250214 10/07/15 `�..�,q*� CITY OF CARMEL, INDIANA VENDOR: 093000
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® it ONE CIVIC SQUARE FEDEX-SHIPPING CHARGES CHECK AMOUNT: $*******'32 22'
;;� CARMEL, INDIANA 46032 PO BOX 94515 CHECK NUMBER: 250214
?y.roN�` PALATINE IL 60094-4515 CHECK DATE: 10/07/15
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1091 4342100 5-168-14168 13.48 POSTAGE
1115 4342100 5-175-67031 18.74 POSTAGE
Invoice Number Invoice e Dat
1 of
FedEx Tax ID: _71-0427007
Billing Address: Shipping Address:
CARMEL COMMUNICATIONS CARMEL COMMUNICATIONS Invoice Questions?
31 1 ST AVE 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 Sep 30,2015 Internet: www.fedex.com
FedEx Ground Services
Transportation Charges 15.02
Other Handling Charges 3.72
Total Charges USD $18.74
TOTAL THIS INVOICE USD $18.74
Other discounts may apply.
Detailed descriptions of surcharges can be located at fedex.com ------------
Invoice Number Invoice Date F7Account
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.tedex.com or calling
800.622.1147. Please use multiple forms for additional requests.
C 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
t
a Phone I I I I WWW I I I I I Fax#
c
t E-mail Address Yes,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
oDVC- Declared Value INS- Incorrect Service RSU- Residential Delivery surcharges please use our web
e IAN - Invalid Acct# OCF- Gird 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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Fedl�% I Invoice Number Invoice Pb�ate F—
3 of 4
FedEx Ground Shipment Summary By Payor Type
FedEx Ground Shipments(Original)
Weight T �66fl6fii�! Othel t t6 )t:::
G�:;Transportation'; Fk!P:0466 9 ax
Date Shipments lbs charges Charges Credits/Other "Total al Charges:
Ground-Prepaid
09/22 1 27 15.02 3.72 18.74
Ground-Prepaid Subtotal S18.74
Total FedEx:Ground
18.74
Total This Invoice USD $18.74
1272-01-00-0028701-0001-0066725
Invoice Number Invoice Date Account Number Page
5-175-67031 Sep 30 2015 1 1 4 of 4
FedEx Ground Prepaid Detail (Original)
Ship Date:Sep 22,2015 bust.Ref:far klnaton roof `.. P.O.#:
Payor:S#lfpper:. Dept.#: :. _
• We calculated your charges based on a dimensional weight of 27.0 lbs,20'x 17'x 13',using a dimensional factor of 166.
Tracking ID 774559046064 Sender Recipient Transportation Charge 15.02
Service Type Ppd,Domestic Greg Bedell AXIS RMA#151244 Fuel Surcharge 0.72
Zone 04 Carmel Clay Communications Cen AXIS COMMUNICATIONS NORTH AM NOOC P/U-Auto Comm 3.00
Packages 1 31 1st Ave.N.W. 2420 TECH CENTER PKWY Total Charge USD 518.74
Actual Weight 12.7 lbs Carmel IN 46032 STE 100
Rated Weight 27 lbs LAWRENCEVILLE GA 30043-135825
Delivered Sep 24,2015
Prepaid Subtotal USD $18.74
Total FedEx Ground USD $18.74
1272-01-00-0028701-0001-0066725
Prescribed by State Board of Accounts ACCOUNTS PAYABLE VOUCHER City Form No.201 (Rev.1995)
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))
09/30/15 I 5-175-67031 I I $18.74
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
$18.74
ON ACCOUNT OF APPROPRIATION FOR
PO#/Dept. INVOICE NO. ACCT#/Fund AMOUNT Board Members
5-175-67031 43- 1.00
10
1115 1
$18.74 I hereby certify that the attached invoice(s), or
I I 10
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, October 05, 2015
jeyZrocket ,/ ,
rector
Cost distribution ledger classification if
claim paid motor vehicle highway fund
Fed"EQK ;. Invoice Number Invoice Date Account Number Page
5-168-14168 Se 23, 2015 1 of'
FedEx Tax I D: 71-0427007
Billing_Address: Shipping Address:
CARMEL CLAY PARKS&RECREATION CARMEL CLAY PARKS&RECREATION Invoice Questions?
