245308 05/13/15 CITY OF CARMEL, INDIANA VENDOR: 314125
ONE CIVIC SQUARE UPS
CHECKAMOUNT: $********16.31*
CARMEL, INDIANA 46032 LOCKBOX 577 CHECK NUMBER: 245308
CAROL STREAM IL 60132-0577 CHECK DATE: 05/13/15
t ETON�
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
601 5023990 76V77A175 16.31 OTHER EXPENSES
Delivery Service Invoice
Invoice date April 25, 2015
1 Shipped from: Invoice number 000076V77A175
CARMEL UTILITIES DISTRIBUTION Shipper number 76V77A
3450 W 1031ST ST Control ID 695Z
TM WESTFIELD,IN 46074
Page 1 of 3
Sign up for electronic billing today!
0749A000076V77A4 77366040061875 Visit ups.com/billing
AB 01 060772 29062 H 182 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
Thank you for using UPS
Incentive Savings Summary of Charges
Total incentive savings this period $17.30 Page Charge
Your amount due this period includes these savings. Outbound
See incentive summary section for details. 3 UPS Internet Shipping $16.31
Account Status Summary Amount due this period $16.31
Weekly Payment Plan _—
Amount-DueThis Period __ __ _ . — $16.31_ _ __UPS,payment terms require payment of this invoice by_May 6.__
Amount Outstanding(prior invoices) $17,23 2015.
Total Amount Outstanding $33.54
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 maycontain a fuel surcharge as described at
voice guide and glossary of billing charges at ups.com. The published fuel surcharge is 5.259.for UPS Ground
visit our in
u s.comnvoice a ulde. Services and 4.759.for UPS Air Services,UPS 3 Day Select,and
P 9 International services.For more information,visit ups.com. —
�L ✓b9
r
Delivery Service Invoice
Invoice date April 25, 2015
U07M
Invoice number 000076V77A175
Shipper number 76V77A
Page 2 of 3
Incentives Account Status
Outbound Weekly Payment Plan
Service Date Incentive Plan payments Applied
Published Incentive Amount
Incentive Level Count Charges Credit
Invoice Number Invoice Date Paid
Ground Commercial Package 000076V77A115 03/14/2015 $34.76
04/25/2015 LNWF410
Custom 4 29.69 -15.97 Account Status
Delivery Area Surcharge Weekly Payment Plan
04/04/2015 LPDI754 Amount Outstanding(prior invoices):
Custom 1 2.20 -0.16 Please include the Return Portion of each outstanding invoice
with your payment. _
Fuel Surcharge - – - -- _ _ -- — - - Balance-
04/25/2015
alance04/25/2015 YAD6116 Invoice Number Invoice Date Due
Basic 4 1.72 -1.17 000076V77A145 04/04/2015 $17.23
Contractual Rates Applied Total $17.23
Total Outbound -17.30 Outstanding balances reflect any payments received as of
04/24/2015.Please ignore this message if a recent payment has
Total Incentives -17.30 been made for any outstanding invoices.
Delivery Service Invoice
Invoice date April 25, 2015
elm
Invoicenumber 000076V77A175
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
03/31 1Z76V77A0398263863 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
04/03 1Z76V77A0390436048 Ground Commercial 40422 2 6 7.97 -4.54 3.43
Delivery Area Surcharge 2.20 -0.16 2.04
Fuel Surcharge 0.56 -0.36 0.20
Total - 10:73 -5.06 5.67
1st ref:Ian work boot return for exchange UserlD:CarmelWater
Sender :Jaimie Foreman Receiver:Customer Returns
Carmel Water-Plant 1 Timberland
4915 E.106th Street 50 Service Lane
CARMEL IN 46033 DANVILLE KY 40422
04/20 iZ76V77A0390309668 Ground Commercial 46202 2 2 7.24 -3.81 3.43
Fuel Surcharge 0.38 -0.27 0.11
Total 7.62 -4.08 3.54
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.-1 6th Street--- -
CARMEL IN 46033 INDIANAPOLIS IN 46202
1Z76V77A0391953451 Ground Commercial 46202 2 2 7.24 -3.81 3.43 _
Fuel Surcharge 0.38 -0.27 0.11 =_
Total 7.62 -4.08 3.54
ist 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 33.61 -17.30 16.31
Total UPS Internet Shipping 4 in Package(s) 33.61 -17.30 16.31
Total Outbound 4 Package(s) 33.61 -17.30 16.31
VOUCHER# 151713 WARRANT# ALLOWED
314125 +
IN SUM OF $
UPS
LOCKBOX 577
I
CAROL STREAM, IL 60132
Carmel Water Utility {
ON ACCOUNT OF APPROPRIATION FOR j
I.
I
Board members
,I '
s
PO# INV# ACCT# AMOUNT i Audit Trail Code
175 01-6360-03 $16.31
i
i
I
I
� I
Voucher Total $16.31
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 5/4/2015
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
5/4/2015 175 $16.31
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