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319341 12/05/17 CITY OF CARMEL, INDIANA VENDOR: 314125 8 ONE CIVIC SQUARE UPS CHECK AMOUNT: $********30.13* CARMEL, INDIANA 46032 LOCKBOX 577 CHECK NUMBER: 319341 °•y`,�ioN��o.` CAROL STREAM IL 60132-0577 CHECK DATE: 12/05/17 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1207 4342100 AA5702467 30.13 POSTAGE VOUCHER NO. WARRANT NO. Prescribed by State Board of Accounts City Form No.201(Rev.1995) Vendor# 314125 ALLOWED 20 ACCOUNTS PAYABLE VOUCHER UPS IN SUM OF$ CITY OF CARMEL LOCKBOX 577 An invoice or 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. CAROL STREAM, IL 60132-0577 Payee $30.13 Purchase Order# ON ACCOUNT OF APPROPRIATION FOR Brookshire Golf Course Terms Date Due PO# ACCT# DATE INVOICE# DESCRIPTION DEPT# INVOICE# Fund# AMOUNT Board Members DEPT# FUND# (or note attached invoice(s)or bill(s)) AMOUNT OOOOAA5702467 43-421.00 $30.13 1 hereby certify that the attached invoice(s),or 11/18/17 OOOOAA5702467 Shipping $30.13 1207 101 1207 101 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 Monday, November 27,2017 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 ,20 Cost distribution ledger classification if claim paid motor vehicle highway fund. Clerk-Treasurer Delivery Service In voice Invoice Date November 18,2017 Invoice Number OOOOAA5702467 Shipper Number AA5702 n Control ID 724C Pagel of 3 Sign up for electronic billing today! 0749A000OAA57027 77366030045963 Visit ups.com/billing AB 01 047054 06040 H 123 A For questions about your invoice,call: (800)811-1648 'I'°'IIIIIIIIIIII°°I°III°°II°°lul°I11'1'IIIIIIIIII'I'°I'IIIIII°I Monday-Friday BROOKSHIRE GOLF CLUB 8:00 a m.;s:oo p.m.ET. 12120 BROOKSHIRE PKWY or write: E CARMEL,IN 46033-3314 UPS P.O.Box 7247-0244 Philadelphia,PA 19170-0001 Account Status Summary Thank you for using UPS !Meekly Payment Plan Summary of Charges Amount Due This Period $30.13 page Charge Amount Outstanding(prior invoices) $219.26 Outbound Total Amount Outstanding $249.39 3 UPS Internet Shipping $30.13 Please include the Return Portion of each outstanding invoice with Amount due this period $30.13 your payment See Account Status for details. — HOIidaV--help_ UPS payment terms require pay_mentof this in_v_oice�y November The busiest shopping and shipping seasons are close at hand. 29,2017- Will you be ready?Get key shipping dates,packaging tips and payments received late are subject to a late payment fee of 6%of answers to frequently asked holiday shipping questions at the Amount Due This Period.(see Tariff/Terms and Conditions of ups.com/holidays. Service at ups.com for details) Note.This invoice may contain a fuel surcharge as described at ups com.For more information,please visit upscom. Delivery Service Invoice Invoice Date November 18, 2017 U07M Invoice Number OOOOAA5702467 Shipper Number AA5702 Page 3 of 3 Outbound UPS Internet Shipping Pickup ZIP Billed Date Tracking Number Service Code Zone Weight Charge 11/15 1ZAA57020391649118 Ground Commercial 78754 5 12 19.28 Customer Weight 5 Additional Handling-Length 10.85 Customer Entered Dimensions= 51 x 6 x 6 in Total 30.13 UserlD:Mister Sender :Pam Lister Receiver:Callaway Golf Pre-Ow Brookshire Golf Club Demo Return 12120 Brookshire Parkway 9013 Tuscany Way Carmel IN 46033 AUSTIN TX 78754 Message Codes:r KD Total for Internet-ID: Mister 30.13 Total UPS Internet Shipping 1 Package(s) 30.13 Total Outbound 1 Package(s) 30.13 Invoice Messaging Code Message r Dimensional weight applied KD Charges based on Customer-provided information ..........................................................