Loading...
HomeMy WebLinkAbout256024 03/01/15 '+w.aga*f CITY OF CARMEL, INDIANA VENDOR: 314125 ONE CIVIC SQUARE UPS CHECK AMOUNT: $""""102.42• s9 _� CARMEL, INDIANA 46032 LOCKBOX 577 CHECK NUMBER: 256024 CAROL STREAM IL 60132-0577 CHECK DATE: 03/01/16 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1115 4342100 0000170AT605 13.88 POSTAGE 1110 4342100 00005EB94066 4.70 POSTAGE 1110 4342100 00005E894076 18.54 POSTAGE 651 5023990 OOOORV69900 22.06 OTHER EXPENSES 601 5023990 00076V77AO76 43.24 OTHER EXPENSES VOUCHER # 157160 WARRANT # ALLOWED 314125 IN SUM OF $ UPS LOCKBOX 577 CAROL STREAM, IL 60132-0577 Carmel Wastewater Utility i ON ACCOUNT OF APPROPRIATION FOR Board members PO# INV# ACCT# AMOUNT Audit Trail Code OOOORV6990( 01-7362-05 $22.06 Voucher Total $22.06 Cost distribution ledger classification if claim paid under vehicle highway fund Delivery Service Invoice Invoice date January 30, 2016 Invoice number OOOORV6990056 Shipper number RV6990 n 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 Delivery Area Surcharge 01/30/2016 AKXLSLT OOOORV6990495 12/05/2015 $12.42 Custom 1 2.30 -0.22 Account Status Ground Commercial Package Weekly Payment Plan 01/30/2016 AKXMVPL Amount Outstanding(prior invoices): Custom 3 24.92 -14.45 Please include the Return Portion of each outstanding invoice with your payment. --- - Decla`red Value -'�- ----� _ - -- •- - _ -_.--`- _-�— 01/30/2016 LNYL391 Invoice Number Invoice Date Due Custom 1 4.50 -1.22 OOOORV6990026 01/09/2016 $17.79 .Fuel Surcharge Total $17.79 01/30/2016 YAD6116 Outstanding balances reflect any payments received-as of Basic 3 1.43 -1.20 01/29/2016.Please ignore this message if a recent payment has Contractual Rates Applied been made for any outstanding invoices. Total Outbound -17.09 Total Incentives -17.09 Delivery Service Invoice Invoice date January 30, 2016 ' Invoice number OOOORV6990056 Shipper number RV6990 TM Page 5 of 5 Outbound UPS Internet Shipping Pickup ZIP Published Incentive Billed Date Tracking Number Service Code Zone Weight Charge Credit Charge 01/22 1ZRV69904391859166 Ground Commercial 66219 4 2 8.91 -5.42 3.49 Delivery Confirmation Response 2.00 2.00 Fuel Surcharge 0.47 -0.40 0.07 Total 11.38 -5.82 5.56 UserlD:trubush Sender :TARA WASHINGTON Receiver:ATTN:Biosolids Cent City of Carmel WWTP EPA Region 7 9609 Hazel Dell Pkwy. WWPD/WENF Indianapolis IN 46280 LENEXA KS 66219 1ZRV69904393061175 Ground Commercial 46204 2 2 7.66 -4.17 3.49 Delivery Confirmation Response 2.00 2.00 Fuel Surcharge 0.40 -0.34 0.06 Total 10.06 -4.51 5.55 UserlD:trubush Sender :TARA WASHINGTON Receiver:Solid Waste Permits City of Carmel WWTP IDEM-Office of Land Quality 9609 Hazel Dell Pkwy. MC 65-45 IGCN 1101 Indianapolis IN 46280 INDIANAPOLIS IN 46204 01/27 1ZRV69904397290849 Ground Commercial 46310 2 6 8.35 -4.86 3.49 Customer Weight 2 Delivery Area Surcharge 2.30 -0.22 2.08 Delivery Confirmation Response 2.00 2.00 Declared Value$500.00 4.50 -1.22 3.28 - - - -- ---_- _ ---Fuel Surcharge_ _ 0.56 -0.46 0.10 = Customer Entered Dimensions=12 x 10 x 7 in^ --- Total 17.71 -6.76 10.95 _ UserlD:trubush -_ Sender :TARA WASHINGTON Receiver: City of Carmel WWTP AFC Intemational 9609 Hazel Dell Pkwy. 715 Almond St SW _ Indianapolis IN 46280 DEMOTTE IN 46310 _ Message Codes :r -_ Total for Internet-ID:trubush 39.15 -17.09 22.06 Total UPS Internet Shipping 3 Package(s) 39.15 -17.09 22.06 Total Outbound 3 Package(s) 39.15 -17.09 22.06 Invoice Messaging Code Message r Dimensional weight applied 052538 3/3 VOUCHER NO. WARRANT•NO. ALLOWED 20 UPS IN SUM OF$ LOCKBOX 577 CAROL STREAM, IL 60132-0577 $4.70 ON ACCOUNT OF APPROPRIATION FOR Carmel Police. PO#/Dept. INVOICE NO. ACCT#/Fund =AMOUNT Board Members 0.000,05E 894066 43-421.00 $4.70 1 hereby certify that the attached invoice(s), or 1110 101 - bill(s) is.