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248551 08/12/15 a.' * CITY OF CARMEL, ?`JDIANA VENDOR: 314125 ® ONE CIVIC SQUARE UPS CHECK AMOUNT: S'""""""34.74' �3_ ? CARMEL, INDIANA 46032 LOCKBOX 577 CHECK NUMBER: 248551 �MiON`0CAROL STREAM IL 601 32-0 57 7 CHECK DATE: 08/12/15 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1115 4342100 170AT6315 10.83 POSTAGE 601 5023990 76V77A305 23.91 OTHER EXPENSES Delivery Service Invoice Invoice date August 1, 2015 Invoice number 0000170AT6315 Shipper number 170AT6 n Control ID 8512 Page 1 of 3 ®_ Sign up for electronic billing today! 0749A0000170AT69 77366010057875 Visit ups.com/billing AB 01 059220 03101 H 179 A For questions about your invoice,call: IIII�III1111111'11111"I'llllllllllllllll'llllll'I'I'I'llll" ll Mondayl-F day CARMEL CLAY COMMUNICATION CTR 8:OOam.-9:OOp.m.E.T. 31 1ST AVE NW or write: CARMEL, IN 46032-1715 UPS _ P.O.Box 7247-0244 Philadelphia,PA 19170-0001 Account Status Summary Thank you for using UPS. Weekly Payment Plan Amount Due This Period $10.83 Summary of Charges Amount Outstanding(prior invoices) $0.00 Page Charge Total Amount Outstanding $10.83 Outbound Questions about your charges? 3 UPS Internet Shipping $10.83 To get a better understanding of the charges on your invoice, Amount due this period $ 10.83 visit our invoice guide and glossary of billing charges at ups.com/invoiceguide. UPS payment terms require payment of this bill.by_August 12, 2015. Note:This invoice may contain a fuel surcharge as described at ups.com. The published fuel surcharge is 5.25%for UPS Ground Services and 5.25%for UPS Air Services,UPS 3 Day Select,and International services.For more information, visit ups.com. Delivery Service Invoice Invoice date August 1, 2015 Invoice number 0000170AT6315 Shipper number 170AT6 Page 2 of 3 Account Status Weekly Payment Plan Payments Applied Amount Invoice Number Invoice Date Paid 0000170AT6165 04/18/2015 $11.88 0000170AT6175 04/25/2015 $11.66 Delivery Service Invoice Invoice date August 1, 2015 QUO Invoice number 0000170AT6315 Shipper number 170AT6 Page 3 of 3 Outbound UPS Internet Shipping Pickup ZIP Billed Date Tracking Number Service Code Zone Weight Charge 07/27 1Z170AT60392585030 Ground Commercial 07005 5 6 10.29 Customer Weight 3 Fuel Surcharge 0.54 Customer Entered Dimensions=13 x 10 x 7 in Total 10.83 1st ref:192345 UserlD:CarmellCS Sender :Brian Smith Receiver:Service Center Carmel Communications L-3 Mobile Vision 31 1 st Ave NW 90 Fanny Rd Carmel IN 46032 BOONTON NJ 07005 Message Codes :r Total for Internet-ID:CarmellCS 10.83 Total UPS Internet Shipping 1 Package(s) 10.83 Total Outbound 1 Package(s) 10.83 Invoice Messaging Code Message r Dimensional weight applied 059220 2/2 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)) 08/01/15 I 000017OAT6315I I $10.83 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 UPS LOCKBOX 577 IN SUM OF $ CAROL STREAM IL 60132-0577 $10.83 ON ACCOUNT OF APPROPRIATION FOR PO#/Dept. INVOICE NO. ACCT#/Fund AMOUNT Board Members 0000170AT6315 I 43-421.00 I $10.83 1 hereby certify that the attached invoice(s), or 1115 101 1 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, August 07, 2015 Te ry Crocke irector Cost distribution ledger classification if claim paid motor vehicle highway fund Delivery Service Invoice Invoice date July 25, 2015 Shipped from: Invoice number 000076V77A305 CARMEL UTILITIES DISTRIBUTION Shipper number 76V77A 3450 W 1031ST ST Control ID 75X5 TM WESTFIELD,IN 46074 Page 1 of 3 Sign up for electronic billing today! _ 0749A000076V77A4 77366040060545 Visit ups.com/billing AB 01 059524 98411 H 182 A For questions about your invoice,call: I'III"'IIII� IIII'I"IIIIIIII�IIII'I"II'I'�III"�II�I�'lll�l (800)811-1648 Monday-Friday CARMEL UTILITIES 8:00am.-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 $25.75 Page C arge Your amount due this period includes these savings. Outbound See incentive summary section for details. 