoice Invoice Description Date Number (or note attached invoice(s) or bill(s)) Amount 3/25/2015 115 $34.76 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 fircer