(are)true and correct and that the materials or services itemized thereon for {yam which charge is made were ordered and received except Tuesday, February.09,2016 Cost distribution ledger classification if. claim paid motor vehicle highway fund Delivery Service Invoice Invoice date February 6, 2016 ' Invoice number 000005E894066 Shipper number 05E894 TM Control ID 94V7 Page 1 of 3 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 P.O.sox 7247-0244 Philadelphia;PA 19170-0001 Thank you for using UPS. Incentive Savings Summary of Charges Total incentive savings this period $7.23 Page Charge Your amount due this period includes these savings. Outbound See incentive summary section for details. 3 UPS Internet Shipping $4.70 Account Status Summary Amount due this period $4.70 Weekly Payment Plan Amount Due This Period $4.70 UPS payment terms require payment of this invoice by March 12, Amount Outstanding(prior invoices) $95.73 2016. Total Amount Outstanding $100.43 Payments received late are subject a late payment fee of 6%of Please include the Return Portion of each outstanding invoice with the Amount Due This Period.(see Tariff/Terms and Conditions of your payment.See Account Status for details. Service at ups.com for details) Questions about your charges? Note:This invoice may contain a fuel surcharge as described at To get a better understanding of the charges on your invoice, ups.com. The published fuel surcharge is 5.0%for UPS Ground visit our invoice guide and glossary of billing charges at Services and 3.0%for UPS Air Services,UPS 3 Day Select,and ups.com/invoiceguide. International services.For more information,visit ups.com. Delivery Service Invoice Invoice date February 6, 2016 ' Invoice number 000005E894066 Shipper number 05E894 Page 2 of 3 Incentives Account Status Outbound Weekly Payment Plan Service Date Incentive Plan Amount Outstanding (prior invoices): Published Incentive Please include the Return Portion of each outstanding invoice Incentive Level Count Charges Credit with your payment. Balance Ground Commercial Package Invoice Number Invoice Date Due 02/06/2016 AKXMVPL Custom 1 11.36 -6.73 000005E894505 12/12/2015 $-1.35 00000511894026 01/09/2016 $59.70 Fuel Surcharge 02106/2016 YAD6116 00000511894046 01/23/2016 $37.38 Basic 1 0.57 -0.50 Total $95.73 Contractual Rates Applied Outstanding balances reflect any payments received as of 02/05/2016.Please ignore this message if a recent payment has Total Outbound -7.23 been made for any outstanding invoices. Total Incentives -7.29 Delivery Service Invoice ' Invoice date February 6, 2016 Invoice number 000005E894066 Shipper number-05E894 Page 3 of 3 Outbound UPS Internet Shipping Pickup ZIP Published Incentive Billed Date Tracking Number Service Code Zone Weight Charge Credit Charge 02/03 1Z05E8940397601765 Ground Commercial 48108 3 15 11.36 -6.73 4.63 Fuel Surcharge 0.57 -0.50 0.07 Total 11.93 -7.23 4.70 UserlD:bmallaber Sender :Blaine Mallaber Receiver: Carmel Police Department L-3 EOTech 3 Civic Square 1201 E.Ellsworth Road CARMEL IN 46032 ANN ARBOR MI 48108 Total for Internet-ID: bmallaber 11.93 -7.23 4.70 Total UPS Internet Shipping 1 Package(s) 11.93 -7.23 4.70 Total Outbound 1 Package(s) 11.93 -7.23 4.70 2/3/2016 UPS Internet Shipping:Shipment Receipt 5,. l4 Shipment Receipt Transaction Date: 03 Feb 2016 Tracking Number: lZ05E8940397601765 Address Information Ship To: Ship From: Return Address: L-3 EOTech Carmel Police Department City of Carmel 1201 E.Ellsworth Road Blaine Mallaber Blaine Mallaber ATTN:Refund Returns 3 Civic Square 3 Civic Square ANN ARBOR MI 481082420 CARMEL IN 46032 CARMEL IN 46032 