252818 12/15/15 O�'
CITY OF CARMEL, INDIANA VENDOR: 314125
ONE CIVIC SQUARE UPS CHECK AMOUNT: S '"'""*142.39"CARMEL, INDIANA 46032 LOCKBOX 577 CHECK NUMBER: 252818
ACAROL STREAM IL 60132-0577 CHECK DATE: 12/15/15
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1115 4342100 0000140AT649 12.45 POSTAGE
1207 4342100 OOOOAA570249 105.80 POSTAGE
601 5023990 495 24.14 OTHER EXPENSES
I
Delivery Service Invoice
Invoice date December 5, 2015
Invoice number OOOOAA5702495
Shipper number AA5702
n
Control ID N997
Page 1 of 3
Sign up for electronic billing today!
0749A000OAA57027 77366010053476 Visit ups.com/billing
AB 01 057218 06635 H 176 A For questions about your invoice,call:
(800)811-1648
Monday-Friday
BROOKSHIRE GOLF CLUB B: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 $105.80 Summary of Charges
Amount Outstanding(prior invoices) $85.40 Page Charge
Total Amount Outstanding $191.20 Outbound
Please include the Return Portion of each outstanding invoice with 3 UPS Internet Shipping $105.80
your payment.See Account Status for details. Amount due this period $105.80
Ready for the holidays?
Between Black Friday(Nov. 27)and the end of the year, UPS UPS payment terms require payment of this invoice by December
expects to deliver as many 630 million packages.While your 16,2015. _
business may or may not have additional volume during the
holidays,you will want to stay informed about UPS pickups Payments received late are subject to a late payment fee of 60%of
and deliveries.Visit the Amount Due This Period.(see Tariff/Terms and Conditions of
compass.ups.com/2015-year-end-holiday-schedule-pdf/ 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
i
Delivery Service Invoice
Invoice date December 5, 2015
Invoice number OOOOAA5702495
Shipper number AA5702
n
Page 2 of 3
Account Status
Weekly Payment Plan
Amount Outstanding(prior invoices):
Please include the Return Portion of each outstanding invoice
with your payment.
Balance
Invoice Number Invoice Date Due
OOOOAA5702485 11/28/2015 $85.40
Total $85.40
Outstanding balances reflect any payments received as of
12/04/2015.Please ignore this message if a recent payment has
been made for any outstanding invoices.
za n _
Delivery Service Invoice
Invoice date December 5, 2015
Invoice number OOOOAA5702495
Shipper number AA5702
n
Page 3 of 3
Outbound
UPS Internet Shipping
Pickup ZIP Billed
Date Tracking Number Service Code Zone Weight Charge
11/20 1ZAA57020391772967 Ground Commercial 90501 7 29 42.80
Customer Weight 5
Fuel Surcharge 2.25
Customer Entered Dimensions=21 x 16 x 14 in
Total 45.05
UserlD:Pllister
Sender :Pam Lister Receiver:Cobra Returns
Brookshire Golf Club CPG Torrance Warehouse
12120 Brookshire Parkway 19700 Van Ness Ave
Carmel IN 46033 TORRANCE CA 90501
Message Codes :r
1ZAA57020392504978 Ground Commercial 90501 7 41 57.72
Customer Weight 10
Fuel Surcharge 3.03
Customer Entered Dimensions=25 x 18 x 15 in
Total 60.75
UserlD:Pllister
Sender :Pam Lister Receiver:Cobra Returns
Brookshire Golf Club CPG Torrance Warehouse
12120 Brookshire Parkway 19700 Van Ness Ave
Carmel IN 46033 TORRANCE CA 90501
Message Codes :r —
Total for Internet-ID: P_Ilister 105.80
Total UPS Internet Shipping 2 Package(s) 105.80
Total Outbound 2 Package(s) 105.80
Invoice Messaging
Code Message
r Dimensional weight applied
- ... ... .. .... .
057218 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))
12/05/15 OOOOAA5702495 Shipping $105.80
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
$105.80
ON ACCOUNT OF APPROPRIATION FOR
Brookshire Golf Club
PO#/Dept. INVOICE NO. I ACCT#/TITLE AMOUNT Board Members
1207 I OOOOAA5702495I 43-421.00 I $105.80 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
Thursday, December 10, 2015
Director, Brookshir Golf Club
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund
Delivery Service Invoice
Invoice date December 5, 2015
Shipped from: Invoice number OOOO76V77A495
CARMEL UTILITIES DISTRIBUTION Shipper number 76V77A
3450 W 1031ST ST Control IQ 5289
TM WESTFIELD,IN 46074
Page 1 of 6
Sign up for electronic billing today!
