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f CITY OF CARMEL, INDIANA VENDOR: 093000
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'; ® 'i` ONE CIVIC SQUARE FEDEX-SHIPPING CHARGES CHECK AMOUNT: $ ...«'190.82'
CARMEL, INDIANA 46032 PO BOX 94515 CHECK NUMBER: 251 531
a,,.roN-�� PALATINE IL 60094-4515 CHECK DATE: 11/18/15
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1115 4342100 5-212-76063 14.55 POSTAGE
1160 4342100 6-541-08722 176.27 POSTAGE
I
Invoice Number Invoice Date Account Number Page
6-541-08722 Oct 29 2015 1 of 4
FedEx TaxID: 71-0427007
Billing Address: Shipping Address:
CITY OF CARMEUMAYOR'S OFC MS WEHLAGE Invoice Questions?
SHARON KIBBE CITY OF CARMEL Contact FedEx Revenue Services
1 CIVIC SQ 1 CIVIC SQ Phone: (800)622-1147
CARMEL IN 46032-2584 CARMEL IN 46032-2584 M-F7 AMto 8 PM CST
Sa7AM to6PMCST
Fax: (800)548-3020
Invoice Summary Oct 29,2015 Internet: www.fedex.com
FedEx Express Services
Transportation Charges 174.52
Special Handling Charges 1.75
Total Charges USD $176.27
TOTAL THIS INVOICE USD $176.27
Other discounts may apply.
Invoice Number Invoice Date Account Number Page
6-541-08722 Oct 29, 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.
,C Please complete all fields in black ink.
°i Re uestor 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
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-t
a Phone WWU I I I I I I I I I Fax# WWW I I I I I I I I I
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t. E-mail Address DYes,I want-to update account contactwith 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
a 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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e_I I I I I I I I I I I I I I I 1 1 1 1 1 1 1 1 1 1 1• W I I I IWWWx I I I I XI
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Fedlao I Invoice Number Invoice Date F—Account Number7Page
6-541-08722 Oct 29, 2015 3 of 4
FedEx Express Shipment Summary By Reference
FedEx Express Shipments(Original)
Rated
Pecia
Weight Transportation Z Handling E Ret ChgjTax
Aeference -Shipments,
l-bsCha...r.ue-s.,. chargeseredits/Ot..h.e.r... D..i.s..6...b� Total:Ghah
Charges
...........
NO REFERENCE INFORMATION 1 6.9 174.52 1.75 176.27
Ida!FedEx Express 1 6.9 '$17 P. $135 $176.27
Total This Invoice USD $176.27
1302-01-00-0056565-0001-0138805
Invoice Number Invoice Date Account Number',) Page
6-541-08722 Oct 29, 2015 4 of 4
FedEx Express Shipment Detail By Reference (Original)
S4ipDate Qbt:266itAef. NO REFEREN TION Re #2:.,:A!i1!�!ri1
,�
Payor:Shipper Ref 43 :
• Fuel Surcharge-FedEx has applied a fuel surcharge of 1,00%to this shipment.
Automation AWB Sender Recipient
Tracking ID 805062295475 JAMES BRAINARD MONSIEUR JEAN-LUC PEGAUT
Service Type FedEx Intl Priority CITY OF CARMEL ANNECY CITY HALL
Package Type FedEx Medium Box ONE CIVIC SQUARE BP 2305
Orig./Dest. MZZ/QNJ 3RD FLOOR ANNECY CEDEX 74011 FR
Zone D CARMEL IN 46032 US
Packages 1
Rated Weight 6.9 lbs
Declared Value USD 1.00
Delivered Oct 28,2015 11:33 Transportation Charge 174.52
Signed by MARTIN Fuel Surcharge 11.75
FedEx Use JUSGO I OL Total Transportation Charges USD $176.7.7
NO REFERENCE INFORMATION Reference Subtotal USO $176.27
Total FedEx Express USD $176.27
1302-01-00-0056565-0001-0138805
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))
10/29/15 6-541-08722 $176.27
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
$176.27
ON ACCOUNT OF APPROPRIATION FOR
Mayor's Office
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
1160 6-541-08722 43-421.00 $176.27 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
Monday, November 16, 2015
Mayor
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund
d -1
' Invoice Number Invoice Date Account Number Page
5-212-76063 Nov 04 2015 1 of 4
FedEx TaxID: 71-0427007
Billing Address: Shipping Address:
CARMEL COMMUNICATIONS CARMEL COMMUNICATIONS Invoice Questions?