Telephone:317-571-2548 Telephone:317-571-2548 0 Package Information Weight Dimensions/Packaging Declared Value Reference Numbers L 15.0 lbs Other Packaging (15.0 lbs billable) UPS Shipping Service and Shipping Options Service: UPS Ground Service Delivery Date: End of Day Friday,Feb 5,2016 Shipping Fees Subtotal: 11.93 USD Transportation 11.36 USD Fuel Surcharge 0.57 USD ® Payment Information Bill Shipping Cha es to: Shipper's Account 05E894 Charges: 11.93 USD A discount has been applied to the Daily rates for this shipment Negotiated Charges: 4.70 USD Total Charges: 4.70 USD Note:Your invoice may vary from the displayed reference rates. For delivery and guarantee information, see the UPS Service Guide.To speak to a customer service representative, call 1-800-PICK-UPS for domestic services and 1-800-782-7892 for international services. Responsibility for Loss or Damage UPS's liability for loss or damage to each domestic package or international shipment is limited to$100 without a declaration of value.Unless a greater value is recorded in the declared value field of the UPS shipping system used,the shipper agrees that the released value of each package covered by this receipt is no greater than$100,which is a reasonable value under the circumstances surrounding the transportation.To increase UPS's limit of liability for loss or damage, a shipper may declare a higher value and pay an additional charge.See the UPS Tariff/Terms and Conditions of Service("UPS Terms")at www.ups.com for UPS's liability limits, maximum declared values, and other terms of service. UPS does not accept for transportation and shippers are prohibited from shipping, packages with a value of more than$50,000.The only exception to the$50,000 per package limit is for a package eligible for the Enhanced Maximum Declared Value of $70,000 per package,as set forth in the UPS Terms.A package is eligible only if it meets the following requirements.The package must be(i)a domestic shipment; (ii)tendered pursuant to shipper's Scheduled Pickup Service; (iii)a UPS Next Day Air(R)delivery service is the service level selected; (iv)processed for shipment using a UPS Shipping System(declarations of value on paper Source Documents are not eligible for Enhanced Maximum Declared Value); and(v)does not contain hazardous material or a Perishable Commodity. Claims not made within nine months after delivery of the package(sixty days for international shipments),or in the case of failure to make delivery, nine months after a reasonable time for delivery has elapsed(sixty days for international shipments), shall be deemed waived.The entry of a C.O.D.amount is not a declaration of value for carriage purposes.All checks or other negotiable instruments tendered in payment of C.O.D.will be accepted by UPS at shipper's risk. UPS shall not be liable for any special, incidental, or consequential damages.All shipments are subject to the terms and conditions contained in the UPS Terms,which can be found at www.ups.com. https://www.ups.com/uis/create?ActionOriginPair=default PrintWindowPage&key=recelptWindow&type=html&loc=en_US&instr=A&doc=shipment 982023... 1/1 VOUCHER NO. WARRANT NO. ALLOWED 20 UPS LOCKBOX 577 IN SUM OF$ CAROL STREAM, IL 60132-0577 $18.54 ON ACCOUNT OF APPROPRIATION FOR Carmel Police PO#/Dept. INVOICE NO. I ACCT#/Fund AMOUNT Board Member, 000005E894076 I 43-421.00 I $18.54 I hereby certify that the attached invoice(s), or 1110 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, February 16, 2016 Cost distribution ledger classification if claim paid motor vehicle highway fund Delivery Service Invoice Invoice date February 13, 2016 ' Invoice number 000005E894076 Shipper number 05E894 Control ID 837T Page 1 of 4 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. BLAINS MALLABER 3 CIVIC SQAURE orUPS CARMEL, IN 46032 P.O.Box 7247-0244 Philadelphia,PA 19170-0001 Thank you for using UPS. Incentive Savings Summary of Charges Total incentive savings this period $25.08 Page Charge Your amount due this period includes these savings. Outbound See incentive summary section for details. 