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245699 05/27/15 a r_CAA / FF• CITY OF CARMEL, INDIANA VENDOR: 314125 ® it ONE CIVIC SQUARE UPS CHECK AMOUNT: $********15.62* :• ?� CARMEL, INDIANA 46032 LOCKBOX 577 CHECK NUMBER: 245699 9yi�oN� CAROL STREAM IL 60132-0577 CHECK DATE: 05/27/15 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1207 4342100 AA5702205 15.62 POSTAGE Delivery Service Invoice ' Invoice date May 16, 2015 Invoice number OOOOAA5702205 Shipper number AA5702 n Control ID N174 Page 1 of 3 Sign up for electronic billing today! _ 0749A000OAA57027 77366030060902 Visit ups.com/billing AB 01 064463 44942 H 187 A For questions about your invoice,call: �I�I�11�1�1���1����1�1��111111111�1�1�1�11��111'�11111'�'1�11�111 (800)811-1648 Monday-Friday BROOKSHIRE GOLF CLUB 8:OOam.-9:OOp.m.E.T. 12120 BROOKSHIRE PKWY or write: CARMEL, IN 46033-3314 UPS P.O.Box 7247-0244 Philadelphia,PA 19170-0001 Account Status Summary Weekly Payment Plan Thank you for using UPS Amount Due This Period $15.62 Summary of Charges Amount Outstanding(prior invoices) $0.00 Page Cage Total Amount Outstanding $15.62 Outbound Questions about your charges? 3 UPS Intemet Shipping $15.62 To get A better understanding of the charges on your invoice, Amount due this period $15.62 visit our invoice guide and glossary of billing charges at ups.com/invoiceguide. — - UPS payment-terms require payment of this-bill-by May 27,2015. Payments received late are subject to a late payment fee of 60/6 of the Amount Due This Period.(see Tariff/Terms and Conditions of Service at ups.com for details) Note.This invoice may contain a fuel surcharge as described at ups.com. The published fuel surcharge is 5.50%for UPS Ground Services and 4.259.for UPS Air Services,UPS 3 Day Select,and Intemational services.For more information,visit ups.com. Delivery Service Invoice Invoice date May 16, 2015 ' Invoice number OOOOAA5702205 Shipper number AA5702 n Page 2 of 3 This page intentionally left blank. Delivery Service Invoice Invoice date May 16, 2015 elm Invoice number OOOOAA5702205 Shipper number AA5702 Page 3 of 3 Outbound UPS Internet Shipping Pickup ZIP Billed Date Tracking Number Service Code Zone Weight Charge 05/08 1ZAA57020399456204 Ground Commercial 02719 5 7 14.81 Fuel Surcharge 0.81 Total 15.62 UserlD:Pllister Sender :Pam Lister Receiver: Brookshire Golf Club Foot Joy 12120 Brookshire Parkway 333 Bridge Street Carmel IN 46033 FAIRHAVEN MA 02719 Total for Internet-ID:Pllister 15.62 Total UPS Internet Shipping 1 Package(s) 15.62 Total Outbound 1 Package(s) 15.62 064463 2/2 - -- - I VOUCHER NO. WARRANT NO. ALLOWED 20 United Parcel Service IN SUM OF$ Lockbox 577 Carol Stream, IL 60132-0577 $15.62 ON ACCOUNT OF APPROPRIATION FOR Brookshire Golf Club PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members 1207 I OOOOAA57022051 43-421.00 I $15.62 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 Friday, May 22, 2015 Director, Brooksh X bolf Club Title Cost distribution ledger classification if claim paid motor 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 service rendered, by whom, rates per day, number of hours, rate per hour, number of units, price per unit, etc. Payee Purchase Order No. Terms Date Due Invoice Invoice Description Amount Date Number (or note attached invoice(s)or bill(s)) 05/16/15 I OOOOAA5702205I Shipping I $15.62 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