247832 07/28/15 o
CITY OF CARMEL, INDIANA VENDOR: 093000
ONE CIVIC SQUARE FEDEX-SHIPPING CHARGES CHECK AMOUNT: S""""`33.63*
CARMEL, INDIANA 46032 PO BOX 94515 CHECK NUMBER: 247832
PALATINE IL 60094-4515 CHECK DATE: 07/28/15
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1115 4342100 509561430 25.22 POSTAGE
1091 4230200 510272768 8.41 OFFICE SUPPLIES
Fed
!- Ko Invoice Number Invoice Date Account Number Page
5-095-61430 Jul 15, 2015 11 1 of4
FedEx Tax ID: 71-0427007
Billing Address: Shipping Address:
CARMEL COMMUNICATIONS CARMEL COMMUNICATIONS Invoice Questions?
31 1 STAVE NW 31 1 STAVE NW Contact FedEx Revenue Services
CARMEL IN 46032-1715 CARMEL IN 46032-1715 Phone: (800)622-1147
M-F 7 AMto 8 PM CST
Sa 7 AM to 6 PM CST
Fax: (800)548-3020
Invoice Summary Jul 15,2015 Internet: www.fedex.com
FedEx Ground Services
Transportation Charges 18.25
Other Handling Charges 6.97
Total Charges USD $25.22
TOTAL THIS INVOICE USD $25.22
Other discounts may apply.
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Invoice Number Invoice Date Account Number Page
5-095-61430 Jul 15 2015 1 2of4
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.
Requestor Name I I I I I I I I I I I I I I I I I I I I I I I I I I I I Date I I I/ W/ W
t:..
a Phone I I I I WWW ( I I I I Fax# WWW WWW I I I I I
t. E-mail Address OYes,I wantto update account contact with the above information.
R° 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
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DVC- Declared Value INS- Incorrect Service RSU- Residential Delivery surcharges please use our web
e IAN- Invalid Acct# OCF- Grd Pick-up Fee PND- Pwrshp Not Delivered site www.fedex.com or call
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
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I I I I I I I I I I I I I I I I I I I I I I I I I I• W I I I II I I Ix I I I I xWWJ
° Invoice Number invoice Date
3 of 4
FedEx Ground Shipment Summary By Payor Type
FedEx Ground Shipments(Original)
Rated
Weight Transportation` Other Handling Ret ChyTax
Date Shipments lbs : Charges Charges Credits/Other Total_Charges
Ground-Prepaid
07/02 2 7 18.25 6.97 25.22
Ground-Prepaid Subtotal $25.22
Totaf:;fedExGiaund $1825. $6.97 $25.22
Total This Invoice USD $25.22
1195-01-00-0071653-0001-0165538
Invoice Number Invoice Date
4 of 4
FedEx Ground Prepaid Detail (Original)
Ship Date Jul 02,2015,4W.Ref Level 3 SW Stairway:.
Payor:Shipper_ Qept#
Tracking 10 773960711001 Sender Recipient Transportation Charge 9.65
Service Type Plod,Domestic Greg Bedell AXIS RMA#144092 NDOC-P/U-Auto-Comm 3.00
Zone 04 Carmel Clay Communications Can AXIS COMMUNICATIONS NORTH AM Fuel Surcharge 0.51
Packages 1 31 1st Ave.N.W. 2420 TECH CENTER PKWY Total Charge USD 513.16
Rated Weight 5 lbs Carmel IN 46032 STE 100
Delivered Jul 07,2015 LAWRENCEVILLE GA 30043-135825
Ship Date Ju1021201 5 :; Gust;Ref::NO REFERENGE.INFORMAT[ON P 0#_ .
Payor.Shipper Dept.#:
• We calculated your charges based on a dimensional weight of 2.0Ibs,9'x 6'x 4',using a dimensional factor of 166.
Tracking ID 773960787245 Sender Recipient Transportation Charge 8.60
Service Type Ppd,Domestic Carmel Clay Communications Cen ATTN:RA#190592-FBO24954 Fuel Surcharge 0.46
Zone 05 Carmel Clay Communications Can L-3 MOBILE-VISION INC. NDOC P/U-Auto Comm 3.00
Packages 1 31 1st Ave.N.W. 90 FANNY RD Total Charge USD S12.06
Actual Weight 1.1 lbs Carmel IN 46032 BOONTON NJ 07005-106599
Rated Weight 2lbs
Delivered Jul 07,2015
Prepaid Subtotal USD $25.22
Total FedEx Ground USD $25.22
1195-01-00-0071653-0001-0165538
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 Date Invoice# Description Amount
Dept. Fund# (or note attached invoice(s) or bill(s))
07/15/15 I 5-095-61430 I I $25.22
1115 101
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
VOUCHER NO. WARRANT NO.
ALLOWED 20
FEDEX-SHIPPING CHARGES
PO BOX 94515 IN SUM OF $
PALATINE IL 60094-4515
$25.22
ON ACCOUNT OF APPROPRIATION FOR
PO#/Dept. INVOICE NO. I ACCT#/Fund AMOUNT Board Members
5-095-61430 43-421.00 $2522 1 hereby certify that the attached invoice(s), or
1115 I 101
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
Thursday, July 23, 2015
rry Crockett, Director
Cost distribution ledger classification if
claim paid motor vehicle highway fund
Fedx; :. Invoice Number Invoice Date
1of4
FedEx TaxID: 71-0427007
Billing Address: Shipping Address:
CARMEL CLAY PARKS&RECREATION CARMEL CLAY PARKS&RECREATION Invoice Questions?