3 UPS Internet Shipping $16.38 Account Status Summary 3 Adjustments&Other Charges $2.16 Weekly Payment Plan Amount due this period $18.54 Amount Due This Period $18.54 Amount Outstanding(prior invoices) $42.08 UPS payment terms require payment of this invoice by March 19, Total Amount Outstanding $60.62 2016. Please include the Return Portion of each outstanding invoice with o your payment.See Account Status for details. Payments received late are subject a late payment fee 6%of the Amount Due This Period.(see Tariff/Terms and Conditions of Questions about your charges? Service at ups.com for details) To get a better understanding of the charges on your invoice, visit our invoice guide and glossary of billing charges at Note:This invoice may contain a fuel surcharge described at ups.com. The published fuel surcharge is 5.0%for UPS Ground ups.com/invoicegulde. Services and 3.0%for UPS Air Services,UPS 3 Day Select,and International services.For more information,visit ups.com. Delivery Service Invoice Invoice date February 13, 2016 ' Invoice number 000005E894076 Shipper number 05E894 rr Page 2 of 4 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 000005EB94026 01/09/2016 $59.70 02/06/2016 AKXMVPL Custom 3 27.98 -16.68 Account Status Fuel Surcharge Weekly Payment Plan 02/0612016 YAD6116 Amount Outstanding(prior invoices): Basic 4 1.98 -1.73 Please include the Return Portion of each outstanding invoice Contractual Rates Applied with your payment. Balance Residential Surcharge Invoice Number Invoice Date Due 02/06/2016 AKXLZRU 000005E894046 01/23/2016 $37.38 Basic 1 3.25 -3.25 000005E894066 02/06/2016 $4.70 Ground Residential Package Total $42.08 02/06/2016 AKXMVSY Outstanding balances reflect any payments received as of Custom 1 8.25 -3.42 02/1212016.Please ignore this message if a recent payment has been made for any outstanding invoices. Total Outbound -25.08 Total Incentives -25.08 Delivery Service Invoke Invoice date February 13, 2016 Invoice number 000005E894076 0T. Shipper number 05E894 Page 3 of 4 Outbound UPS Internet Shipping Pickup ZIP Published Incentive Billed Date Tracking Number Service Code Zone Weight Charge Credit Charge 02/05 1Z05E8940395480186 Ground Commercial 06412 5 2 9.10 -5.52 3.58 Fuel Surcharge 0.46 -OAO 0.06 Total 9.56 -5.92 3.64 UserID:bmallaber Sender :Blaine Mallaber Receiver: Carmel Police Department Whelan Factory Repair 3 Civic Square 51 Winthrop Road CARMEL IN 46032 CHESTER CT 06412 lZ05E8940397999999 Ground Commercial 60484 2 10 9.44 -5.58 3.86 Fuel Surcharge 0.47 -0,41 0.06 Total 9.91 -5.99 3.92 UserID:bmallaber Sender :Blaine Mallaber Receiver: Carmel Police Department Federal Signal Warrent y Repair 3 Civic Square 2645 Federal Signal Dr ive CARMEL IN 46032 UNIVERSITY PARK IL 60484 IZ05E8940398008208 Ground Commercial 60484 2 10 9.44 -5.58 3.86 Fuel Surcharge 0.47 -0.41 0.06 Total 9.91 -5.99 3.92 UserID:bmallaber Sender :Blaine Mallaber Receiver: Carmel Police Department Federal Signal Warrent y Repair 3 Civic Square 2645 Federal Signal Dr ive CARMEL IN 46032 UNIVERSITY PARK IL 60484 lZ05E8940399512778 Ground Residential 44203 3 2 8.25 -3.42 4.83 Residential Surcharge 3.25 -3.25 0.00 Fuel Surcharge 0.58 -0.51 0.07 Total 12.08 -7.18 4.90 UserlD:bmallaber Sender :Blaine Mallaber Receiver: Carmel Police Department Rob Robinson 3 Civic Square 3847 