303610 09/29/16 (9,
CITY OF CARMEL, INDIANA VENDOR: 093000
ONE CIVIC SQUARE FEDEX CHECK AMOUNT: 5**`*""92.61
CARMEL, INDIANA 46032 PO BOX 94515 CHECK NUMBER: 303610
PALATINE IL 60009-4514 CHECK DATE: 09/29/16
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1093 4235000 555322219 92.61 BUILDING MATERIAL
Voucher No. Warrant No.
093000 FedEx Allowed 20
P.O. Box 94515
Palatine, IL 60094-4515
In Sum of$
$ 92.61
ON ACCOUNT OF APPROPRIATION FOR
109 Monon Center
PO#or INVOICE NO. ACCT#/TITLE AMOUNT Board Members
Dept#
1093 555322219 4235000 $ 92.61 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
September 21, 2016
Signature
$ 92.61 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund
ACCOUNTS PAYABLE VOUCHER
CITY OF CARMEL
An invoice of 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.
093000 FedEx Terms
P.O. Box 94515
Palatine, IL 60094-4515
Invoice Invoice Description
Date Number (or note attached invoice(s)or bill(s)) PO# Amount
9/21/16 555322219 Shipping Digilocks Locks Return xx4302 - $ 92.61
Account#217856787
Total $ 92.61
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
a
FedEx.,, iFv—oice Number Invoice_Dae . , Account Number Page
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(-_5:553_22219 �` Se 21' 2016 2178-5678-7 1 of 4
FedEx TaxID: 71-0427007
Billing Address: Shipping Address:
CARMEL CLAY PARKS&RECREATION CARMEL CLAY PARKS&RECREATION Invoice Questions?
1411 E 116TH ST 1411 E 116TH ST Contact FedEx Revenue Services
CARMEL IN 46032-7611 CARMEL IN 46032-7611 Phone: (800)622-1147
M-F 7 AMto 8 PM CST
Sa 7 AM to 6 PM CST
Fax: (800)548-3020
Invoice Summary Sep 21,2016 Internet: www.fedex.com
FedEx Ground Services
Transportation Charges 96.78
Other Handling Charges 3.57
Performance Pricing Discount -7.74 RECEIVED
Total Charges USD $92.61
TOTAL THIS INVOICE USD $g2;6 SEP 2 1: 2016
You saved$7.74 in discounts this period! BY:
Other discounts may apply.
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FedEK~~ Invoice Number Invoice Date Account Number Page
5-553-22219 S e 21 2016 2178-5678-7 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 www.fedex.com or calling
800.622.1147. Please use multiple forms for additional requests.
Please complete all fields in black ink.
Requestor Name I J Date W/ W/ W
t
Phone I I I I -I I I I -I I I I I Fax#
E-mail Address Dyes,I wantto update account contactwith the above information.
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Tracking Number Bill to Account $Amount
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IIIIIIIIIIIIIIII IIIIIIIIII IIII _LJ III
IIIIIIIIIIIIIIII IIIIIIIIII 111111LJJ
IIIIIIIIIIIIIIII IIIIIIIIII IIII _LJ III
ADR-Address Correction INW-Incorrect Weight OVS- Oversize Surcharge For all Service failures or other
u DVC-Declared Value INS- Incorrect Service RSU- Residential Delivery surcharges please use our web
eIAN- Invalid Acct# OCF- Grd Pick-up Fee PND-Pwrshp Not Delivered site www.fedex.com or call
OCS-Exp Pick-up Fee SDR- Saturday Delivery (800)622-1147
Rerate information only (round to nearest inch)
G Tracking Number Code $Amount LBS L W H
�IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIxIIIIxIIII
x I ( I I x L_L_LJ
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Check all that apply Effective Date I I I/ I I I/,I I I
❑Shipping Address(Physical Address) ❑Billing Address Only ❑Billing Same As Shipping Address
Company I I I I I I I I I I I I I I I I LJ Company J I
e Address I I I I I I I I I I I I I I I I LJ Address I I I I I I I I I I I I I I I I LJ
s Address I I I I I I I I I I I I I I I I LJ Address I I I I I I I I I I I I I I I I LJ
Dept I I I I I I I I I I I I I I I I LJ Dept I I I I I I I I I I I I I I I I Li
Floor 1 1 1 1 1 1 Apt/Suite# I I I I I I Floor 1 1 1 1 1 1 Apt/Suite# I ( I I I I
City IIIIIIIIIIIIIIIIII City IIIIIIIIIIIIIIIIII
e' State I I I Zip Code 1 1 1 1 1 1 -I I I I I State Zip Code
Phone I I I I -l 1 1 1 -I I I I I Phone
Fax# I I I I -I I I I -I I I I I Fax#
FedEx.
