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Home My WebLink About301791 08/08/16 it �� CITY OF CARMEL, INDIANA VENDOR: 314,125 ® �tl ONE CIVIC SQUARE UPS, CHECK AMOUNT: $********74.44* s. i° CARMEL, INDIANA 46032 LOCKBOX 577 CHECK NUMBER: 301791 9z;�roN�o:` CAROL STREAM IL 60132-0577 CHECK DATE: 08/08/16 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 651 5023990 3472 15.71 OTHER EXPENSES 601 5023990 76V77A296 58.73 OTHER EXPENSES I I I VOUCHER # 165847 WARRANT# ALLOWED 3350914 IN SUM OF $ UPS STORE 484 E. Carmel Drive Carmel, IN 46032 Carmel Wastewater Utility ON ACCOUNT OF APPROPRIATION FOR Board members PO# INV# ACCT# AMOUNT Audit Trail Code 3472 01-7362-05 15.71 Voucher Total 15.71 Cost distribution ledger classification if claim paid under vehicle highway fund 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 3350914 UPS STORE Purchase Order No. 484 E. Carmel Drive Terms Carmel, IN 46032 Due Date 8/2/2016 Invoice Invoice Description Date Number (or note attached invoice(s) or bill(s)) Amount 8/2/2016 3472 15.71 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 Date Officer The UPS Store - #2587 2 6�-•0/ 484 E, Carmel Dr. Carmel,- IN 46032-2812 (317) 574-0570 04/21/16 09:15 AM We are the one stop for all your shipping, postal and business needs. 111111 IIIII111 IIIIIIIIIIIIIIIIIIIIIIIIII Illlllllllllllllllll I III 101 001040 (001) TO $ 15.71 Ground Commercial Tracking# 1Z3E87840340494823 SubTotal $ 15.71 Total $ 15.71 House Account $ 15.71 Carmel Utilities Lisa Kempa [hank You Lisa Kempa ieceipt ID 82276413329042888316 001 Items ;SH: Blake Tran: 3472 Reg: 002 Bring back this receipt and receive i4d off any transaction of $25.00 or more Whatever your business and personal needs, we are here to serve you. We're here to help. oin our FREE email program to receive great offers and resources. www.theupsstore.com/signup The UPS Store Statement 484 E. Carmel Dr. Date Carmel, IN 46032 6/30/2016 I Carmel Wastewater Treatment Suite 110 760 Carmel IN e.,S ; Think of us for your printing needs. ; `----------------------------of Amount Due Amount Enc. - - - - --- ----- --- _ - ---- $-15:71- - - - - -- -- Date Transaction Amount Balance 05/31/2016 Balance forward 15.71 I I 31-60 DAYS PAST 61-90 DAYS PAST OVER 90 DAYS CURRENT DUE DUE PAST DUE Amount Due Thank You For Your Business 0.00 0.00 15.71 0.00 $15.71 VOUCHER # 162120 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 296 01-6360-03 58.73 712 Voucher Total 58.73 Cost distribution ledger classification if claim paid under vehicle highway fund 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 7/23/2016 Invoice Invoice Description Date Number (or note attached invoice(s) or bill(s)) Amount 7/23/2016 296 58.73 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 Date Officer Delivery Service In voice Invoice date July 16, 2016 Shipped from: Invoice number 000076V77A296 CARMEL UTILITIES DISTRIBUTION Shipper number 76V77A 3450 W 1031ST ST UCTM Control ID 421 W WESTFIELD,IN 46074 Page 1 of 5 Sign up for electronic billing today± 0749A000076V77A4 77366030054832 Visit ups.com/billing AB 01 023492 01120 H 73 A For questions about your invoice,call: III°IIII"I'I'IIIIIIIIIIIIIIIIIIlI111�1�s111111III1'IIIIIIII'III (800)811-1648 ®_ Monday-Friday CARMEL UTILITIES s: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 LIPS. Incentive Savings Summary of Charges Total incentive savings this period $65.07 Page Charge Your amount due this period includes these savings. Outbound See incentive summary section for details. 