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Home My WebLink About248066 07/28/1 5 ♦ii CSA*F! CITY OF CARMEL, INDIANA VENDOR: 314125 j- ® tl ONE CIVIC SQUARE UPS CHECK AMOUNT: $**......10.61* 4�. ,?� CARMEL, INDIANA 46032 LOCKBOX 577 CHECK NUMBER: 248066 9�/`rON.�� CAROL STREAM IL 60132-0577 CHECK DATE: 07/28/15 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 601 5023990 76V77A285 10.61 OTHER EXPENSES Delivery Service Invoice Invoice date July 11, 2015 Shipped from: Invoice number 000076V77A285 CARMEL UTILITIES DISTRIBUTION Shipper number 76V77A C�Tm3450 W 1031ST ST Control ID 1 N67 WESTFIELD,IN 46074 Page 1 of 3 Sign up for electronic billing today! 0749A000076V77A4 77366020061059 Visit ups.com/billing AB 01 058647 88111 H 176 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 $12.25 Page Charge Your amount due this period includes these savings. Outbound See incentive summary section for details. 3 UPS Internet Shipping $10.61 Account Status Summary Amount due this period $10.61 Weekly Payment Plan Amount Due This Period $10.61 UPS payment terms require payment of this invoice by July 22, _ Amount Outstanding(prior invoices) $40.92 2015. Total Amount Outstanding $51.53 Please include the Return Portion of each outstanding invoice with Payments received late are subject to a late payment fee of 60/6 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) Ship packages at Staples using your UPS account With Bill My Account you can now use your UPS account Note_This invoice may contain a fuel surcharge as described at number to pay for shipments from any Staples store ups.com. The published fuel surcharge is 5.25%for UPS Ground nationwide. Visit ups.com/billmyaccount for more information Services and 5.25%for UPS Air Services,UPS 3 Day Select and and to enable your account for this option. International services.For more information, visit ups.com. - ) _ Delivery Service Invoice Invoice date' July 11, 2015 Invoice number 000076V77A285 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 07/11/2015 LNWF410 000076V77A235 06/06/2015 $32.31 Custom 3 21.72 -11.43 Account Status Fuel Surcharge Weekly Payment Plan 07/11/2015 YAD6116 Amount Outstanding(prior invoices): Basic 3 1.14 -0.82 Please include the Return Portion of each outstanding invoice Contractual Rates Applied with your payment. Balance Total Outbound -12.25 Invoice Number Invoice Date Due Total Incentives -12.25 000076V77A255 06/20/2015 $23.54 000076V77A265 06/27/2015 $17.38 Total $40.92 Outstanding balances reflect any payments received as of 07/10/2015.Please ignore this message if a recent payment has been made for any outstanding invoices. Delivery Service In voice Invoice date July 11, 2015 Invoice number 000076V77A285 Shipper number 76V77A tr Page 3 of 3 Outbound UPS Internet Shipping Pickup ZIP Published Incentive Billed Date Tracking Number Service Code Zone Weight Charge Credit Charge 06/24 1Z76V77A0392836148 Ground Commercial 46202 2 2 7.24 -3.81 3.43 Fuel Surcharge 0.38 -0.28 0.10 Total 7.62 -4.09 3.53 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 07/08 1Z76V77A0391421552 Ground Commercial 46202 2 2 724 -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.16th Street CARMEL IN 46033 INDIANAPOLIS IN 46202 1Z76V77A0393085761 Ground Commercial 46202 2 2 724 -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. 16th Street CARMEL IN 46033 INDIANAPOLIS IN 46202 Total for Internet-ID:CarmelWater 22.86 -12.25 10.61 Total UPS Internet Shipping 3 Package(s) 22.86 -12.25 10.61 - Total Outbound 3 Package(s) 22.86 -12.25 10.61 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 7/17/2015 Invoice Invoice Description Date Number (or note attached invoice(s) or bill(s)) Amount 7/17/2015 285 $10.61 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 VOUCHER # 152497 WARRANT # ALLOWED 314125 IN SUM OF $ UPS LOCKBOX 577 CAROL STREAM, IL 60132 Carmel Water Utility ON ACCOUNT OF APPROPRIATION FOR Board members PO# INV# ACCT# AMOUNT Audit Trail Code 285 01-6360-03 $10.61 Voucher Total $10.61 Cost distribution ledger classification if claim paid under vehicle highway fund