245468 05/20/15 ."•c�gM
r. CITY OF CARMEL, INDIANA VENDOR: 093000
® ONE CIVIC SQUARE FEDEX-SHIPPING CHARGES CHECK AMOUNT: $"*`"""'49.32`
CARMEL, INDIANA 46032 PO BOX 94515 CHECK NUMBER: 245468
9.j��,TON�,= PALATINE IL 60094-4515 CHECK DATE: 05/20/15
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1203 4342100 5-024-14451 49.32 POSTAGE
Invoice Number Invoice Date Account Number Page
5-024-14451 May 06 2015 1of4
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-F7 AMto 8 PM CST
Sa 7 AM to 6 PM CST
Fax: (800)548-3020
Invoice Summary May 06,2015 Internet: www.fedex.com
FedEx Express Services
Transportation Charges 47.65
Special Handling Charges 1.67
Total Charges USD $49.32
TOTAL THIS INVOICE USD $49.32
Other discounts may apply.
Detailed.descriptions of surcharges can be located atfedex.com
Invoice Number Invoice Date F—Account NumberPage
5-024-14451 May 06, 2015 11 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.fedex.com or calling
800.622.1147. Please use multiple forms for additional requests.
Please complete all fields in black ink.
0
Requestor Name I Date
Phone WWW I I I I I I I I I Fax#
E-mail Address ❑Yes,I wantto update account contactwith the above information.
Tracking Number Bill to Account $Amount
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...........
ADR-Address Correction INW-Incorrect Weight OVS- Oversize Surcharge For all Service failures or other
c
0 DVC- Declared Value INS- Incorrect Service RSU - Residential Delivery surcharges please use our web
d IAN- Invalid Acct# OCIF- Grd Pick-up Fee PND- Pwrshp Not Delivered site www.fedex.com or call
e
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
X I I I I x I
A
IxI I I IxI
x WWW X
S, x I I I I X
Ix I I I I xWWJ
Fed;2H, invoice Number Invoice Dat-e- —Account Number Page
5-024-14451 May 06, 2015 3 of 4
FedEx Express Shipment Summary By Reference
FedEx Express Shipments(Original)
RatedS I
pecia
............... ...............
:._... - MightTransportation... .::
Hand.'.l
i
Handling
Ret ChoqAk
Reference Shipments
Charges Charges /OtherDiscounts
il!! Total
C:!i-6�
ffge§_
NO REFERENCE INFORMATION 1 2.0 47.65 1.67 49.32
........... .. .......... ....... .. ........
Total FedEx"Ex $1.6
.
Total This Invoice USD $49.32
1125-01-00-0037354-0001-0088686
Invoice Number Invoice Date Account Number Page
5-024-14451 May 06 2015 4of4
FedEx Express Shipment Detail By Reference (Original)
Dropped off Apr 30 2015 Gust Ref NO REFERENCE INFOfMATIF)IV Ref#2
Payor.Third Party Ref#3
• Fuel Surcharge-FedEx has applied a fuel surcharge of 3.50%to this shipment.
• Distance Based Pricing,Zone 4
Automation SSFO Sender Recipient
Tracking ID 780586328728 Melanie Lentz Jocelyn Bogen,City Livability
Service Type FedEx Standard Overnight 1 CIVIC SO Awards Program,The US Confere
Package Type FedEx Pak CARMEL IN 46032 US of Mayors
Zone 04 WASHINGTON DC 20006 US
Packages 1
Rated Weight 2.0 lbs,0.9 kgs
Declared Value USD 100.00
Delivered May 01,2015 09:20 Transportation Charge 47.65
Svc Area Al Declared Value Charge 0.00
Signed by J.HAMILTON Fuel Surcharge 1.67
FedEx Use 000000000/0001327/_ Total Charge USD 549.32
NO REFERENCE INFORMATION Reference Subtotal USD $49.32
Total FedEx Express USD $49.32
1125-01-00-0037354-0001-0088686
VOUCHER NO. WARRANT NO.
ALLOWED
FedEx
IN SUM OF $
PO Box 94515
Palatine, IL 60094-4515
$49.32
ON ACCOUNT OF APPROPRIATION FOR
Community Relations
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT
1203 I 5-024-14451 I 43-421.00 I $49.32 1 hereby certify that the attached i
bill(s) is (are)true and correct an
materials or services itemized the
which charge is made were order:
received except
Monday, May 18, 2(
Director,Corm unity Relations/ Ecoi
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund
City Form No.201 (Rev.1995)
20 COUNTS PAYABLE VOUCHER
CITY OF CARMEL
RE-
d must show: kind of service,where performed, dates service rendered, by
rate per hour, number of units, price per unit, etc.
`r Purchase Order No.
Terms
Date Due
>by .e s Description Amount
Board Members (or note attached invoice(s) or bill(s))
„ry voice(s), or I $49.32
s s:::.: that the
eon for
d and
45'.v”
15
? s .. omic Development
�ice(s), or bill(s), is(are)true and correct and I have audited same in accordance
' : Clerk-Treasurer