Stimson Road CARMEL IN 46032 NORTON OH 44203 Total for Internet-ID:bmallaber 41.46 -25.08 16.38 Total UPS Internet Shipping 4 Package(s) 41.46 -25.08 16.38 :Total Outbound 4 Package(s) 41.46 -25.08 16.38 Adjustments & Other Charges Shipping Charge Corrections Learn how to avoid future shipping charge corrections.Visit www.u0s.com/avoidcharges- Pickup Tracking Original Service/ ZIP Published Incentive Billed Adjustment Date Number Corrected Service Code Zone Weight Charge Credit Charge Amount 02/05 lZ05E8940397999999 Ground 60484 2 10 9.44 -5.58 3.86 Ground 60484 2 23.0 11.82 -6.79 5.03 Audited Dimensions=19 x 14 x 14 In Fuel Surcharge 0.12 -0.10 0.02 1.19 Sender :BLAINE MALLABER Receiver: CITY OF CARMEL Federal Signal Warrant y Repair CARMEL IN 46032 UNIVERSITY PARK IL 60484 Delivery Service Invoice Invoice date February 13, 2016 Invoice number 000005E894076 Shipper number 05E894 Pogo 4of4 Adjustments & Other Charges Shipping Charge Corrections(continued)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 '02/05 lZO5s8e403e8008208 Ground 60484 o 10 9.44 -5.58 3.80 Ground 60*84 o 21.0 11.44 -6.62 4.82 Audited Dimensions=19u14n13in Fuel Surcharge 0.10 -0.09 0.01 0.97 Sender :BLAINE MALLABER Receiver: CITY VFCARMEL Federal G |WanontyRnpoir CARMEL|N4eo32 UN/VERS�YP8RK|LsV484 VOUCHER NO. WARRANT NO. ALLOWED 20 UPS LOCKBOX 577 IN SUM OF $ CAROL STREAM, IL 60132-0577 $13.88 ON ACCOUNT OF APPROPRIATION FOR Communications PO#/Dept. INVOICE NO. ACCT#/Fund AMOUNT Board Members 0000170AT6056 I 43-421.00 I $13.88 1 hereby certify that the attached invoice(s), or 1115 101 bill(s) is (are)true andcorrect and that the materials or services itemized thereon for which charge is made were ordered and rreceived except Tuesday,.February 09, 2016 Terry Crockett, Director Cost distribution ledger classification if claim paid motor vehicle highway fund Delivery Service Invoice Invoice date January 30, 2016 OTM Invoicenumber 0000170AT6056 Shipper number 170AT6 Control ID 5H75 Page 1 of 3 Sign up for electronic billing today! 0749A0000170AT69 77366050052131 Visit ups.com/billing AB 01 053195 58315 H 163 A For questions about your invoice,call: I�I'�II�1�"�I �III��III�II��I ��IIII�I�I��I�III�"II"I'III'II'� (800)811-1648 Monday-Friday CARMEL CLAY COMMUNICATION CTR 8: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 $13,88 Summary of Charges Amount Outstanding(prior invoices) $31.94 age Charge Total Amount Outstanding $45.82 Outbound Please include the Return Portion of each outstanding invoice with 3 UPS Internet Shipping $13.88 your payment.See Account Status for details. Amount due this period $13.88 Questions about your charges? To get a better understanding of the charges on your invoice, UPS payment terms require payment of this invoice by February visit our invoice guide and glossary of billing charges at - 10,2016. ups.comlinvoiceguide. 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 4.259o'for UPS Air Services,UPS 3 Day Select,and International services.For more information, visit upscom. — Delivery Service Invoice Invoice date January 30, 2016 ' Invoice number 0000170AT6056 Shipper number 170AT6 Tu Page 3 of 3 Outbound UPS Internet Shipping Pickup ZIP Billed Date Tracking Number Service Code Zone Weight Charge 01/25 1Z170AT60394170644 Ground Commercial 04357 5 6 10.89 Customer Weight 3 Delivery Area Surcharge-Extended 2.30 Fuel Surcharge 0.69 Customer Entered Dimensions=14 x 10 x 6 in Total 13.88 User1U:CiarmellCS Sender :Brian Smith Receiver:Allen W.Tripp Sr. Carmel Communications TMDE Calibration Labs, Inc 31 1 st Ave NW 839 River Road Carmel IN 46032 RICHMOND ME 04357 Message Codes :.r Total for Internet-ID:Carmelics 13.88 Total UPS Internet Shipping 1 Package(s) 13.88 Total Outbound 1 Package(s) 13.88 Invoice Messaging Code Message r Dimensional weight applied _.. ...._....