_ 0749A000076V77A4 77366010058776 Visit ups.com/billing
AB 01 056977 06635 H 176 A For questions about your invoice,call:
�II�I�II��l�l�l�llll�ll�ll�l��l�ll�ll��l���l�lll�l�����llllll�ll� (800)811-1648
Monday-Friday
CARMEL UTILITIES 8:00a.m.-9:00p.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 $28.75 Page Charge
Your amount due this period includes these savings. Outbound
See incentive summary section for details. 5 UPS Internet Shipping $24.14
Account Status Summary Amount due this period $24.14
Weekly Payment Plan
Amount Due This Period -- $24.14 UPS payment terms require payment of this invoice by January 9,
Amount Outstanding(prior invoices) $27.97 2016.
Total Amount Outstanding $52.11
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) —
Ready for the holidays?
Between Black Friday(Nov.27)and the end of the year, UPS Note:This invoice may contain a fuel surcharge as described at
expects to deliver as many 630 million packages.While your 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
business may or may not have additional volume during the International services.For more information, visit ups.com.
holidays,you will want to stay informed about UPS pickups
and deliveries.Visit
compass.ups.com/2015-year-end-holiday-schedule-pdf/
i
Delivery Service Invoice
Invoice date December 5, 2015
Shipped from: Invoice number 000076V77A495
CARMEL UTILITIES DISTRIBUTION Shipper number 76V77A
3450 W 1031 ST ST
"' 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
Q�ct.
LY
Delivery Service Invoice
Invoice date December 5, 2015
Invoice number 000076V77A495
Shipper number 76V77A
TM
Page 4 of 6
Incentives Account Status
Outbound Weekly Payment Plan
Service Date Incentive Plan
Published Incentive Payments Applied
Incentive Level Count Charges Credit Amount
Invoice Number Invoice Date Paid
Ground Commercial Package 000076V77A415 10/10/2015 $10.79
11/07/2015 AKXMVPL
Custom 5 36.20 -18.75 000076V77A425 10/17/2015 $43.17
Fuel Surcharge Account Status
11/21/2015 YAD6116 Weekly Payment Plan
Basic 6 2.64 -2.10 Amount Outstanding(prior invoices):
Contractual Rates Applied Please include the Return Portion of each outstanding invoice
Residential Surcharge with your payment.
11/21/2015 AKXLZRU Balance
Basic 1 3.10 -3.10 Invoice Number Invoice Date Due
000076V77A455 11/07/2015 $27.97
Ground Residential Package Total $27.97
11/21/2015 AKXMVSY
Custom 1 10.95 -4.80 Outstanding balances reflect any payments received as of
12/04/2015.Please ignore this message if a recent payment has
Total Outbound -28.75 been made for any outstanding invoices.
Total Incentives -28.75
Delivery Service Invoice
Invoice date December 5, 2015
Invoice number 000076V77A495
Shipper number 76V77A
n
Page 5 of 6
Outbound
UPS Internet Shipping
Pickup ZIP Published Incentive Billed
Date Tracking Number Service Code Zone Weight Charge Credit Charge
11/04 1Z76V77A0391257114 Ground Commercial 46202 2 2 7.24 -3.75 3.49
Fuel Surcharge 0.38 -0.30 0.08
Total 7.62 -4.05 3.57
1st ref:Weekly Fluoride December 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
1Z76V77A0391891492 Ground Commercial 46202 2 2 7.24 -3.75 3.49
Fuel Surcharge 0.38 -0.30 0.08
Total 7.62 -4.05 3.57
1st ref:Weekly Fluoride December 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
1Z76V77A0392322881 Ground Commercial 46202 2 2 7.24 -3.75 3.49
Fuel Surcharge 0.38 -0.30 0.08
Total 7.62 -4.05 3.57
1st ref:Weekly Fluoride December 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 -_
1Z76V77A0393065078 Ground Commercial 46202 2 2 7.24 -3.75 3.49 -
Fuel Surcharge 0.38 -0.30 0.08 -
Total 7.62 -4.05 3.57 -_
1st ref:Weekly Fluoride December 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
1Z76V77A0393114907 Ground Commercial 46202 2 2 7.24 -3.75 3.49
Fuel Surcharge 0.38 -0.30 0.08
Total 7.62 -4.05 3.57
1st ref:Weekly Fluoride December 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
11/17 1Z76V77A0391102129 Ground Residential 46617 2 21 10.95 -4.80 6.15
Customer Weight 11
Residential Surcharge 3.10 -3.10 0.00
Fuel Surcharge 0.74 -0.60 0.14
Customer Entered Dimensions=20 x 14 x 12 in
Total 14.79 -8.50 629
1st ref:PWS5229004 P1 LT2 Crypto Nov.2015 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 52.89 -28.75 24.14
Total UPS Internet Shipping 6 Package(s) 52.89 -28.75 24.14
Total Outbound 6 Package(s) 52.89 -28.75 24.14
056977 3/3
Delivery Service Invoice
Invoice date December 5, 2015
Invoice number 000076V77A495
Shipper number 76V77A
n
Page 6 of 6
Invoice Messaging
Code Message
r Dimensional weight applied
--- ------ . _..-._.... . ---- - ------------ ---- ------
6
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 12/10/2015
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
12/10/201! 495 $24.14
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
/Z/,/Xs
Date Officer
VOUCHER # 153808 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
495 01-6360-03 $24.14
Voucher Total $24.14
Cost distribution ledger classification if
claim paid under vehicle highway fund
i
Delivery Service Invoice
Invoice date December 5, 2015
Invoice number 0000170AT6495
Shipper number 170AT6
n
Control ID 2M55
Page 1 of 3
Sign up for electronic billing today!