1411 E 116TH ST 1411 E 116TH ST Contact FedEx Revenue Services
CARMEL IN 46032-7611 CARMEL IN 46032-7611 Phone: (800)622-1147
M-F 7 AM to 8 PM CST
Sa 7 AM to 6 PM CST
Fax: (800)548-3020
Invoice Summary Jul 22,2015 Internet: www.fedex.com
FedEx Ground Services
Transportation Charges 8.39
Other Handling Charges 0.36 :7F
Performance Pricing Discount -0.34
Total Charges usD $8.41 TOTAL THIS INVOICE USD $8.41
You saved S0.34 in discounts this period!
Other discounts may apply.
Detailed descriptions of surcharges can be located at fedex.com
FedE :I Invoice Number Invoice Date Account Number Page
5-102-72768 1 Jul 22 2015 2of4
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.
Requestor Name I I I I I I I I I I I I I I I I I I I I I I I I I I I J Date W/ W/ W
Phone I I I I -I I I I I I I I I Fax# WWW I I I I -1 1 1 1 I
E-mail Address ❑Yes,I want to update account contact with the above information.
Tracking Number Bill to Account $Amount
IIIIIIIIIIIIIIII IIIIIIIIII IIIIIIW
I I I I I I I I I I I I I I I I I I I I I I I I I I 1 1 1 1 1 1 W
IIIIIIIIIIIIIIII IIIIIIIIII 111111 W
IIIIIIIIIIIIIIII IIIIIIIIII 111111 W
IIIIIIIIIIIIIIII IIIIIIIIII 111111 W
ADR-Address Correction INW-Incorrect Weight OVS- Oversize Surcharge For all Service failures or other
C
DVC-Declared Value INS- Incorrect Service RSU- Residential Delivery surcharges please use our web
eIAN- Invalid Acct# OCF- Grd Pick-up Fee PND- Pwrshp Not Delivered site www.fedex.com or call
OCS-Exp Pick-up Fee SDR- Saturday Delivery (800)622-1147
Rerate information only (round to nearest inch)
Tracking Number Code $Amount LBS L W H
IIIIIIIIIIIIIIIIIIIIIIIIII WLIWWLW1WxIIIIxWWW
x I I I I x IWJ
x I I I I x LLJW
IIIIIIIIIIIIIIIIIIIIIIIIII W IIIIIIIIxIIIIxWW
I I I I I I I I I I I I I I I I I I I I I I I I I I W WWWI I I Ix I I I I xWWLJ
lion 111111FIRIMEMIM
Check all that apply Effective Date I I I/ I I I/ I I I
❑Shipping Address(Physical Address) ❑Billing Address Only ❑Billing Same As Shipping Address
Company I I I I I I I I I I I I I I I I I I Company I I I I I I I I I I I I I I I I Li
Address I I I I I I I I I I I 1 1 1 1 1 LJ Address I I I I I I I I I I I I I I I I I I
Address I I I I I I I I I I I I I I I 1 LJ Address I I I I I I I I I I I I I I I I Li
Dept. I I I I I I I I I I I I I I I 1 LJ Dept. I I I I I I I I I I I I I I I I Li
Floor 1 1 1 1 1 1 Apt/Suite# I I I I I I Floor 1 1 1 1 1 1 Apt/Suite# I 11 I I I
City I I I I I I I I I I I I I I I I I I City I I I I I I I I I I I I I I I I Li
State W Zip Code 1 1 1 1 1 1 -I I I I I State W Zip Code
Phone I I I I I I I I I I I I I Phone
Fax# I I I I -I I I I -I I I I I Fax# WWW I I I I I I I I I
Invoice Number Invoice Date Account Number Page
5-102-72768 Jul 22,2015 3 of 4
FedEx Ground Shipment Summary By Payor Type
FedEx Ground Shipments(Original)
Rete
i®h it o `tion a^he Han ling et Chg a ax
ion e
-- rharge am ARM
Ground-Bill Third Party
07/15 1 5 8.39 0.36 -0.34 8.41
Ground-Bill Third Party Subtotal $8.41
Total This Invoice USD $8.41
FedEr a
Invoice Number Invoice Date Account Number Page
5-102-72768 Jul 22 2015 4 of 4
FedEx Ground Bill Third Party Detail (Original)
hip D te; uswQ fEEE.C R A p�•
We calculated your charges based on a dimensional weight of 5.0 lbs,13'x 9'x 6',using a dimensional factor of 166.
Tracking ID 780985155720 Sender Recipient Transportation Charge 8.39
Service Type Bill 3rd Party,Dom Eric Mehl RMA NAC40 Performance Pricing -0.34
Zone 03 Carmel Clay Parks&Recreation SENSOURCE IN fuel Surcharge 0.36
Packages 1 1235 CENTRAL PARK DR E 3890 OAKWOOD AVE Total Charge USD $8.41
Actual Weight 2.3 lbs CARMEL IN 46032 AUSTINTOWN OH 44515-303390
Rated Weight 5 lbs
Delivered Jul 16,2015
Bill Third Party Subtotal USD $8.41
Total FedEx Ground USD $8.41
ACCOUNTS PAYABLE VOUCHER
CITY OF CARMEL
An invoice of 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
093000 FedEx
P.O. Box 94515
Palatine, IL 60094-4515
Invoice Invoice Description Amount
or note attached invoices)or bill(s)) PO#
Date Number ( 8.41
7/22/15 510272768 Shipping for SenSource Device Return 7/15/15 �oc2468 $
Total $ 8.41
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
Voucher No. Warrant No.
093000 FedEx Allowed 20
P.O. Box 94515
Palatine, IL 60094-4515
In Sum of$
$ 8.41
ON ACCOUNT OF APPROPRIATION FOR
109 Monon Center
PO#or INVOICE NO. ACCT WTITLE AMOUNT Board Members
Dept#
1091 510272768 4230200 $ 8.41 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
July 23, 2015
Signature
$ 8.41 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund