246018 06/03/15 / ,� CITY OF CARMEL, INDIANA VENDOR: 314125
ONE CIVIC SQUARE UPS
® 1. CHECK AMOUNT: $********14.16*
r =� CARMEL, INDIANA 46032 LOCKBOX 577 CHECK NUMBER: 246018
;,�o J` CAROL STREAM IL 60132-0577 CHECK DATE: 06/03/15
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
601 5023990 76V77A205 14.16 OTHER EXPENSES
Delivery Service Invoice
Invoice date May 16, 2015
' Shipped from: Invoice number 000076V77A205
CARMEL UTILITIES DISTRIBUTION Shipper number 76V77A
3450 W 1031ST ST Control ID 81 V4
WESTFIELD,IN 46074
Page 1 of 3
Sign up for electronic billing today!
0749A000076V77A4 77366030066759 Visit ups.com/billing
AB 01 064382 44942 H 187 A For questions about your invoice,call:
I��I�I���I� IIII���I'�I�I111'I�I'1�1�11111111�1'�III'11� �1��� (800)811-1648
Monday-Friday
CARMEL UTILITIES 8:00 am.-9:00 p.m.E.T.
3450 W 131ST ST or write:
CARMEL, IN 46.074-8267 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 $16.36 Page Charge
Your amount due this period includes these savings. Outbound
See incentive summarysection for details. 3 UPS Internet Shipping $14.16
Account Status Summary Amount due this period $14.16
Weekly Payment Plan
Amount Due This Period $14.16 UPS payment terms require payment of this invoice by May 27,
Amount Outstanding(prior invoices) $16.31 2015.
Total Amount Outstanding $30.47
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 5.50%for UPS Ground
g g ry g g Services and 4.25%for UPS Air Services,UPS 3 Day Select,and
ups.cotn/invoicegulde. International services.For more information,visit ups.com.
Delivery Service Invoice
Invoice date May 16, 2015
U01M Invoice number 000076V77A205
Shipper number 76V77A
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
Ground Commercial Package 000076V77A145 04/04/2015 $17.23
05/1612015 LNWF410
Custom 4 28.96 -15.24 Account Status
Fuel Surcharge Weekly Payment Plan
05/16/2015 YAD6116 Amount Outstanding(prior invoices):
Basic 4 1.56 -1.12 Please include the Return Portion of each outstanding invoice
Contractual Rates Applied with Your payment.
— _ - - Balance
Total Outbound =16.36 Invoice Number Invoice Date Due
Total Incentives -16.36 000076V77A175 04/25/2015 $16.31
Total $16.31
Outstanding balances reflect any payments received as of
05/15/2015.Please ignore this message if a recent payment has
been made for any outstanding invoices.
Delivery Service Invoice
Invoice date May 16, 2015
OTM
Invoice number 000076V77A205
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
04/28 1Z76V77A0390194489 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 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
1Z76V77A0390888677 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 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
05/06 iZ76V77A0392451090 Ground Commercial 46202 2 2 7.24 -3.81 3.43
Fuel Surcharge 0.40 -0.29 0.11
Total 7.64 -4.10 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.16th Street
__CARMEL-IN_46033. -- -- INDIANAPOLIS-IN 46202 --- -
05/13 1Z76V77A0399690480 Ground Commercial 46202 2 2 7.24 -3.81 3.43
Fuel Surcharge 0.40 -0.29 0.11
Total 7.64 -4.10 3.54 _
1st ref:weekly fluordie 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
Total for Internet-ID:CarmelWater 30.52 -16.36 14.16
Total UPS Internet Shipping 4 Package(s) 30.52 -16.36 14.16
Total Outbound 4 Package(s) 30.52 -16.36 14.16
V
I
VOUCHER # 151973 WARRANT# j ALLOWED
314125 j� IN SUM OF $
UPS {
LOCKBOX 577
CAROL STREAM, IL 60132 {
i
Carmel Water. Utility
ON ACCOUNT OF APPROPRIATION FOR j
r
i
II I
Board members
PO# INV* ACCT# AMOUNT j Audit Trail Code
1
205 01-6360-03 $14.16
I
1
�I
'I
:i
.i
�i
I
,1
I
t
;I
Voucher Total $14.16
Cost distribution ledger classification if
claim paid under vehicle highway fund
I
Prescribed by State Board of Accounts City Form No.201 (Rev 1995)
ACCOUNTS PAYABLE VOUCHER
CITY OF CARMEL
i
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 5/27/2015
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
5/27/2015 205 $14.16
I hereby certify that the attached invoice(s), or bill(s) is Gare)true and
correct and I have audited same in accordance with IC 5-11-10-1.6
Date Officer