3 UPS Internet Shipping $49.88 Account Status Summary 5 Adjustments&Other Charges $8.85 Weekly Payment Plan Amount due this period $58.73 Amount Due This Period $58.73 Amount Outstanding(prior invoices) $20.05 UPS payment terms require payment of this invoice by August 20, — Total Amount Outstanding $78.78 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 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 as described at ups.com/involceguide_ ups.com. The published fuel surcharge is 5.0%for UPS Ground Services and 4.0.0 for UPS Air Services,UPS 3 Day Select,and International services.Ground Fuel Surcharge does not apply to _ Retail rates.For more information, visit ups.com. �d f✓��K J - Delivery Service In voice Invoice date July 16, 2016 Invoice number 000076V77A296 Shipper number 76V77A n Page 2 of 5 Incentives Account Status Outbound Weekly Payment Plan Service Date Incentive Plan Payments Applied Published Incentive Amount Incentive Level Count Charges Credit Invoice Number Invoice Date Paid Ground Commercial Package 000076V77A246 06/11/2016 $37.52 07/16/2016 AKXMVPL Custom 14 109.55 -60.36 Account Status Fuel Surcharge Weekly Payment Plan 07/16/2016 YAD6116 Amount Outstanding(prior invoices): Basic 14 5.40 -4.71 Please include the Return Portion of each outstanding invoice Contractual Rates Applied with your payment. Balance Total Outbound -65.07 Invoice Number Invoice Date Due Total Incentives -65.07 000076V77A256 06/18/2016 $20.05 Total $20.05 Outstanding balances reflect any payments received as of 07/15/2016.Please ignore this message if a recent payment has been made for any outstanding invoices. Delivery Service Invoice Invoice date July 16, 2016 Invoice number 00O076V77A296 Shipper number 76V77A Page 3 of 5 Outbound UPS Internet Shipping Pickup ZIP Published Incentive Billed Date Tracking Number Service Code Zone Weight Charge Credit Charge 06/22 iZ76V77A0396011165 Ground Commercial 97224 8 1 8.66 -5.02 3.64 Fuel Surcharge 0.39 -0.35 0.04 Total 9.05 -5.37 3.68 UserlD:CarmelWater Sender :PAULA WILLIAMS Receiver:ATTN:Warranty Servi Carmel Utilities Distribution Gerber 3450 w 131 st 14200 SW 72nd Ave. CARMEL IN 46074 PORTLAND OR 97224 07/13 iZ76V77A0390822620 Ground Commercial 46617 2 8 8.97 -5.30 3.67 Fuel Surcharge 0.45 -0.40 0.05 Total 9.42 -5.70 3.72 1st ref:July Crypto UserlD:CarmelWater Sender :Michelle Breedlove Receiver: Carmel Utilities Distributin Eurofins-Eaton Analyti cal 3450 w 131 st 110 South Hill Street CARMEL IN 46074 SOUTH BEND IN 46617 iZ76V77A0390316945 Ground Commercial 46202 2 2 7.66 -4.17 3.49 Fuel Surcharge 0.38 -0.33 0.05 Total 8.04 -4.50 3.54 1st ref:Weekly Fluoride UserlD:CarmelWater Sender :Michelle Breedlove Receiver: Carmel Utilities Distributin Indiana State Dept.of Health 3450 w 131 st 550 W.16th Street -CARMEL IN 46074 INDIANAPOLIS-IN 46202 1Z76V77A0390846355 Ground Commercial 46202 2 2 7.66 -4.17 3.49 Fuel Surcharge 0.38 -0-33 0.05 Total 8.04 -4.50 3.54 -_ 1st ref:Weekly Fluoride UserlD:CarmelWater Sender :Michelle Breedlove Receiver: Carmel Utilities Distributin Indiana State Dept.of Health 3450 w 131 st 550 W.16th Street CARMEL IN 46074 INDIANAPOLIS IN 46202 iZ76V77A0391085578 Ground Commercial 46202 2 2 7.66 -4.17 3.49 Fuel Surcharge 0.38 -0.33 0.05 Total 8.04 -4.50 3-54 1st ref:Weekly Fluoride UserlD:CarmelWater Sender :Michelle Breedlove Receiver: .................................................... .............------------------- Utilities Distributin Indiana State Dept:of Health _.. --........-- ------..-. ... 