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Home My WebLink About251275 11/04/15 �1�d-C,pMF CITY OF CARMEL, INDIANA VENDOR: 314125 `� CHECK AMOUNT: $*`*****"64.98' ONE CIVIC SQUARE UPS :; ;�,, CARMEL, INDIANA 46032 LOCKBOX 577 CHECK NUMBER: 251275 +.y� CAROL STREAM IL 60132-0577 CHECK DATE: 11/04/15 troN c� DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1110 4342100 5E894435 3.58 POSTAGE 601 5023990 76V77A415 10.79 OTHER EXPENSES 601 5023990 76V77A425 43.17 OTHER EXPENSES 651 5023990 RV6990425 7.44 OTHER EXPENSES Delivery Service Invoice ' Invoice date October 24, 2015 Invoice number 000005E894435 Shipper number 05E894 rw Page 3 of 5 Sign up for electronic billing today! 0749A000005E8944 Visit ups.com/billing For questions about your invoice,call: (800)811-1648 Monday-Friday CITY OF CARMEL 8:00 a.m.-9:00 p.m.E.T. BLAINE MALLABER 3 CIVIC SQAURE or write: UPS CARMEL, IN 46032 P.O.Box 7247-0244 Philadelphia,PA 19170-0001 Delivery Service Invoice Invoice date October 24, 2015 Invoice number 000005E894435 Shipper number 05E894 UJ; Page 4 of 5 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 10/17/2015 AKXMVPL 000005E894355 08/29/2015 $7.45 Custom 1 7.24 -3.75 000005E894395 09/26/2015 $21.36 Fuel Surcharge Account Status 10/17/2015 YAD6116 Weekly Payment Plan Basic 1 0.34 -0.25 Amount Outstanding(prior invoices): Contractual-Rates,Applied—-- --- -- — -- - - — - Please include the Return Portion of each outstanding invoice Total Outbound -4.00 with your payment. Balance Total Incentives .4.00 Invoice Number Invoice Date Due 000005E894365 09/05/2015 $1.35 000005E894405 10/03/2015 $4.14 Total $5.49 Outstanding balances"reflect any payments received as of 10/23/2015.Please ignore this message if a recent payment has been made for any outstanding invoices. Delivery Service Invoice Invoice date October 24, 2015 UCTM Invoice number 000005E894435 Shipper number 05E894 Control ID G023 Page 1 of 5 Sign up for electronic billing today! 0749A000005E8944 Visit ups.com/billing For questions about your invoice,call: (800)811-1648 Monday-Friday CITY OF CARMEL 8:00 a.m.-9:00 p.m.E.T. BLAINE MALLABER 3 CIVIC SQAURE or write: CARMEL IN 46032 UPS r P.O.Box 7247-0244. Philadelphia,PA 19170-0001 Thank you for using UPS. Incentive Savings Summary of Charges Total incentive savings this period $4.00 Page Charge Your amount due this period includes these savings. Outbound See incentive summary section for details. 5 UPS Internet Shipping $3.58 Account Status Summary Amount due this period $3.58 Weekly Payment Plan Amount Due This Period $3.58 UPS payment terms require payment of this invoice by November Amount Outstanding(prior invoices) $5.49 2,2015. Total Amount Outstanding $9.07 Please include the Return Portion of each outstanding invoice with Payments received late are subject to a late payment fee of 6%of your payment.See Account Status for details. the Amount Due This Period.(see Tariff/Terms and Conditions of Service at ups.com for details) Announcing New Rates Effective December 28,2015, UPS®Ground service and Note:This invoice may contain a fuel surcharge as described at accessorials will increase an average net 4.9%. UPS Air and ups.com. The published fuel surcharge is 4.75%for UPS Ground Services and 3.0%for UPS Air Services,UPS 3 Day Select,and International services and accessorials, as well as UPS Air International services.For more information,visit ups.com. Freight rates and accessorials within and between the U.S., Canada and Puerto Rico,will increase an average net 5.2%. UPS Freight®rates will increase an average net 4.9%effective October 26,2015. For additional information,and to review these new rates,visit ups.com/rates. Delivery Service Invoice Invoice date October 24, 2015 OT.M Invoice number 000005E894435 Shipper number 