252417 1 2/08/1 5 '`����'""� CITY OF CARMEL, INDIANA VENDOR: 314125
® 'i ONE CIVIC SQUARE UPS CHECK AMOUNT: $*******1 16.64*
4', a° CARMEL, INDIANA 46032 LOCKBOX 577 CHECK NUMBER: 252417
9.y�,_oN Eo. CAROL STREAM IL 60132-0577 CHECK DATE: 12/08/15
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1207 4342100 OOOAA5702485 85.40 POSTAGE
651 5023990 OOORV6990475 31.24 OTHER EXPENSES
Delivery Service Invoice
Invoice date November 21, 2015
Invoice number OOOORV6990475
Shipper number RV6990
1;�Tm Control ID E664
Page 1 of 3
Sign up for electronic billing today!
0749A000ORV69905 77366030056760 Visit ups.com/billing
AB 01 058796 94659 H 178 A For questions about your invoice,call:
(800)811-1648
Monday-Friday
_ CITY OF CARMEL/WASTEWATER 8:00a.m.-9:00p.m.E.T.
UTILITIES or write:
'— 9609 HAZEL DELL PKWY UPS
x 7247-0244
INDIANAPOLIS, IN 46280-2935 P.O.Bophia,PA19
Philadelphia,PA 19170-0001
Thank you for using UPS.
Incentive Savings Summary of Charges
Total incentive savings this period $12.78 Page Charge
Your amount due this period includes these savings. Outbound
See incentive summary section for details. 3 UPS Internet Shipping $31.24
Account Status Summary Amount due this period $31.24
Weekly Payment Plan
Amount Due This Period $31.24 UPS payment terms require payment of this bill by December 26,
Amount Outstanding(prior invoices) $0.00 2015.
Total Amount Outstanding $31.24
Questions about our charges? Payments received late are subject to a late payment fee of 6%of
y the Amount Due This Period.(see Tariff/Terms and Conditions of
To get a better understanding of the charges on your invoice, Service at ups.com for details)
visit our invoice guide and glossary of billing charges at
ups.com/invoiceguide. 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 4.5%for UPS Air Services,UPS 3 Day Select and
International services.For more information, visit ups.com.
Delivery Service Invoice
Invoice date November 21, 2015
Invoice number OOOORV6990475
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 OOOORV6990425 10/17/2015 $7.44
11/21/2015 AKXMVPL
Custom 1 16.17 -8.87
Declared Value
11/21/2015 LNYL391
Custom 1 27.00 -3.22
Fuel Surcharge
11/21/2015 YAD6116
Basic 1 0.85 -0.69
Contractual Rates Applied
Total Outbound -12.78
Total Incentives -12.78
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 12/1/2015
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
12/1/2015 OOOORV6990 $31.24
0
I hereby certify that the attached invoice(s), or bill(s) is (are) true and
correct and I have audited same in accordance pwith IC/ 5-11-10-1.6
Date Officer
VOUCHER # 156765 WARRANT # ALLOWED
314125 IN SUM OF $
UPS
LOCKBOX 577
CAROL STREAM, IL 60132-0577
Carmel Wastewater Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO# INV# ACCT# AMOUNT Audit Trail Code
OOOORV6990,e 01-7362-05 $31.24
f
Voucher Total $31.24
Cost distribution ledger classification if
claim paid under vehicle highway fund
Delivery Service Invoice
Invoice date November 28, 2015
Invoice number OOOOAA5702485
Shipper number AA5702
n Control ID 66NO
Page 1 of 3
Sign up for electronic billing today!
0749A000OAA57027 77366040047784 Visit ups.com/billing
_ Ab 01 053194 00178 H 167 C For questions about your invoice,call:
��I�I11���'��I�LII��I�I�I�IIIIJIL��I� l� ll�l�lll� �l�ll�l (800)811-1648
Monday-Friday
BROOKSHIRE GOLF CLUB 8:OOam.-9:OOp.m.E.T.
