312791 06/16/17 CITY OF CARMEL, INDIANA VENDOR: 093000
ONE CIVIC SQUARE FEDEX CHECK AMOUNT: $*****"""29.51"
f3 ?� CARMEL, INDIANA 46032 PO BOX 94515 CHECK NUMBER: 312791
' PALATINE IL 60009-4514 CHECK DATE: 06/16/17
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DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1091 4230200 583417876 17.86 OFFICE SUPPLIES
1125 4342100 583417876 11.65 POSTAGE
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
6/14/17 583417876 Shipping/Material to Send out Blueprints xx5399 $ 11.65
6/14/17 583417876 Charges to Ship Cell Phones to Soldiers Donation xx5459 $ 17.86
Total $ 29.51
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
Invoice Number Invoice Date Account Number page
5-834-17876 Jun 14 2017 1of4
Billing Address: Shipping Address:
CARMEL CLAY PARKS&RECREATION CARMEL CLAY PARKS&RECREATION Invoice Questions?
Contact FedEx Revenue Services
1411 E 116TH ST 1411 E 116TH ST Phone: (800)622-1147
CARMEL IN 46032-7611 CARMEL IN 46032-7611
M-F 7 AMto 8 PM CST
Sa 7 AM to 6 PM CST
Fax: (800)548-3020
Invoice Summary Jun 14,2017 Internet: www.fedex.com
FedEx Ground Services
Transportation Charges 16.50
Other Handling Charges 11.65
Performance Pricing Discount -1.32
Total Charges USD $26.83
FedEx Other Charges RIP n r. .•'
Merchandise Sales 2.50
Sales Tax 0.18 J UN 1 4 1017
Total Charges USD $2.68
TOTAL THIS INVOICE USD $29.51 [BY:
You saved$1.32 in discounts this periodl
Other discounts may apply.
Detailed descriptions of surcharges can be located atfedex.com
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If
e
Invoice Number Invoice Date Account Number Page
5-834-17876 Jun 14 2017 2of4
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.
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Requestor Name I I I I I I I I I I I I I I I I I I I I I I I I I I I J Date W/ W/ W
Phone I I I I -I I I I -I I I I I Fax# I I I I -I I I I -I I I I I
E-mail Address EJ Yes,I wantto update account contact with the above information.
glis
Tracking Number Bill to Account $Amount
I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I
I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I
_LJ I I I
IIIIIIIIIIIIIIII IIIIIIIIII III1 _LJ I I I
IIIIIIIIIIIIIIII IIIIIIIIII IIIIIIUJ
IIIIIIIIIIIIIIII IIIIIIIIII IIII _LJ I I I
ADR-Address Correction INW-Incorrect Weight OVS- Oversize Surcharge For all Service failures or other
uDVC-Declared Value INS- Incorrect Service RSU- Residential Delivery surcharges please use our web
e IAN- 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)
Tracking Number Code $Amount LBS L W H
IIIIIIIIIIIIIIIlI111lllllllllllllllllxllllxllll
IIIIIIIIIIIIIIIIIIIIIIIIII WIIIIIIIIxllllxllll
IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIxIIIIxIIII
IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIxIIIIxIIII
IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIxIIIIxIIII
Check all that apply Effective Date L_LJ/ l I I/ L_LJ
❑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 I I Company I I I I I I I I I I I I I I I I Li
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
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 I I Dept. I I I I I I I I I I I I I I I I I I
Floor I I I I I I ApUSuite# I I I I I I Floor I I I I I I Apt/Suite# I I I I I I
City I I I I I I I I I I I I I I I I LJ City I I I I I I I I I I I I I I I I LJ
State LTJ Zip Code I I I I I I -I I I I I State ( I I Zip Code
Phone I I I I -I I I I -l I I I I Phone
Fax# I I I I -I I I I -I I I I I Fax#
Page
Invoice Number Invoice Date Account Number
5-834-17876 Jun 14 2017 3of4
FedEx Ground Shipment Summary By Payor Type
FedEx Ground Shipments(original)
Ground-Bill Third Party
06/02 1 29 16.50 11.65 -1.32 26.83
Ground-Bill Third Party Subtotal $26.83
FedEx Other Charges Summary
TOTAL THIS INVOICE USD $29.51
Page
Invoice Number Invoice Date Account Number
5-834-17876 Jun 14 2017 4of4
FedEx Ground Bill Third Party Detail(Original)
We calculated your charges based on a dimensional weight of 29.0 lbs,59'x 1118",8",using a dimensional factor of 139.
Tracking ID 786768931070 Sender Recipient Transportation Charge 16.50
Service Type Bill 3rd Party,Dom Carmel Clay Parks&Recreation JON RUBLE PLA Fuel Surcharge 0.65
Zone 03 Carmel Clay Parks&Recreation SMITH GROUP JJR Performance Pricing -1.32
Packages 1 1411 E 116TH ST 44 E MIFFLIN ST AHS-Dimensions 11.00
Actual Weight 8.31bs CARMEL IN 46032 STE 500 Total Charge USD 526.83
Rated Weight 29lbs MADISON WI 53703-424625
Delivered Jun 05,2017
Bill Third Party Subtotal USD $26.83
Total FedEx Ground USD $26.83
FedEx Other Charges Detail
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NNEEM
Purchaser. Anne MarieBessler Description Guantity Unit Price Total Charge
Purchase Location: 11"x11"x11"Box 1 2.50 2.50
530 E CARMEL DR Sales Tax 0.18
CARMEL,IN 46032 Total USD 2.68
Merchandise Sales Subtotal USD 2.68
Total Other Charges USD 2.68