05E894 Page 2 of 5 This page intentionally left blank. i Delivery Service Invoice ' Invoice date October 24, 2015 Invoice number 000005E894435 Shipper number 05E894 Page 5 of 5 Outbound UPS Internet Shipping Pickup ZIP Published Incentive Billed Date Tracking Number Service Code Zone Weight Charge Credit Charge 10/16 1Z05E8940395824082 Ground Commercial 46809 2 2 7.24 -3.75 3.49 Fuel Surcharge 0.34 -0.25 0.09 Total 7.58 -4.00 3.58 UserlD: bmallaber Sender :Blaine Mallaber Receiver: Carmel Police Department Randy Sutton 3 Civic Square 2717 W.Ferguson Road CARMEL IN 46032 FORT WAYNE IN 46809 Total for Internet-ID: bmallaber 7.58 -4.00 3.58 Total UPS Internet Shipping 1 Package(s) 7.58 -4.00 3.58 Total Outbound 1 Package(s) 7.58 -4.00 3.58 VOUCHER NO. WARRANT NO. ALLOWED 20 UPS IN SUM OF$ Lockbox 577 Carol Stream, IL 60132-0577 $3.58 ON ACCOUNT OF APPROPRIATION FOR Carmel Police Department PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members 1110 1 000005E894435I 43-421.00 I $3.58 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 Thur sd , October 29, 2015 Chief of Police Title Cost distribution ledger classification if claim paid motor vehicle highway fund 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)) 10/24/15 000005E894435 shipping charges $3.58 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 5-11-10-1.6 120 Clerk-Treasurer Delivery Service Invoice Invoice date October 10, 2015 ' Shipped from: Invoice number 000076V77A415 CARMEL UTILITIES DISTRIBUTION Shipper number 76V77A 3450 W 1031ST ST Control ID 2302 WESTFIELD,IN 46074 Page 1 of 3 Sign up for electronic billing today! 0749A000076V77A4 77366020061631 Visit ups.com/billing AB 01 059501 59605 H 182 A For questions about your invoice,call: 11111161111 11.111 i l l l'I'1111111111111'l l l l'l l l l'I'1111 (800)811-1648 Monday-Friday CARMEL UTILITIES 8:00 am.-9:00 p.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 $12.19 Page Charge Your amount due this period includes these savings. Outbound See incentive summary section for details. 3 UPS Internet Shipping $10.79 Account Status Summary Amount due this period $10.79 Weekly Payment Plan - Amount Due This Period -- -- --_ ___$10.79 _ _ UPS payment ter_m_s_require payment of this invoice by October Amount Outstanding(prior invoices) $89.26 21,2015. - -- Total Amount Outstanding $100.05 , Please include the Return Portion of each outstanding invoice with Payments received late are subject to a late payment fee of 6/0 of See Account Status for details. the Amount Due This Period.(see Tariff/Terms and Conditions of Your payment. 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 nide and glossary of billing charges at ups.com. The published fuel surcharge is 4.75%for UPS Ground = 9 9 rY 9 9 Services and 3,0%for UPS Air Services,UPS 3 Day Select,and ups.com/invoiceguide. International services.For more information,visit ups.com. =_ WWI.. - Delivery Service Invoice Invoice date October 10, 2015 0 Invoice number 000076V77A415 Shipper number 76V77A PT.M 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 000076V77A365 09/05/2015 $19.12 09/26/2015 AKXMVPL Custom 3 21.83 -11.36 Account Status Fuel Surcharge Weekly Payment Plan 09/26/2015 YAD6116 Amount Outstanding(prior invoices): Basic 3 1.15 -0.83 Please include the Return Portion of each outstanding invoice Contractual Rates Applied- -- -- — —`- with your-payment. Balance Total Outbound -12.19 Invoice Number Invoice Date Due Total Incentives -12.19 000076V77A385 09/19/2015 $51.22 000076V77A395 09/26/2015 $38.04 Total $89.26 Outstanding balances reflect any payments received as of 10/09/2015.Please ignore this message if a recent payment has been made for any outstanding invoices. Delivery Service Invoice Invoice date October 10, 2015 ' Invoice number 