249682 09/23/15 CITY OF CARMEL, INDIANA VENDOR: 093000
(� ONE CIVIC SQUARE FEDEX-SHIPPING CHARGES CHECK AMOUNT: S'`......55.40"
CARMEL, INDIANA 46032 PO BOX 94515 CHECK NUMBER: 249682
+,;,,TON L'�` PALATINE IL 60094-4515 CHECK DATE: 09/23/15
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1160 4342100 5-154-51881 43.52 POSTAGE
1115 4342100 5-160-87322 11.88 POSTAGE
Fed-Bm I
Invoice Number Invoice Date Account Number Page
5-154-51881 Sep 09 2015 11 1 of 4
FedEx Tax ID: 71-0427007
Billing Address: Shipping Address:
CITY OF CARMEUMAYOR'S OFC CITY OF CARMEL Invoice Questions?
SHARON KIBBE 1 CIVIC SQ Contact FedEx Revenue Services
1 CIVIC SQ CARMEL IN 46032-2584 Phone: (800)622-1147
CARMEL IN 46032-2584 M-F7 AMto 8 PM CST
Sa 7 AM to 6 PM CST
Fax: (800)548-3020
Invoice Summary Sep 09,2015 Internet: www.fedex.com
FedEx Express Services
Transportation Charges 42.25
Special Handling Charges 1.27
Total Charges USD $43.52
TOTAL THIS INVOICE USD $43.52
Other discounts may apply.
Detailed descriptions of surcharges can be located atfedex.com
I
Invoice Number Invoice Date Account Number Page
5-154-51881 Sep 09, 2015 2 of 4
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.
'Z Please complete all fields in black ink.
n_ 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
A Phone I I I I I I I I I ► I I I Fax# WWW WWW ► ► I I I
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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
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)
'.0 Tracking Number Code $Amount LBS L W H
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m Invoice Number Invoice Date Account Number Page
5-154-51881 Sep 09 2015 1 3 of 4
FedEx Express Shipment Summary By Reference
FedEx Express Shipments(Original)
Rated Special
Weight Trans ortatlan Handlin Ret Ch ax _
p, g 9R ,
Reference Shipments lbs Charges :.,,..Charges Credits/Other Discounts Total_Charges
NO REFERENCE INFORMATION 1 1.0 42.25 1.27 43.52
Total FedEx Express 1 1 0 $42 25:. $L27 $43 52
Total This Invoice USD $43.52
1251-01-00-0042105-0001-0091144
Invoice Number Invoice Date Account Number Page
5-154-51881 Sep 09 2015 1 4of4
FedEx Express Shipment Detail By Reference (Original)
ship Date:Sep 03 2015. Cost:Ref NO REFERENCE INFORMATION• ef.#2,
Payor:
Ship
per
• Fuel Surcharge-Fed Ex has applied a fuel surcharge of 3.00%to this shipment.
• Distance Based Pricing,Zone 4
Automation USAB Sender Recipient
Tracking ID 820045835245 JIM BRAINARD LEN SIMON
Service Type FedEx Standard Overnight CITY OF CARMEL SIMON CO
Package Type FedEx Pak 1 CIVIC SO 1660 L ST NW
Zone 04 CARMEL IN 46032-2584 US WASHINGTON DC 20036 US
Packages 1
Rated Weight 1.0 lbs,0.5 kgs
Delivered Sep 04,2015 10:35
Svc Area Al Transportation Charge 42.25
Signed by BXEY Fuel Surcharge 1.27
FedEx Use 024675976/0001327/_ Total Charge USD 543.52
NO REFERENCE INFORMATION Reference Subtotal USD $43.52
Total FedEx Express USD $43.52
1251-01-00-0042105-0001-0091144
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))
09/09/15 5-154-51881 $43.52
1 hereby certify that the attached invoice(s), or bill(s), is(are)true and correct and I have audited same in accordance
with IC 5-11-10-1.6
, 20
Clerk-Treasurer
VOUCHER NO. WARRANT NO.