_ 0749A0000170AT69 77366010055765 Visit ups.com/billing
AB 01 057232 06635 H 176 A For questions about your invoice,call:
(800)811-1648
Monday-Friday
CARMEL CLAY COMMUNICATION CTR B:OOam.-9:OOp.m.E.T.
31 1ST AVE NW or write:
CARMEL, IN 46032-1715 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 $12.45 Summary of Charges
Amount Outstanding(prior invoices) $11.66 Page Charge
Total Amount Outstanding $24.11 Outbound
Please include the Return Portion of each outstanding invoice with 3 UPS Internet Shipping $12.45
your payment.See Account Status for details. Amount due this period $12.45
Ready for the holidays? _
Between Black Friday(Nov.27)and the end of the year, UPS UPS payment terms require payment of this invoice by December
expects to deliver as many 630 million packages.While your 16,2015.
business may or may not have additional volume during the Note:This invoice may contain a fuel surcharge as described at
holidays,you will want to stay informed about UPS pickups ups.com. The published fuel surcharge is 5.25%for UPS Ground
and deliveries.Visit Services and 4.5%for UPS Air Services, UPS 3 Day Select,and
compass.ups.com/2015-year-end-holiday-schedule-pdf/ International services.For more information, visit ups.com.
Delivery Service Invoice
Invoice date December 5, 2015
Invoice number 0000170AT6495
Shipper number 170AT6
n
Page 2 of 3
Account Status
Weekly Payment Plan
Amount Outstanding(prior invoices):
Please include the Return Portion of each outstanding invoice
with your payment.
Balance
Invoice Number Invoice Date Due
0000170AT6475 11/21/2015 $ 11.66
Total $11.66
Outstanding balances reflect any payments received as of
12/04/2015.Please ignore this message if a recent payment has
been made for any outstanding invoices.
Delivery Service Invoice
Invoice date December 5, 2015
Invoice number 0000170AT6495
Shipper number 170AT6
n
Page 3 of 3
Outbound
UPS Internet Shipping
Pickup ZIP Billed
Date Tracking Number Service Code Zone Weight Charge
11/25 1Z170AT60399122428 Ground Commercial 13760 4 19 11.83
Customer Weight 10
Fuel Surcharge 0.62
Customer Entered Dimensions=17 x 15 x 12 in
Total 12.45
1st ref:151125 UserlD:CarmellCS
Sender :Brian Smith Receiver:
Carmel Communications DB Innovations
31 1 st Ave NW 103 Washington Ave.
Carmel IN 46032 ENDICOTT NY 13760
Message Codes :r
Total for Internet-ID:CarmellCS 12.45
T.etaLLIPS�arnuiShinninn +_n_..�---=� ,.�••-
9
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))
12/05/15 I 0000170AT6495I I $12.45
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
120
Clerk-Treasurer
VOUCHER NO. WARRANT NO.
UPS ALLOWED 20
LOCKBOX 577
IN SUM OF $
CAROL STREAM, IL 60132-0577
$12.45
ON ACCOUNT OF APPROPRIATION FOR
PO#/Dept. INVOICE NO. ACCT#/Fund AMOUNT Board Members
L 0000170AT6495 I 43-421.00 I $12.45 1 hereby certify that the attached invoice(s), or
1115 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, December 14, 2015
Terry Crockett, Director
Cost distribution ledger classification if
claim paid motor vehicle highway fund