000076V77A415 Shipper number 76V77A n Page 3 of 3 Outbound UPS Internet Shipping Pickup ZIP Published Incentive Billed Date Tracking Number Service Code Zone Weight Charge Credit Charge 09/21 iZ76V77A0396030019 Ground Commercial 46202 2 2 7.24 -3.75 3.49 Fuel Surcharge 0.38 -0.27 0.11 Total 7.62 -4.02 3.60 1st ref:weekly fluoride-September 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 iZ76V77A0398273629 Ground Commercial 46202 2 2 7.24 -3.75 3.49 Fuel Surcharge 0.38 -0.27 0.11 Total 7.62 -4.02 3.60 1st ref-weekly fluoride-September 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 09/23 1Z76V77A0393198023 Ground Commercial 46074 2 3 7.35 -3.86 3.49 Fuel Surcharge 0.39 -0.29 0.10 Total 7.74 -4.15 3.59 1st ref:1234 UserlD:CarmelWater Sender :Kerri Loveall Receiver:Angie Sanbum Carmel Utilities Distributin Logo Usa Corporation 3450 w 131 st 320 Parkway Circle L CARMEL IN 46074 WESTFIELD_IN 46074 Total for Internet-ID:CarmelWater 22.98 -12.19 10.79 Total UPS Internet Shipping 3 Package(s) 22.98 -12.19 10.79 _ Total Outbound 3 Package(s) 22.98 -12.19 10.79 Delivery Service Invoice Invoice date October 17, 2015 1 Shipped from: Invoice number 000076V77A425 CARMEL UTILITIES DISTRIBUTION Shipper number 76V77A 3450 W 1031 ST ST TM WESTFIELD,IN 46074 Page 3 of 6 Sign up for electronic billing today! 0749A000076V77A4 Visit ups.com/billing For questions about your invoice,call: (800)811-1648 Monday-Friday CARMEL UTILITIES 8:00 am.-9:00 p.m.E.T. 3450 W 131ST ST or write: CARMEL, IN 46074-8267 UPS P.O.Box 7247-0244 Philadelphia,PA 19170-0001 Delivery Service Invoice Invoice date October 17, 2015 ' Invoice number 000076V77A425 Shipper number 76V77A n Page 4 of 6 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 Delivery Area Surcharge-Extended 000076V77A385 09/19/2015 $51.22 10/17/2015 AKXLSLU Custom 1 2.20 -0.12 Account Status Ground Commercial Package Weekly Payment Plan 10/17/2015 AKXMVPL Amount Outstanding(prior invoices): Custom 6 49"51 -26.06 Please include the Return Portion of each outstanding invoice with your payment. Fuel Surcharge Balance 10/17/2015 YAD6116 Invoice Number Invoice Date Due Basic 6 2.60 -1.85 000076V77A395 09/26/2015 $38.04 Contractual Rates Applied 000076V77A415 10/10/2015 $10.79 Total Outbound -28.03 Total $48.83 Total Incentives -28.03 Outstanding balances reflect any payments received as of 10/16/2015.Please ignore this message if a recent payment has been made for any outstanding invoices. i Delivery Service Invoice Invoice date October 17, 2015 1 Shipped from: Invoice number 000076V77A425 CARMEL UTILITIES DISTRIBUTION Shipper number 76V77A 3450 W 1031ST ST Control ID 24V4 WESTFIELD,IN 46074 Page 1 of 6 Sign up for electronic billing today! 0749A000076V77A4 77366030061718 Visit ups.com/billing AB 01 059285 65125 H 181 A For questions about your invoice,call- fill (800)811-1648 Monday-Friday CARMEL UTILITIES s:ooam.-9:o0p.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 $28.03 Page Charge Your amount due this period includes these savings. Outbound See incentive summary section for details. 5 UPS Internet Shipping $26.28 Account Status Summary 6 Adjustments&Other Charges $16.89 Weekly Payment Plan Amount due this period $43.17 -_ Amount Due This Period _ $43.17 Amount Outstanding(prior invoices) $48.83 UPS payment terms require payment of this invoice by October Total Amount Outstanding $92.00 28,2015. _ Please include the Return Portion of each outstanding invoice with your payment.See Account Status for details. Payments received late are subject to a late payment fee of 60/6 of the Amount Due This Period.