3 UPS Internet Shipping $23.91 Account Status Summary Amount due this period $23.91 Weekly Payment Plan Amount Due This Period ___. $.23.91 UPS payment terms require payment of this invoice by August 5, Amount Outstanding(prior invoices) $10.61 2015. Total Amount Outstanding $34.52 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 5.25%for UPS Ground _ Services and 5.25%for UPS Air Services,UPS 3 Day Select and ups.com/invoiceguide. International services.For more information, visit ups.com. Please tear off and send withof V Delivery Service Invoice Invoice date July 25, 2015 OT.M Invoice number 000076V77A305 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 000076V77A255 06/20/2015 $23.54 07/25/2015 LNWF410 Custom 5 44.98 -23.88 000076V77A265 06/27/2015 $ 17.38 Delivery Area Surcharge-Extended Account Status 07/18/2015 LPDI753 Weekiy Payment Plan Custom 1 2.20 -0.16 Amount Outstanding(prior invoices): Fuel Surcharge Please include the Return Portion of each outstanding invoice 07/25/2015 YAD6116 with your payment. Balance Basic 5 2.48 -1.71 Invoice Number Invoice Date Due Contractual Rates Applied 000076V77A285 07/11/2015 $10.61 Total Outbound -25.75 Total $10.61 Total Incentives -25.75 Outstanding balances reflect any payments received as of 07/24/2015.Please ignore this message if a recent payment has been made for any outstanding invoices. Deliverer Service Invoice Invoice date July 25, 2015 Invoice number 000076V77A305 Shipper number 76V77A n Page 3 of 3 Outbound UPS Internet Shipping Pickup 71 Published Incentive Billed Date Tracking Number Service Code Zone Weight Charge Credit Charge 07/14 lZ76V77A0391412777 Ground Commercial 47250 2 2 7.24 -3.81 3.43 Customer Weight 1 Delivery Area Surcharge-Extended 2.20 -0.16 2.04 Fuel Surcharge 0.50 -0.31 0.19 Customer Entered Dimensions=8 x 7 x 5 in Total 9.94 -4.28 5.66 1st ref:Plant 1 TOC 7/2015 UserlD:CarmelWater Sender :Jaimie Foreman Receiver:Whitney Carmel Water-Plant i Environmental Labs 4915 E.106th Street 635 Green Rd CARMEL IN 46033 MADISON 1N 47250 Message Codes :r IZ76V77A0392106589 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 UserlD:CarmelWater Sender :Jaime Foreman Receiver: Caramel Water-Plant 1 Indiana State Dept.of Health 4915 E.106th Street 550 W. 16th Street CARMEL IN 46033 INDIANAPOLIS IN 46202 07/16 1Z76V77A0394591195 Ground Commercial 50010 4 30 16.65 -9.27 7.38 Customer Weight 19 Fuel Surcharge 0.87 -0.62 0.25 Customer Entered Dimensions=24 x 17 x 12 in Total 17.52 -9.89 7.63 1st ret :CL17 repair SIN 090700329156 2nd ref:W003124 UserlD:CarmelWater Sender :Jaimie Foreman Receiver:SR 4891028 Carmel Water-Plant 1 Hach Co Service Center 4915 E. 106th Street 100 Dayton Ave CARMEL IN 46033 AMES IA 50010 Message Codes :r 07/21 lZ76V77A0397227583 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 UserID: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 lZ76V77A0399949577 Ground Commercial 46204 2 1 6.61 -3.18 3.43 Fuel Surcharge 0.35 -0.24 0.11 Total 6.96 -3.42 3.54 1st ref:OIT Logs Q2 2015 UseriD:CarmelWater Sender :Jaimie Foreman Receiver:Liz Melvin Carmel Water-Plant 1 IDEM-OWQ 4915 E.106th Street 100 N.Senate Ave. CARMEL IN 46033 INDIANAPOLIS IN 46204 Total for Internet-ID:CarmelWater 49.66 -25.75 23.91 Total UPS Internet Shipping 5 Package(s) 49.66 -25.75 23.91 Total Outbound 5 Package(s) 49.66 -25.75 23.91 Invoice Messaging Code Message r Dimensional weight applied 059524 212 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 8/5/2015 Invoice Invoice Description Date Number (or note attached invoice(s) or bill(s)) Amount 8/5/2015 305 $23.91 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 # 152631 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 305 01-6360-03 $23.91 Voucher Total $23.91 Cost distribution ledger classification if claim paid under vehicle highway fund