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Home My WebLink About304149 10/10/16 Coq . ?/ CITY OF CARMEL, INDIANA VENDOR: 359237 CHECK AMOUNT: $*******140.50* .�; ® :,• ONE CIVIC SQUARE UPS FREIGHT CARMEL, INDIANA 46032 28013 NETWORK PLACE CHECK NUMBER: 304149 CHICAGO IL 60673-1280 CHECK DATE: 10/10/16 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 651 5023990 876314924 140.50 OTHER EXPENSES VOUCHER # 166283 WARRANT # ALLOWED 359237 IN SUM OF $ UPS FREIGHT 28013 NETWORK PLACE CHICAGO, IL 60673-1280 Carmel Wastewater Utility ON ACCOUNT OF APPROPRIATION FOR Board members PO# INV# ACCT# AMOUNT Audit Trail Code 876314924 01-7362-06 140.50 p Voucher Total 140.50 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 359237 UPS FREIGHT Purchase Order No. 28013 NETWORK PLACE Terms CHICAGO, IL 60673-1280 Due Date 10/3/2016 Invoice Invoice Description Date Number (or note attached invoice(s) or bill(s)) Amount 10/3/2016 876314924 140.50 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 Page 3 of 6 SM UPS FREIGHT LTL UPS Freight REMIT TO: 28013 NETWORK PLACE CHICAGO, IL 60673-1280 ORIGINAL FREIGHT BILL ............ ..... .. ....... ...... .... 10 ... ................. 09-20-2016 EIN PTG 876314924 $ 140.50 USD ............ ..........--&........................ CONSIGNEE: 41665713 P.O.NO. ................ AUMA ACTUATORS INC ... . NONE ..... ::.;: ;:.;;:.;;:-;:.;;;:<;;;;:.:;>;-- ---- B/L NO. 09-27-2016 100 SOUTHPOINTE BLVD NONE :::8 ....... ...... ..... ..... UE' CANONSBURG,PA 15317-9559 SHIPPER: 03521645 BILL TO: 05016962 CARMEL WWTP CARMEL WWTP DUANE M JARVIS 9609 HAZEL DELL PKWY 9609 HAZEL DELL PKWY INDIANAPOLIS,IN 46280 INDIANAPOLIS,IN 46280 .......... . ... ........ ...... ... SHIPMENT REWEIGHED 1 SK SLUICE GATE ACTUATOR 195 133300-08 70 FLOOR 116.50 002660 LTL FUEL ADJUSTMENT 20.60 24.00 WAIVED INSPECTION UPS UIFS SHIPMENT 00125-EIN ORIGINAL WGT/REWEIGH SHIPMENT WEIGHED AT EIN. WEIGHT DECLARED AS 00125 LBS. ACTUAL WEIGHT IS 00195 LBS. 12.46 CUBIC FEET PA08478 :QUOTE# ***-* ATTENTION PA08478 UIFS 6180 0000001 UPGF 560 09/19/16 C N 01576 ACTUAL DENSITY: 15.7 LBS/CUFT #HU TYPE LENGTH WIDTH HEIGHT 1 SCN 39.00 24.00 23.00 IN TOTAL CUBIC FEET: 12.458 1 TOTAL 195 AMOUNT DUE 140.50 PPD If you have questions regarding this invoice, please contact Customer Service at 1-800-333-7400. ----------------- ---------------------------- -- --------------------------------------------------------------------------------------- --------------------------------- --.1-- ------------------------ - -- -------------- . ..... Page 4 of 6 UIFS 9 35191571 V �MMM MCE WDO-333-7400 T RAIGBRT ILL Of LADING SHIPPING ORDER Noy NEGOTIABLE our--c Well UPS Freight(UPGF) umiss a„ PLEASE PRI J IT OR TYPE rl J I 0 ALIMAA&LIATORS CARMELVVVVM ""'T;0 ,-100 U ::j 9609 HAZEL DELL PKWY THPDRESs A 'DR, OlY sm -1.(C-zwa my I STATE zu�011-Tary !''CANONSBURGPA 15317 INDIANAPOLIS IN 46*'280 1 'e P.C.NVIVEIER STORE 1 F&I OF 1ADINIG NIAW. i"co.warEEPTIONE I CONTACT 1A 12 CARNI CONTAOMM. PAGS478 317 571 2634 DUANE M JARM El In GUM RANTEED AIA.SERVICE REQUESTED(if b.-ischecked) GRAM [1171.GUARAfTTE1D SERVICE IUMUE51ED Of b"is checked) GRID By checking this I)D.1,you request UPS Freight to deliver this shipment by 12 P10 By checking th' I I UPS ficight to deliver this shipment on life �7 an the standard day of service and agree to pay 411 fees associated with this service. Standard da- fuseMmce0and reaqmUeese to pay all fees associated vinh this 5ervice- Section 7 signature Is not valid for this service.This service Is subject to the fauns Secthun7sii:nature is not valid on Guarameed Service.Guaranteed service is and wrRifilions of Item 1125,UPGF 102 Rules Twit subject to tl�e terms and conditions of item 82.3.UPGF 102 Rules Tarift L tb- dl,4' CAMEL VVWM I 9666 HAZEL DELL PKWY CITY STATE DPas INDIANAPOLIS k us 571-2634 -:7-:' .---.-I--I-�--I-- Ic'prar Mir. sm PIC' MM CORCIFAMUCcHISSPETEALKWUS WELMIT(bi) NIMIC RD. CLASS :1 I' 1 PLT SLUICE rim GATE ACTUATOR125 13330007 110 bg?TIlf-R.40847�8L 1 9_125 LPS_ 7 - '125'[ I-I f T.0TiLCUBE.