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DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
601 5023990 526 14.57 000076V77A526
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Delivery Service Invoice
Invoice Date December 24, 2016
1 Shipped from: Invoice Number 000076V77A526
CARMEL UTILITIES DISTRIBUTION Shipper Number 76V77A
3450 W 1031ST ST Control ID D754
WESTFIELD,IN 46074 Page 1 of 3
Sign up for electronic billing today!
0749A000076V77A4 77366040052967 Visit ups.com/billing
AB 01 052335 35038 H 164 B For questions about your invoice,call:
(800)811-1648
Monday-Friday
CARMEL UTILITIES 8:00 am.-9:00 p.m.ET.
3450 W 131 ST ST or write:
CARMEL, IN 46074-8267 UPS
P.O.Box 7247-0244
Philadelphia,PA 19170-0001
Incentive Savings Thank you for using UPS.
Total incentive savings this period $17'77 Summary of Charges
Your amount due this period includes these savings.
See incentive summary section for details. Page Charge
Account Status Summary Outbound
Weekly Payment Plan 3 UPS Internet Shipping $14.39 3 Adjustments&Other Charges $0.18 =—
Amount Due This Period $i4
Amount Outstanding(prior invoices) $0,00 Amount due this period $14.57
Total Amount Outstanding $14.57 UPS payment terms require payment of this bill by January 28,
Questions about your charges? 2017•
To get a better understanding of the charges on your invoice,
visit our invoice guide and glossary of billing charges at Payments received late are subject to a late payment fee of 60/6 of —
ups.com/inVolcegulde the Amount Due This Period.(see Tariff/Terms and Conditions of
Service at ups.com for details) —
Note:This invoice may contain a fuel surcharge as described at
ups.com.The published fuel surcharge is 5.2591.for UPS Ground
Services and UPS Standard Services,4.751Y.for UPS Domestic Air
� Services and UPS 3 Day Select,and 4.75%for US Export
Worldwide Services.Ground Fuel Surcharge does not apply to
UPS Ground packages originating in the 46 contiguous states
when subject to Retail rates.For more information,visit ups.com.
Delivery Service Invoice
Invoice Date December 24, 2016
' Invoice Number 000076V77A526
Shipper Number 76V77A
TM
Page 3 of 3
Outbound
UPS Internet Shipping
Pickup ZIP Published Incentive Billed
Date Tracking Number Service Code Zone Weight Charge Credit Charge
12/13 1Z76V77A0391638631 Ground Commercial 46617 2 9 9.23 -5.49 3.74
Fuel Surcharge 0.48 -0.41 0.07
Total 9.71 -5.90 3.81
1st ref:5229004 Crypto UserlD:CarmelWater
Sender :Michelle Breedlove Receiver:
Carmel Utilities Distributin Eurofins-Eaton Analytical
3450 w 131 st 110 South Hill Street
CARMEL IN 46074 SOUTH BEND IN 46617
12/19 1 Z76V77A0398608213 Ground Commercial 30360 4 3 9.40 -5.72 3.68
Customer Weight 2.2
Fuel Surcharge 0.49 -0.42 0.07
Customer Entered Dimensions= 10 x 8 x 6 in
Total 9.89 -6.14 3.75
UserID:CarmelWater
Sender :Michelle Breedlove Receiver:Mr.Sandy Smith
Carmel Utilities Distributin Dekalb Co.Dept of Watershed
3450 w 131 st 4830 Winters Chapel Rd
CARMEL IN 46074 DORAVILLE GA 30360
Message Codes:r
12/21 1Z76V77A0390917242 Ground Commercial 60090 2 2 7.66 -4.17 3.49
Customer Weight 1.2
Declared Value$500.00 4.50 -1.22 3.28
Fuel Surcharge 0.40 -0.34 0.06 -_
Customer Entered Dimensions= 8 x 6 x 6 in -
Total 12.56 -5.73 6.83
1st ref:SN1312130004 2nd ref:W003463
UserlD:CarmelWater
Sender :Michelle Breedlove Receiver:Attn:Support
Carmel Utilities Distributin SWAN Analytical Instruments
3450 w 131 st 225 Larkin Dr.
CARMEL IN 46074 WHEELING IL 60090
Message Codes:r
Total for Internet-ID: CarmelWater 32.16 -17.77 14.39
Total UPS Internet Shipping 3 Package(s) 32.16 -17.77 14.39
Total Outbound 3 Package(s) 32.16 -17.77 14.39
Adjustments &Other Charges
Shipping Charge Corrections Learn how to avoid future shipping charge corrections.Visit www.ups.com/avoidcharges.
Pickup Original Service/ ZIP Published Incentive Billed Adjustment
Date Tracking Number Corrected Service Code Zone Weight Charge Credit Charge Amount
12/19 1Z76V77A0398608213 Ground 30360 4 3 9.40 -5.72 3.68
Ground 30360 4 4.0 9.85 -5.99 3.86
Fuel Surcharge 0.03 -0.03 0.00 0.18
Sender : Receiver:Mr.Sandy Smith
CARMEL UTILITIES DISTRIBUTION Dekalb Co.Dept of Watershed
WESTFIELD IN 46074 DORAVILLE GA 30360
Total Shipping Charge Corrections 1 Package(s) 0.18
Total Adjustments&Other Charges 0.18
Invoice Messaging
Code Message
r Dimensional weight applied
052335 2/2
UPS Internet Shipping: Shipment Receipt Page 1 of 3
IsShipment Receipt
Transaction Date: 13 Dec 2016 Tracking Number: 1Z76V77A0391638631
aAddress Information
Ship To: Ship From: Return Address:
Eurofins-Eaton Analytical Cannel Utilities Distributin Carmel Drinking Water Plant
110 South Hill Street Michelle Breedlove Jaimie Foreman
SOUTH BEND IN 466172702 3450 w 131 st 4915 E 106th Street
Telephone:800-332-4345 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. 9.0 lbs 13 x 10 x 9 in. Reference#1 -5229004 Crypto
(9.0 lbs billable) Other Packaging
UPS Shipping Service and Shipping Options
Service: UPS Ground Service
Guaranteed By: End of Day Wednesday,Dec 14,2016 Received :
Shipping Fees Subtotal: 9.71 USD ��
Transportation 9.23 USD Date : 1 2--
Re
Fuel Surcharge 0.48 USD P0 #
Additional Shipping Options ACCT #: )
Quantum View Notify E-mail Notifications: No C e
1 jcloud@carmel.in.gov: Delivery s e
2 mbickel@carmel.in.gov: Ship,Delivery
3 jforeman@cannel.in.gov: Ship,Exception,Delivery
® Payment Information
Bill Shipping Charges to: Shippers Account 76V77A
Shipping Charges: 9.71 USD
A discount has been applied to the Daily rates for this shipment
Negotiated Charges: 3.81 USD
Subtotal Shipping Charges: 3.81 USD
Total Charges: 3.81 USD
Note:This document is not an invoice.Your final 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 Tarifffrerms 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
https://www.ups.com/uis/create?ActionOriginPair=default_PrintWindowPage&key=re... 12/13/2016