12120 BROOKSHIRE PKWY or write:
CARMEL, IN 46033-3314 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 $85.40 Summary of Charges
Amount Outstanding(prior invoices) $0.00 age Charge
Total Amount Outstanding $85.40 Outbound
Ready for the holidays? 3 UPS Internet Shipping $82.82
Between Black Friday(Nov_27)and the end of the year, UPS 3 Adjustments&Other Charges $2.58
expects to deliver as many 630 million packages.While your Amount due this period $85.40 —_
business may or may not have.additional volume during the
holidays,you will want to stay informed about UPS pickups UPS payment terms require payment of this bill by-December 9, _and deliveries. Visit 2015.
compass.ups.com/2015-year-end-holiday-schedule-pdf/
Payments received late are subject to a late payment fee of 60/6 of
the Amount Due This Period.(see Tariff/Terms and Conditions of
Service at ups.com for details)
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 4.59.for UPS Air Services,UPS 3 Day Select,and
International services.For more information, visit ups.com.
Delivery Service Invoice
Invoice date November 28, 2015
07M Invoice number OOOOAA5702485
Shipper number AA5702
Page 3 of 3
Outbound
UPS Internet Shipping
Pickup ZIP Billed
Date Tracking Number Service Code Zone Weight Charge
11/20 1ZAA57020390286548 Ground Commercial 38118 4 58 39.34
Customer Weight 15
Fuel Surcharge 2.07
Customer Entered Dimensions=33 x 17 x 17 in
Total 41.41
UserlD:Pllister
Sender :Pam Lister Receiver:
Brookshire Golf Club Nike Golf
12120 Brookshire Parkway 5295 Logistics Dr.
Carmel IN 46033 MEMPHIS TN 38118
Message Codes :r
1ZAA57020391228153 Ground Commercial 38118 4 58 39.34
Customer Weight 15
Fuel Surcharge 2.07
Customer Entered Dimensions=33 x 17 x 17 in
Total 41.41
UserlD:Pllister
Sender :Pam Lister Receiver:
Brookshire Golf Club Nike Golf
12120 Brookshire Parkway 5295 Logistics Dr.
Carmel IN 46033 MEMPHIS TN 38118
Message Codes :r —_
Total for Internet-ID:Pllister 82-82
Total UPS Internet Shipping- 2 Package(s) 82-82 _
Total Outbound 2 Package(s) 82.82
Adjustments & Other Charges
Shipping Charge Corrections Learn how to avoid future shipping charge corrections.Visit www.ups.com/avoidcharges. _
Pickup Tracking Original Service/ ZIP Billed Adjustment
Date Number Corrected Service Code Zone Weight Charge Amount
11/20 1ZAA57020390286548 Ground 38118 4 58 39.34
Ground 38118 4 63.0 40.80
Audited Dimensions=34 x 18 x 17 in
Customer Entered Dimensions=33 x 17 x 17 in
Fuel Surcharge 0.07 1.53
Sender :BROOKSHIRE GOLF CLUB Receiver:Nike Golf
CARMEL IN 46033 MEMPHIS TN 38118
IZAA57020391228153 Ground 38118 4 58 39.34
Ground 38118 4 61.0 40.34
Audited Dimensions=35 x 17 x 17 in
Customer Entered Dimensions=33 x 17 x 17 in
Fuel Surcharge 0.05 1-05
Sender :BROOKSHIRE GOLF CLUB Receiver:Nike Golf
CARMEL IN 46033 MEMPHIS TN 38118
Total Shipping Charge Corrections 2 Package(s) 2-58
Total Adjustments&Other Charges 2.58
Invoice Messaging
Code Message
r Dimensional weight applied
053194 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 Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
11/28/15 OOOOAA5702485 Shipping $85.40
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
United Parcel Service
IN SUM OF $
Lockbox 577
Carol Stream, IL 60132-0577
$85.40
ON ACCOUNT OF APPROPRIATION FOR
Brookshire Golf Club
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
1207 I OOOOAA57024851 43-421.00 I $85.40 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
Monday, December 07, 2015
T
Director, Brookshi olf Club
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund