HomeMy WebLinkAbout253634 01/22/16 (9,
CITY OF CARMEL, INDIANA VENDOR: 093000
ONE CIVIC SQUARE FEDEX CHECK AMOUNT: $********66.53*
CARMEL, INDIANA 46032 PO BOX 94515 CHECK NUMBER: 253634
PALATINE IL 60094-4515 CHECK DATE: 01/22/16
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1160 4342100 5-279-50801 66.53 POSTAGE
IFID
Invoice Number Invoice Date::- Account Number Page
5-279-50801 Jan 06 2016 1 of 4
FedEx Tax ID: 71-0427007
Billing Address: Shipping Address:
CITY OF CARMEUMAYOR'S OFC CITY OF CARMEL Invoice Questions?
SHARON KIBBE 1 CIVIC SQ Contact FedEx Revenue Services
1 CIVIC SQ CARMEL IN 46032-2584 Phone: (800)622-1147
CARMEL IN 46032-2584 M-F 7 AM to 8 PM CST
Sa 7 AM to 6 PM CST
Fax: (800)548-3020
Invoice Summary Jan 06,2016 Internet: www.fedex.com
FedEx Express Services
Transportation Charges 61.25
Special Handling Charges 5.28
Total Charges USD $66.53
TOTAL THIS INVOICE USD $66.53
Other discounts may apply.
Invoice Number Invoice Date Account Number Page
5-279-50801 Jan 06, 2016 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 wvvvvJedex.com or calling
800.622.1147. Please use multiple forms for additional requests.
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[fi::�I Requestor Name I I I I I I I I I I 1 1 1 1 1 1 1 I I I I I I I I I I I Date l W/ W/I/ I I I
NtIll
Phone Fax#
11:11* E-mail Address DYes,I wantto update account contactwW1 the above information.
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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
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INS- Incorrect Service RSU- Residential Delivery surcharges please use our web
DVC-Declared Value
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IAN- Invalid Acct# OCF- Grd Pick-up Fee PND- Pwrshp Not Delivered site www.fedex.com or call
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OCS-Exp Pick-hp Fee SDR- Saturday Delivery (800)622-1147
Rerate information only (round to nearest inch)
GI Tracking Number Code $Amount LBS L W H
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Invoice'Number Invoice Date F Account Number Page
5-279-50801 Jan 06,2016 3 of 4
FedEx Express Shipment Summary By Reference
FedEx Express Shipments(Original)
Ratsd Special
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Reference 5hipmeitts.... ... ...
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1b Charges urges Wig=
NO REFERENCE INFORMATION 1 4.0 61.25 5.28 66.53.
`EndEx Xpress. .. .......... 'fi6G 53
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Total This Invoice USD $66.53
1005-01-00-0033680-0001-0071355
Invoice Number Invoice Date Account Number Page
5-279-50801 Jan 06,2016 4 of 4
FedEx Express Shipment Detail By Reference (Original)
Ship Date llec9,2015 rust iie:E.N0 RlFEfiNGE INFORN(ATIOII Refer
Payor fhtrd Parry Ref#3
• Fuel Surcharge-Fed Exhas applied a fuel surcharge of 2.75%to this shipment.
• Distance Based Pricing,Zone 5
• Package Delivered to RecipientAddress-Release Authorized
Automation SSFO Sender Recipient
Tracking ID 782067481313 Mayors Office Laura Campbell
Service Type FedEx Standard Overnight City of Carmel Julia Diasio
Package Type Customer Packaging 1 CIVIC SO 7646 SE LAGUE CIR
Zone 05 CARMEL IN 46032 US STUART FL 34997 US
Packages 1
Rated Weight 4.0 lbs,1.8 kgs
Declared Value USD 10.00 Transportation Charge 61.25
Delivered Dec 30,-201516:22 - Fuel Surcharge 1.78
Svc Area A4 Declared Value Charge 0.00
Signed by see above Residential Delivery 3.50
FedEx Use 000000000/0001349/02 Total Charge USD %6.53
NO REFERENCE INFORMATION Reference Subtotal USD $66.53
Total FedEx Express USD $66.53
1005-01-00-0033680-0001-0071355
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))
01/06/16 5-279-50801 $66.53
1160 101
I hereby certify that the attached invoice(s), or bill(s), is(are)true and correct and I have audited same in accordance
with IC 5-11-10-1.6
, 20
Clerk-Treasurer
VOUCHER NO. WARRANT NO.
ALLOWED 20
FEDEX-SHIPPING CHARGES
PO BOX 10306`' qL4 IN SUM OF$
PALATINE, IL 60 - 306 l�J LA
$66.53
ON ACCOUNT OF APPROPRIATION FOR
Mayor's Office
PO#/Dept. INVOICE NO. I ACCT#/Fund AMOUNT Board Member
I 5-279-50801 I 43-421.00 I $66.53 1 hereby certify that the attached invoice(s), or
1160 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
Tuesday,January 19, 2016
Cost distribution ledger classification if
claim paid motor vehicle highway fund