ALLOWED 20
FedEx
IN SUM OF$
PO Box 94515
Palatine, IL 60094-4515
$43.52
ON ACCOUNT OF APPROPRIATION FOR
Mayor's Office
PO#/Dept. INVOICE NO. ACCT#!TITLE AMOUNT Board Members
1160 5-154-51881 43-421.00 $43.52' I 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, September 18, 2015
r
Mayor
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund
FedaE-
Invoice Number Invoice Date Account Number Page
5-160-87322 Sep 16 2015 11 1of4
FedEx Tax ID: 71-0427007
Billing Address: Shipping Address:
CARMEL COMMUNICATIONS CARMEL COMMUNICATIONS Invoice Questions?
Contact FedEx Revenue Services
31 1 STAVE NW 31 1 STAVE NW
Phone:
CARMEL IN,46032-1715 CARMEL IN 46032-1715 622-to
M-F7 AM8
-F 8 PM CST
Sa 7 AM to 6 PM CST
Fax: (800)548-3020
Invoice Summary Sep 16,2015 Internet: www.fedex.com
FedEx Ground Services
Transportation Charges 8.42
Other Handling Charges 3.46
Total Charges USD $11.88
TOTAL THIS INVOICE USD $11.88
Other discounts may apply.
Detailed descriptions of surcharges can be located atfedex.com
Invoice Number Invoice Date F—Account Num=ber Page
5-160-87322 Sep 16, 2015 11 2 of 4
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.
........ ......... 7 .......
R:
Please complete all fields in black ink.
o
n;, 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 Date l I I/ I I I/ I I I
.w Phone Fax#
E-mail Address E]Yes,I wantto update account contact with the above information.
Tracking Number Bill to Account $Amount
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sllllllllllllllll
ADR-Address Correction INW-Incorrect Weight OVS- Oversize Surcharge For all Service failures or other
C
0 DVC- Declared Value INS- Incorrect Service RSILI- Residential Delivery surcharges please use our web
d IAN- Invalid Acct# OCIF- Gird Pick-up Fee PND- Pwrshp Not Delivered site www.fedex.com or call
e
OCS-Exp Pick-up Fee SDR- Saturday Delivery (800)622-1147
Rerate information only (round to nearest inch)
CTracking Number Code $Amount LBS L W H
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Fed:&. -invoice Number invoice Date —Account Number Page
5-160-87322 Sep 16, 2015 3Of I
FedEx Ground Shipment Summary By Payor Type
FedEx Ground Shipments(Original)
Weight Trans_ortaUon' Other lian !pRet gax
Date Shipments lbs_ Charges:; Charges "'Credits/Other
Total Cha
r6
Ground-Prepaid
09/09 1 2 8.42 3.46 11.88
Ground-Prepaid Subtotal $11.88
Total FedEx Ground V
$8,42
Total This Invoice USD $11.88
1258-01-00-0028901-0001-0065613
Invoice Number Invoice Date —
4 of 4
FedEx Ground Prepaid Detail (Original)
............. ....... ..........
Ship..Daite ,Sep 09 2015 Gust.Ref.:57445 ......
C
P .
...........
Dep
t#
*6r VROr.:.�
• We calculated your charges based on a dimensional weight of 2.0 lbs,12'x 4"x 4',using a dimensional factor of 166.
Tracking ID 774454136050 Sender Recipient Transportation Charge 8.42
Service Type Ppd,Domestic Greg Bedell RMA#TN1012567441 NDOC P/U-Auto Comm 3.00
Zone 04 Carmel Clay Communications Con BROTHER MOBILE SOLUTIONS Fuel Surcharge 0.46
Packages 1 31 1st Ave.N.W. 7905 N BROTHER BLVD Total Charge USD $11.88
Actual Weight 1.3 Ibs Carmel IN 46032 BARTLETT TIN 38133-275505
Rated Weight 2lbs
Delivered Sep 11,2015
Prepaid Subtotal USD $11.88
Total FedEx Ground USD $11.88
1258-01-00-0028901-0001-0065613
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))
01/16/15 I 5-160-87322 I I $11.88
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
$11.88
ON ACCOUNT OF APPROPRIATION FOR
PO#/Dept. INVOICE NO. ACCT#/Fund AMOUNT Board Members
5-160-87322 43-421.00 $11.88 1 hereby certify that the attached invoice(s), or
1115 I 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
Monday, September 21, 2015
<Z&rry r c ett, Director
Cost distribution ledger classification if
claim paid motor vehicle highway fund