---- --- r-Mark vall,an-A,N da:nate hazardous mamials as defined of the L t- in title 49 de of M I, H—d—--rherfal emn contact I% :lReceived S to he delivered in the prepayment of the charges 51tCW.S—7 W lalaaim 0 eflo.0k.-It—dtc'-d m ft—W,va.h. �on the prDperly dI. eSaibed berean. (Agent or Cashier) Mas— rly—mk.fib'J de 1 I-FA drRFa 'Ia_c SiD,— If NOT CHECKED,ROTH ARE ACCEPTABLE 7 ILL MaKI WILM OIIRKV4I5U.MFxW COD FEE 0 PR EPAI D 0 COLIEcr L'K roD S'IFUE"5 By IJ 10 RIM FS IRM`,jo COD AMT Q�RTMM CVFCK 00R 11,d I"I'll va P�"= per pltr.e S wo'Goo'CC, a' hl �G,cl-d vale Ttbig I r I i tpr spettitic odinF;n ntlltles dewined in Me UPGF tat reb;WtHi ben 1f.6 sesaon 5 arra Wr mmm>v1Y.a nd2ics.brut to un.-'I;✓ .—.'m'CF4;1,0i,ll"ftM i.i—h C-2 "I r UPGT 102 Serra;mr ccmplPic Je1aIL,vyaer:a'r.Ve"I?dependent on a reicaaed,declared er ae,wn varec in me NEIK{the lereascd,declare!.err a-,tAll eaWe ut tnF plvFeny rs hereor>yecaL"any scat�l by the I I rvREL cDb" to indnriksrl determined rarer or mnuattc that have been y� !_"'-•:...rr.., CICple.whe[Cpaabbarm o tam,rlassifraticmaand fectlhw�; ardl;carcept as wad(conal'";and'"notion III matents of rt partaga INmar)marked,clmdyleQ and de.fulad as shptnp+Lrt+e,whkh said order agrees a ally m deSOnai®I,ii on its mote,err wherli'.1.didiver to=Lhu mrsiff an Ibl rarars,To F.W Chop Every se. In PC odes Its ec?In Cal not pro whe FIT-u Car written,bercirs contained,including cancritualls Car the back hereat tL Tharahereby v renigr.1herarsdatdixinlybill A Wines.1sts,anter baldC Mini IM shipper and=IF.few for fallif"Ct.'zU'j pled Car by she shipper and loCrepted lar hiruchl and his renign Chem a Third pally bill VAUR UNEAR FEET I&FABER, IF suffiviffir. SEAL AMID: I ODOMETER ARRIVE DFPAW DESTINATION REYOND EIN 876314924 ❑5HPFIR MAD 10 CONSIGNEE UNWAD f I IIIIII IIIA VIII IIIiI VIII ILII VIII ILII VIII IIII IIII r -'a flow available at wvvw.ujsfietghI.com-UPGF 702 Series Rules Tariff-Electronic Bill of Lading UPS Freight shag have no liability es Tespon5lbi0ly wk-'eve,0... rrra .1 prca In"CIRFRO'"M lbu M.1 lading �. —11vb allf ItwifinCd, CsILK dl, • H the shipper did not tender the Shipment I.UPS Filig. '. e . am LIU a and-InP.. I.-far ttamPartaRvp Calm WCl'IR'.SvWiJ-W".rpl,d—=f—plotf- Firm fame, CARMELVVV4TP Carder: UPS Frei M Drive': Signed By: Date received: • blJPS freight resp.piece count: OTC-199(kr 04112) UPS Freight COPY Page 5 of 6 a UPS Freight` CUBE MEASUREMENT CERTIFICATE Freight Bill Number: 876314924 The information set forth within this document constitutes an Measured Date: 9/21/2016 accurate measurement of the shipment covered hereby and Total Handling Units: 1 complies with applicable laws and tariffs.The measurements Total Cubic Feet: 12.46 were performed by an NTEP certified dimensioning device All measurements are in imperial inches. installed at our Columbus,OH facility. Handling No Top Loading Manual Units Length Width Height or Stacking Measurement 1 39.00 24-00 23.00 --------- --------............. -- -- --------- -------------------------------.......--------------------------------------- Page 6 of 6 UPS Freight UPS Freight 16 Richmond,2Virginia 2321 8-1 21 6 1-800-333-7400 http://www.upsfreight.com WEIGHT CERTIFICATE Freight Bill Number:876314924 Weighed Date:9/20/2016 Weighing performed at EIN Service Center WEIGHT CERTIFICATION We certify that the mentioned shipment has been weighed and that the correct weight as stated is the true and accurate weight of the shipment.The scales used are certified'legal for trade'and are maintained to conform to all established federal and state guidelines.Established procedures for verifying weight meets the guidelines published in the National Motor Freight Classification 100-series items 360 and 995 and the UPGF 102-series rules tariff items 362 and 990. Handling Weight Units (Ibs.) 1 195 Actual Scale Total 1 195 _.............................................................- ......- ...................._.._......_................_.................................._......_......................._............_............. .... ..............---.