31 1 STAVE 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 Nov 04,2015 Internet: www.fedex.com
FedEx Ground Services
Transportation Charges 11.05
Other Handling Charges 3.50
Total Charges USD $14.55
TOTAL THIS INVOICE USD $14.55
Other discounts may apply.
Detailed descriptions of surcharges can be located atfedex.com
Invoice Number Invoice Date Account Number Page
5-212-76063 Nov 04 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.
a 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/ W
—
a: Phone WWW WWW ( I I I I Fax# WWW I I I I I I I I I
c
t E-mail Address ❑Yes,I wantto update account contact with the above information.
R Tracking Number Bill to Account $Amount
eLlllllllllllllll IIIIIIIIII IIIIII• W
t,:LIIIIIIIIIIIIIII IIIIIIIIII IIIIII• W
r111111111111111J W_IIIIIIIII IIIIII• W
t
FWIIIIIIIIIIIIIII IIIIIIIIII IIIIII• W
SIIIIIIIIIIIIIIII IIIIIIIIII IIIIII• 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.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
;r:
e° 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• W WWI I I IX I I I I XIWWJ
d
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l l l l l l l l l l l• W I I I II I I IXI I I IXI I I I
s 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• W I I I IWWXWWJXWWJ
I I I I I I I I I I 1 1 1 1 1 1 1 I I I I I I• W I I I II I I IXI I I IX I I I
Invoice Number Invoice bb�ate F—Account Numbe—r—',) Page
5-212-76063 Nov 04, 2015 3 of 4
FedEx Ground Shipment Summary By Payor Type
FedEx Ground Shipments(Original)
Rated e ......
Weight `Transportation_ Other r HandlifigRet Choax:
..................
RiteShipmnt - lbs Charges.` rgesCredits/Other Total..Charges;
.. ..........
Ground-Prepaid
10/23 1 15 11.05 3.50 14.55
Ground-Prepaid Subtotal 514.55
ota
14.55..
i FedEx Ground d .05.
Total This Invoice USD $14.55
1307-01-00-0048983-0001-0115660
Invoice Number Invoice Date F—Account Number Page
5-212-76063 Nov 04, 2015 4 of 4
FedEx Ground Prepaid Detail (Original)
Oct
0
Statue; f A
Artist
t
No Ipp-Or ii�
. We calculated your charges based on a dimensional weight of 15.0 lbs,17.x 12'
7.xli x 12',using a dimensional factor of 166.
Tracking ID 774805793869 Sender Recipient Transportation Charge 11.05
Service Type Ppd,Domestic Todd Luckoski AXIS RMA#154240 Fuel Surcharge 0.50
Zone 04 Carmel Clay Communications Con AXIS COMMUNICATIONS NORTH AM NDOC P/U-Auto Comm 3.00
Packages 1 31 1st Ave.N.W. 2420 TECH CENTER PKWY Total Charge USD 514.55
Actual Weight 12.0 lbs Carmel IN 46032 STE100
Rated Weight 15 lbs LAWRENCEVILLE GA 30043-135825
Delivered Oct27,2015
Prepaid Subtotal USD $14.55
Total FedEx Ground USD $14.55
1307-01-00-0048983-0001-0115660
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))
11/04/15 I 5-212-76063 I I $14.55
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
$14.55
ON ACCOUNT OF APPROPRIATION FOR
PO#/Dept. INVOICE NO. I ACCT#/Fund AMOUNT Board Members
5-212-76063 j 43-421.00 j $14.55 1 hereby certify that the attached invoice(s), or
1115 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
Thursday, November 12, 2015
7'Y
IV
Terry/ ro ett, Director
Cost distribution ledger classification if
claim paid motor vehicle highway fund