3450 w 131 st 550 W.16th Street CARMEL IN 46074 INDIANAPOLIS IN 46202 1Z76V77A0391107302 Ground Commercial 46202 2 2 7.66 -4.17 3.49 Fuel Surcharge 0.38 -0.33 0.05 Total 8.04 -4.50 3.54 1st ret:Weekly Fluoride UserlD:CarmelWater Sender :Michelle Breedlove Receiver: Carmel Utilities Distributin Indiana State Dept.of Health 3450 w 131 st 550 W.16th Street CARMEL IN 46074 INDIANAPOLIS IN 46202 lZ76V77A0391374569 Ground Commercial 46202 2 2 7.66 -4.17 3.49 Fuel Surcharge 0.38 -0.33 0.05 Total 8.04 -4.50 3.54 1st ref:Weekly Fluoride UserlD:CarmelWater Sender :Michelle Breedlove Receiver: Carmel Utilities Distributin Indiana State Dept.of Health 3450 w 131 st 550 W.16th Street CARMEL IN 46074 INDIANAPOLIS IN 46202 Delivery Service Invoice Invoice date July 16, 2016 1 Invoice number 000076V77A296 Shipper number 76V77A n Page 4 of 5 Outbound UPS Internet Shipping (continued) Pickup ZIP Published Incentive Billed Date Tracking Number Service Code Zone Weight Charge Credit Charge 07/13 iZ76V77A0391555408 Ground Commercial 46202 2 2 7.66 -4.17 3-49 Fuel Surcharge 0.38 -0.33 0.05 Total 8.04 -4.50 3.54 1st ref:Weekly Fluoride UserlD:CarmelWater Sender :Michelle Breedlove Receiver: Carmel Utilities Distributin Indiana State Dept.of Health 3450 w 131 st 550 W.16th Street CARMEL IN 46074 INDIANAPOLIS IN 46202 1Z76V77A0391991991 Ground Commercial 46202 2 2 7.66 -4.17 3.49 Fuel Surcharge 0.38 -0.33 0.05 Total 8.04 -4.50 3.54 1st ref:Weekly Fluoride UserlD:CarmelWater Sender :Michelle Breedlove Receiver: Carmel Utilities Distributin Indiana State Dept.of Health 3450 w 131 st 550 W.16th Street CARMEL IN 46074 INDIANAPOLIS IN 46202 1Z76V77A0392122338 Ground Commercial 46202 2 2 7.66 -4.17 3.49 Fuel Surcharge 0.38 -0.33 0.05 Total 8.04 -4.50 3.54 1st ref:Weekly Fluoride UserlD:CarmelWater Sender :Michelle Breedlove Receiver: Carmel Utilities Distributin Indiana State Dept.of Health 3450 w 131 st 550 W.16th Street CARMEL IN 46074 INDIANAPOLIS IN 46202 iZ76V77A0394081512 Ground Commercial 46202 2 2 7.66 -4.17 3.49 Fuel Surcharge 0.38 -0.33 0.05 Total 8.04 -4.50 3.54 1st ref:Weekly Fluoride UserlD:CarmelWater Sender :Michelle Breedlove Receiver: Carmel Utilities Distributin Indiana State Dept.of Health 3450 w 131 st 550 W.16th Street CARMEL IN 46074 INDIANAPOLIS IN 46202 iZ76V77A0394237612 Ground Commercial 46202 2 2 7.66 -4.17 3.49 Fuel Surcharge 0.38 -0.33 0.05 Total 8.04 -4.50 3.54 1st ref:Weekly Fluoride. UserlD:CarmelWater------------...------------------------------------------------------- - ... Sender :Michelle Breedlove Receiver: Carmel Utilities Distributin Indiana State Dept.of Health 3450 w 131 st 550 W.16th Street CARMEL IN 46074 INDIANAPOLIS IN 46202 iZ76V77A0394283385 Ground Commercial 46202 2 2 7.66 -4.17 3.49 Fuel Surcharge 0.38 -0.33 0.05 Total 8.04 -4.50 3.54 1st ref:Weekly Fluoride UserlD:CarmelWater Sender :Michelle Breedlove Receiver: Carmel Utilities Distributin Indiana State Dept.of Health 3450 w 131 st 550 W.16th Street CARMEL IN 46074 INDIANAPOLIS IN 46202 Delivery Service Invoice Invoice date July 16, 2016 1 Invoice number 000076V77A296 Shipper number 76V77A n Page 5 of 5 Outbound UPS Internet Shipping(continued) Pickup ZIP Published Incentive Billed Date Tracking Number Service Code Zone Weight Charge Credit Charge 07/13 1Z76V77A0394518523 Ground Commercial 46202 2 2 7.66 -4.17 3.49 Fuel Surcharge 0.38 -0.33 0.05 Total 8.04 -4.50 3.54 1st ref:Weekly Fluoride UserlD:CarmelWater Sender :Michelle Breedlove Receiver: Carmel Utilities Distributin Indiana State Dept.of Health 3450 w 131 st 550 W.16th Street CARMEL IN 46074 INDIANAPOLIS IN 46202 Total for Internet-ID:CarmelWater 114.95 -65.07 