(see TariffiTerms and Conditions of Announcing New Rates Service at ups.com for details) Effective December 28,2015, UPS®Ground service and accessorials will increase an average net 4.9%. UPS Air and Note.This invoice may contain a fuel surcharge as described at International services and accessorials,as well as UPS Air ups.com. The published fuel surcharge is 4.759.for UPS Ground Freight rates and accessorials within and between the U.S., Services and 3.0%for UPS Air Services,UPS 3 Day Select,and 9 Intemational services.For more information, visit ups.com. — Canada and Puerto Rico,will increase an average net 5.2%. UPS Freighte rates will increase an average net 4.9%effective October 26,2015.For additional information, and to review these new rates,visit ups.com/rates. 059285 1/3 Delivery Service Invoice ' Invoice date October 17, 2015 Invoice number 000076V77A425 Shipper number 76V77A n Page 2 of 6 This page intentionally left blank. Delivery Service Invoice OYM Invoice date October 17, 2015 Invoice number 000076V77A425 Shipper number 76V77A Page 5 of 6 Outbound UPS Internet Shipping Pickup ZIP Published Incentive Billed Date Tracking Number Service Code Zone Weight Charge Credit Charge 09/21 1Z76V77A0390311397 Ground Commercial 46202 2 2 7.24 -3.75 3.49 Fuel Surcharge 0.38 -027 0.11 Total 7.62 -4.02 3.60. 1st ref:weekly fluoride-October 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 iZ76V77A0392066800 Ground Commercial 46202 2 2 7.24 -3.75 3.49 Fuel Surcharge 0.38 -0.27 0.11 Total 7.62 -4.02 3.60 1st ref:weekly fluoride-October 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 iZ76V77A0392501017 Ground Commercial 46202 2 2 7.24 -3.75 3.49 Fuel Surcharge 0.38 -0.27 0.11 Total 7.62 -4.02 3.60 1st ref:weekly fluoride-October 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 iZ76V77A0394170783 Ground Commercial 46202 2 2 7.24 -3.75 Fuel Surcharge 0.38 -0.27 0.11 _ Total 7.62 -4.02 3.60 1st ref:weekly fluoride-October 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 10/13 1Z76V77A0398041049 Ground Commercial 47250 2 3 7.35 -3.86 3.49 = Customer Weight 2 Delivery Area Surcharge-Extended 2.20 -0.12 2.08 Fuel Surcharge 0.45 -0.30 0.15 Customer Entered Dimensions=8 x 7 x 6 in ------ .......... Total - - --- . ...... - 10.00 -4:28.... ......_.. 5.72 1st ref:Plant 1 TOC 10/2015 UserlD:CarmelWater Sender :Jaimie Foreman Receiver:Whitney Carmel Water-Plant 1 Environmental Labs 4915 E.106th Street 635 Green Rd CARMEL IN 46033 MADISON IN 47250 Message Codes :r 1Z76V77A0399398636 Ground Commercial 46617 2 31 13.20 -7.20 6.00 Customer Weight 16 Fuel Surcharge 0.63 -0.47 0.16 Customer Entered Dimensions=24 x 15 x 14 in Total 13.83 7.67 6.16 1st ref:LT2 Crypto/Giardia Matrix Spike UserlD:CarmelWater Sender :Jaimie Foreman Receiver: Carmel Water-Plant 1 Eurofins-Eaton Analyti cal 4915 E.106th Street 110 South Hill Street CARMEL IN 46033 SOUTH BEND IN 46617 Message Codes :r Total for Internet-ID:CarmelWater 54.31 -28.03 26.28 Total UPS Internet Shipping 6 Package(s) 54.31 -28.03 26.28 Total Outbound 6 Package(s) 54.31 -28.03 26.28 059286 313 _ Delivery Service Invoice Invoice date October 17, 2015 ' Invoice number 000076V77A425 Shipper number 76V77A TM Page 6 of 6 Adjustments & Other Charges Shipping Charge.Corrections Learn how to avoid future shipping charge corrections.Visit www.ups.com/avoidcharges. Pickup Tracking Original Service/ ZIP Published Incentive Billed Adjustment Date Number Corrected Service Code Zone Weight Charge Credit Charge Amount 10/13 1 Z76V77A0399398636 Ground 46617 2 31 13.20 -7.20 6.00 Ground 46617 2 75.0 22.32 -8.49 13.83 Additional Handling -Weight 9.00 -0.15 8.85 Fuel Surcharge 0.43 -0.22 0.21 16.89 1st ref:LT2 Crypto/Giardia Matrix Spike Sender :CARMEL UTILITIES DISTRIBUTION Receiver:Eurofins-Eaton Analyti cal WESTFIELD IN 46074 SOUTH BEND IN 46617 Total Shipping Charge Corrections 1 Package(s) 16.89 Total Adjustments&Other Charges 16.89 Invoice Messaging Code Message r Dimensional weight applied 