Invoice Number Invoice Date Account Number Page
5-553-22219 Sep 21 2016 2178-5678-7 1 3of4
FedEx Ground Shipment Summary By Payor Type
FedEx Ground Shipments(Original)
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Ground-Bill Third Party
09/06 3 81 96.78 3.57 -7.74 92.61
Ground-Bill Third Party Subtotal $92.61
OR M MR
Total This Invoice USD $92.61
Invoice Number Invoice Date Account Number Page
5-553-22219 Sep 21 2016 2178-5678-7 4 of 4
FedEx Ground Bill Third Party Detail(Original)
tp�aie.Sep 201' ;, ast.Refs:N€I�R; fiENG. �INFORIVIATIQIV' P;O
We calculated your charges based on a dimensional weight of 27.0 lbs,17'x 16"x 16',using a dimensional factor of 166.
Tracking ID 784010100977 Sender Recipierrt Transportation Charge 32.26
Service Type Bill 3rd Party,Dom Carmel Clay Parks&Rec DIGILOCK Performance Pricing -2.58
Zone 08 Carmel Clay Parks&Rec RMA 15755 Fuel Surcharge 1.19
Packages 1 1411 E 116TH ST 9 WILLOWBROOK CT Total Charge USD $30.87
Actual Weight 26.3 lbs CARMEL IN 46032 PETALUMA CA 94954.650709
Rated Weight 27lbs
Delivered Sep 12,2016
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We'calculated your charges based an a dimensional weight of 27.0 lbs,17'x 16'x 16',using a dimensional factor of 166.
Tracking ID 784010080272 Sender Recipient Transportation Charge 32.26
Service Type Bill 3rd Party,Dom Carmel Clay Parks&Rec DIGILOCK Fuel Surcharge 1.19
Zone 08 Carmel Clay Parks&Rec RMA 15755 Performance Pricing -2.58
Packages 1 1411 E 116TH ST 9 WILLOWBROOK CT Total Charge USD $30.87
Actual Weight 26.5 lbs CARMEL IN 46032 PETALUMA CA 94954-650709
Rated Weight 27lbs
Delivered Sep 12,2016
hip Date: a Qfi*201,6 G"stuRef.� tl=R" ERENG":INF RM` T10 PA€
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We,calculated your charges based on a dimensional weight of 27.0 lbs,17'x 16'x 16',using a dimensional factor of 166.
Tracking ID 784010133394 Sender Recipient Transportation Charge 32.26
Service Type Bill 3rd Party,Dom Carmel Clay Parks&Rec DIGILOCK Fuel Surcharge 1.19
Zone 08 Carmel Clay Parks&Rec RMA 15755 Performance Pricing -2.58
Packages 1 1411 E 116TH ST 9 WILLOWBROOK CT Total Charge USD $38.87
Actual Weight 15.2 lbs CARMEL IN 46032 PETALUMA CA 94954-650709
Rated Weight 27lbs
Delivered Sep 12,2016
Bill Third Party Subtotal USD $92.61
Total FedEx Ground USD $92.61