49.88 Total UPS Internet Shipping 14 Package(s) 114.95 -65.07 49.88 Total Outbound 14 Package(s) 114.95 -65.07 49.88 Adjustments & Other Charges Shipping Charge Corrections 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 07/13 1Z76V77A0390822620 Ground 46617 2 Additional Handling -Not encased in cardboard 10.50 -1.65 8.85 8.85 - - 1st ret:-July-Crypto - - — - - - - ----- - Sender :CARMEL UTILITIES DISTRIBUTION Receiver:Eurofins-Eaton Analyti cal ®_ WESTFIELD IN 46074 SOUTH BEND IN 46617 Total Shipping Charge Corrections 1 Package(s) 8.85 Total Adjustments&Other Charges 8.85 i 023492 3/3 UPS Internet Shipping: Shipment Receipt Page.1 of 2 Shipment Receipt Iva I Transaction Date: 13 Jul 16 -Tracking Number: 1Z76V77A0391107302 Received ii 1 Z76V77A0394081512 ;. 1Z76V77A0394518523 Date : 1 Z76V77A0392122338 _ 1Z76V77A0390316945 1Z76V77A0390846355 1Z76V77A0391374569 ACCT #: 1Z76V77A0391085578 i 1Z76V77A0394283385 Use , 1Z76V77A0391991991 l _r 1Z76V77A0391555408 1Z76V77A0394237612 Address Information I Ship To: Ship From: Return Address: Indiana State Dept.of Health Carmel Utilities Distributin Carmel Drinking Water Plant 550 W.16th Street Michelle Breedlove Jaimie Foreman Suite B 3450 w 131 st 4915 E 106th Street INDIANAPOLIS IN 462022218 CARMEL IN 46074 INDIANAPOLIS IN 46280 Telephone:317-733-2859 Telephone:317-379-3115 email:mbreedlove@carmel.in.gov email:jforeman@carmel.in.gov Package Information Weight Dimensions/Packaging Declared Value Reference Numbers 1. 2.0 lbs 12 x 6 x 3 in. Reference#1 -Weekly Fluoride (2.0 lbs billable) Other Packaging 2. 2.0 lbs 12 x 6 x 3 in. Reference#1 -Weekly Fluoride (2.0 lbs billable) Other Packaging 3. 2.0 lbs 12 x 6 x 3 in. Reference#1 -Weekly Fluoride (2.0 lbs billable) Other Packaging 4. 2.0 lbs 12 x 6 x 3 in. Reference#1 -Weekly Fluoride (2.0 lbs billable) Other Packaging 5. 2.0 lbs 12 x 6 x 3 in. Reference#1 -Weekly Fluoride (2.0 lbs billable) Other Packaging 6. 2.0 lbs 12 x 6 x'3 in. Reference#1 -Weekly Fluoride (2.0 lbs billable) Other Packaging 7. 2.0 lbs 12 x 6 x 3 in. Reference#1 -Weekly Fluoride (2.0 lbs billable) Other Packaging 8. 2.0 lbs 12 x 6 x 3 in. Reference#1 -Weekly Fluoride (2.0 lbs billable) Other Packaging 9. 2.0 lbs 12 x 6 x 3 in. Reference#1 -Weekly Fluoride (2.0 lbs billable) Other Packaging 10. 2.0 lbs 12 x 6 x 3 in. Reference#1 -Weekly Fluoride (2.0 lbs billable) Other Packaging 11. 2.0 lbs 12 x 6 x 3 in. Reference#1 -Weekly Fluoride (2.0 lbs billable) Other Packaging 12. 2.0 lbs `12 x 6 x 3 in. Reference#1 -Weekly Fluoride. (2.0 lbs billable) Other Packaging UPS Shipping Service and Shipping Options https://www.ups.com/uis/create?ActionOriginPair=default PrintWindowPage&key=rec... 7/13/2016 UPS Internet Shipping: Shipment Receipt Page 2 of 2 Service: UPS Ground Service Guaranteed By: End of Day Thursday,Jul 14,2016 Shipping Fees Subtotal: 96.48 USD Transportation 91.92 USD Fuel Surcharge 4.56 USD Additional Shipping Options Quantum View Notify E-mail Notifications: No Charge 1 jforeman@carmel.in.gov: Ship,Exception,Delivery 2 jcloud@carmel.in.gov: Delivery 3 tisenberger@cannel.in.gov: Delivery ® Payment Information II Bill Shipping Charges to: Shipper's,Account 76V77A Charges: 96.48 USD A discount has been applied to the Daily rates for this shipment Negotiated Charges: ' 42.48 USD Total Charges: 42.48 USD I I _ Note:This document is not an invoice.Your final invoice may vary from the displayed reference rates. I 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 SOUfce 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=rec... 7/13/2016