6 VOUCHER # 153384 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 , 425 01-6360-03 r $43.17 i-4 r s �' ►l�`Z`� I' i I� i Voucher Total t5 3 g�a Cost distribution ledger classification if claim paid under vehicle highway fund 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 10/27/2015 Invoice Invoice Description Date Number (or note attached invoice(s) or bill(s)) Amount 10/27/201: 425 $43.17 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. I Delivery Service Invoice Invoice date October 17, 2015 ' Invoice number OOOORV6990425 Shipper number RV6990 n Control ID U215 Page 1 of 3 Sign up for electronic billing today! 0749A000ORV69905 77366030057086 Visit ups.com/billing AB 01 058966 65124 H 180 A For questions about your invoice,call: II, IIllllllllllllllrlllllllllllll�lllllllllllll � ll (800)8114648 Monday-Friday CITY OF CARMEL/WASTEWATER 8:o0am.-9:o0p.m.E.T. UTILITIES or write: 9609 HAZEL DELL PKWY UPS 0244 _INDIANAPOLIS, IN 46280-2935 P.O.Bolphia, A19 Philadelphia,PA 19170-0001 Thank you for using UPS Incentive Savings Summary of Charges_ Total incentive savings this period $9.41 Page Charge Your amount due this period includes these savings. Outbound See incentive summary section for details. 3 UPS Intemet Shipping $3.60 /account Status Summary Inbound Weekly Payment,Plan 3 Collect $3.59 3 Adjustments&Other Charges $0.25 - _-Amount-Due This-P-er_iod __ - -$-7.44- _ Amount Outstanding(prior invoices) $0.00 Amount due this period $7.44 Total Amount Outstanding $7.44 C Announcing New Rates UPS payment terms require payment of this bill by October 28, 2015. Effective December 28,2015, UPSo Ground service and accessorials will increase an average net 4.9%. UPS Air and Payments received late are subject to a late payment fee of 6%of International services and accessorials,as well as UPS Air the Amount Due This Period.(see Tariff/Terms and Conditions of Freight rates and accessorials within and between the U.S., Service at ups.com for details) Canada and Puerto Rico,will increase an average net 5.2%. UPS Freight®rates will increase an average net 4.9%effective (Vote:This invoice may contain a fuel surcharge as described at October 26,2015. For additional information, and to review ups.com. The published fuel surcharge is 4.75%for UPS Ground = these new rates,visit ups.com/rates. Services and 3.t1%for UPS Air Services,UPS 3 Day Select,and International services.For more information,visit ups.com. Delivery Service Invoice ' Invoice date October 17, 2015 Invoice number OOOORV6990425 Shipper number RV6990 TM 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 10/03/2015 AKXMVPL OOOORV6990325 08/08/2015 $8.77 Custom 1 7.97 -4.48 OOOORV6990345 08/22/2015 $58.30 Fuel Surcharge 10/03/2015 YAD6116 Basic 1 0.42 -0.31 Contractual.Rates.Applied _ __ - - - - - — —_ -- - --- - - - Total Outbound -4.79 Incentives Inbound Service Date Incentive Plan Published Incentive Incentive Level Count Charges Credit Bill Receiver/Third Party Ground Commercial Package 09/19/2015 AKXMVPL Custom 1 7.80 -4.31 Fuel Surcharge 09/19/2015 YAD6116 Basic 1 0.41 -0.31 Contractual Rates Applied Total Inbound -4.62 Total Incentives -9.41 VOUCHER # 156511 WARRANT # ALLOWED 314125 IN SUM OF $ UPS LOCKBOX 577 CAROL STREAM, IL 60132-0577 Carmel Wastewater Utility ON ACCOUNT OF APPROPRIATION FOR i i Board members PO# INV# ACCT# AMOUNT Audit Trail Code OOOORV6990L 01-7362-05 $7.44 I i i Voucher Total $7.44 Cost distribution ledger classification if claim paid under vehicle highway fund I I 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 60132-0577 Due Date 10/27/2015 Invoice Invoice Description Date Number (or note attached invoice(s) or bill(s)) Amount 10/27/201: OOOORV6990 $7.44 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 10/3,//5 Date Officer