Contact FedEx Revenue Services
1411 E 116TH ST 1411 E 116TH ST Phone: (800)622-1147
CARMEL IN 46032-7611 CARMEL IN 46032-7611 M-F 7 AM to 8 PM CST
Sa 7 AM to 6 PM CST
Fax: (800)548-3020
Internet: www.fedex.com
Invoice Summary Sep 23,2015
FedEx Ground Services
Transportation Charges 10.59
Other Handling Charges 3.31
Performance Pricing Discount -0.42
Total Charges USD $13.48 + Cly yN7FD
TOTAL THIS INVOICE USD $13.48 SEP 2 3 2015
BY-You saved S0.42 in discounts this period!
Other discounts may apply.
Detailed descriptions of surcharges can be located at fedex.com
Fed'
Invoice Number Invoice Date Account Number Page
5-168-14168 Sep 23,2015 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.
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 W/ W/ I—II
Phone WWJ WWW I I I I I Fax# I I I I I I I I -I I I I I
E-mail Address ❑Yes,I want to update account contact with the above information.
Tracking Number Bill to Account $Amount
IIIIIIIIIIIIIIII IIIIIIIIII liilli W
I I I I I I I I I I 1 1 1 1 1 1 W
IIIIIIIIIIIIIIII IIIIIIIIII 111111 W
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
d IAN- Invalid Acct# OCF- Grd Pick-up Fee PND- Pwrshp Not Delivered site www.ledex.com or call
e 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
I I I I I I I I I I I I I I I I I I I I l I I I I I W I I I IL I I I
X1 I I x1 I I
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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 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 I 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 I Li
Dept. I l l l l l l l l l l { 1 1 1 { 1 1 Dept. I I I 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
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 I I 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 I I
State W Zip Code 1 1 1 1 1 1 -I I I I I State WW Zip Code ( I I I I I I I I I I
Phone WWU ( I I I WWW Phone
Fax# I I I I I I I I -I ( I I I Fax#
FedE,"
2 F Invoice Number Invoice Date
3 of 4
FedEx Ground Shipment Summary By Payor Type
FedEx Ground Shi ments(Original)
ate
eight ranspo do Ot n
i
Ground-Bill Third Party
09/15 1 12 10.59 3.31 -0.42 13.48
Ground-Bill Third Party Subtotal $13.48
a
Total This Invoice USD $13.48
I
Fe d EP N-
T: Invoice Number Invoice Date Account Number Page
5-168-14168 Sep 23,2015 4 of 4
FedEx Ground Bill Third Party Detail (Original)
h'p
0 rsbp'I5,2015 Gust.Ref INO REFERENCE I FORMATIO'
Tracking ID 781334288507 Sender Recipient Transportation Charge 10.59
Service Type Bill 3rd Parry,Dom Matt Whirley CYBEX INTERNATIONAL Performance Pricing -0.42
Zone 04 Carmel Clay Parks CYBEX INTERNATIONAL Fuel Surcharge 0.41
Packages 1 1411 E 116TH ST 1975 24TH AVE SW Declared Value 2.90
Actual Weight 11.4 lbs CARMEL IN 46032 OWATONNA MN 55060-531375 Total Charge USD $13.48
Rated Weight 12 lbs
Declared Value USD 300.00
Delivered Sep 17,2015
Bill Third Party Subtotal USD $13.48
Total FedEx Ground USD $13.48
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 PO# Amount
Date Number (or note attached invoice(s)or bill(s))
xc2703 $ 13.48
9/23/15 516814168 Cybex return
Total $ 13.48
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.
093000 FedEx Allowed 20
P.O. Box 94515
Palatine, IL 60094-4515
In Sum of$
$ 13.48
ON ACCOUNT OF APPROPRIATION FOR
109 Monon Center
PO#or INVOICE NO. ACCT#!TITLE AMOUNT Board Members
Dept#
1091 516814168 4342100 $ 13.48 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
October 1, 2015
Signature
$ 13.48 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund
a
)