-- -- ........... ----- ........ ........ 053195 212 VOUCHER# 154412 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 076 01-6360-03 $43.24 Voucher Total $43.24 Cost distribution ledger classification if claim paid under vehicle highway fund Delivery Service Invoice Invoice date February 13, 2016 U07M Shipped from: Invoice number 000076V77A076 CARMEL UTILITIES DISTRIBUTION Shipper number 76V77A 3450 W 1031ST ST Control ID 16M2 WESTFIELD,IN 46074 Page 1 of 4 Sign up for electronic billing today! 0749A000076V77A4 77366020058808 Visit ups.com/billing AB 01 056913 69438 H 175 A For questions about your invoice,call: I��Illllllrlllllllll�lllll�llllllllullll�lulllllllll�rlllll�l (800)811-1648 c Monday-Friday = CARMEL UTILITIES 8:OOam.-9:OOp.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 $43.57 Page Charge Your amount due this period includes these savings_ Outbound See incentive summary section for details. 3 UPS Internet Shipping $33.98 Account Status Summary 4 Adjustments&Other Charges $9.26 Weekly Payment Plan Amount due this period $43.24 -_ _ Amount_DueThis Period^_ _ ._ $43.24 _ Amount Outstanding(prior invoices) $18.59 UPS payment terms require payment of this invoice by March 19, Total Amount Outstanding $61,83 2016. 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 6%of the Amount Due This Period.(see Tariffrrerms and Conditions of — Questions about your charges? Service at ups.com for details) To get a better understanding of the charges on your invoice, visit our invoice guide and glossary of billing charges at Note:This invoice may contain a fuel surcharge as described at s.com/InVoice ulde. ups.com. The published fuel surcharge is 5.0%for UPS Ground u P 9 Services and 3.001.for UPS Air Services,UPS 3 Day Select,and Intemational services.For more information,visit ups.com. _ Delivery Service Invoice Invoice date February 13, 2016 ' Invoice number 000076V77A076 Shipper number 76V77A iw Page 3 of 4 Outbound UPS Internet Shipping Pickup ZIP Published Incentive Billed Date. Tracking Number Service Code Zone Weight Charge Credit Charge 01/05 iZ76V77A0390326032 Ground Commercial 46202 2 2 7.66 -4.17 3.49 Fuel Surcharge 0.40 -0.34 0.06 Total 8.06 -4.51 3.55 1st ref:Weekly Fluoride-February 2016 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 1Z76V77A0392036646 Ground Commercial 46202 2 2 7.66 -4.17 3.49 Fuel Surcharge 0.40 -0.34 0.06 Total 8.06 -4.51 3.55 1st ref:Weekly Fluoride-February 2016 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 iZ76V77A0393686228 Ground Commercial 46202 2 2 7.66 -4.17 3.49 Fuel Surcharge 0.40 -0.34 0.06 Total 8.06 4.51 3.55 ist ref:Weekly Fluoride-February 2016 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 - iZ76V77A0394293212 Ground Commercial 46202 2 2 7.66 -4.17 3.49 Fuel Surcharge 0.40 -0.34 0.06 _ Total 8.06 -4.51 3.55 1st ref:Weekly Fluoride-February 2016 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 -_ 01/22 iZ76V77A0399222066 Ground Commercial 54703 4 30 17.57 -10.05 7.52 -_ Customer Weight 17 Fuel Surcharge 0.92 -0.78 0.14 Customer Entered Dimensions=22 x 15 x 15 in Total 18.49 -10.83 7.66 1st ref:Carmel Water Shoe Retum/Refund UserlD:CarmelWater Sender :Jaimie Foreman Receiver: Carmel Water-Plant 1 Steel-Toe-Shoes.com 4915 E.106th Street 800 Wisconsin St Unit 15 CARMEL IN 46033 EAU CLAIRE WI 54703 Message Codes :r 02/10 1Z76V77A0391178138 Ground Commercial 46617 2 10 9.44 -0.58 3.86 Customer Weight 9.2 Fuel Surcharge 0.47 -0.41 0.06 Total 9.91 -5.99 3.92 1st ref:PWS 5229004 P1 LT2 Crypto Feb 2016 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 056913 2/2