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HomeMy WebLinkAbout325383 05/23/18 CITY OF CARMEL, INDIANA VENDOR: 093000
ONE CIVIC SQUARE FEDEX CHECK AMOUNT: $*********4.00*
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CARMEL, INDIANA 46032 PO BOX 94515 CHECK NUMBER: 325383
PALATINE IL 60009-4514 CHECK DATE: 05/23/18
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1093 4239099 618391146 4.00 OTHER MISCELLANOUS
ACCOUNTS PAYABLE VOUCHER
CITY OF CARMEL
VOUCHER NO. WARRANT NO.
An invoice of bill to be properly itemized must show;kind of service,where performed,dates service rendered,by
Vendor# 093000 Allowed 20_ whom,rates per day,number of hours,rate per hour,number of units,price per unit,etc.
FedEx Payee
P.O. Box 94515
Palatine, IL 60094-4515 In Sum of$ Purchase Order#
093000 FedEx Terms
$ 4.00 P.O.Box 94515 Date Due
Palatine,IL 60094-4515
ON ACCOUNT OF APPROPRIATION FOR
109-Monon Center
PO#or nvolce Description
Dept# INVOICE NO. ACCT#/nITLE AMOUNT Invoice Date Number (or note attached invoice(s)or bill(s)) PO# Amount
Shipping for Return of Sump Pump for
1093 618391146' 4239099 $ 4.00 Board Members 5/16/18 618391146 Warranty Replacement xx6857 $ 4.00
I hereby certify that the attached invoice(s),or
bills)is(are).true and correct and that the
materials or services itemized thereon for
which charge is made were ordered and
received except
$ 4.00 Total $ 4.00
May 16,2018
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 "
Cost distribution ledger classification if
claim paid motor vehicle highway fund Signature 120—
Accounts
20_Accounts Payable Coordinator Clerk-Treasurer
Title
EM11111111111111111111 win
fInuoic_-e N_umben Invoke Date
1 of3
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 May 16,2018 Internet: www.fedex.com
FedEx Other Charges
Merchandise Sales 400
Sales Tax 0 2�
Total Charges USD $4.28
TOTAL THIS INVOICE USD X29
Other discounts may apply.
MA 1 6 2079
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k� Invoice Number Invoice Date Account Number Page
1 6-183-91146 May 16 2018 2 of 3
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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Please complete all fields in black ink.
n 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 LJ Date I
'a�'• Phone WWW -WWW -WWJ Fax#
y E-mail Address ❑Yes,I wantto update account contactwith the above information.
Tracking Number Bill to Account $Amount
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�y ADR-Address Correction INW-Incorrect Weight OVS- Oversize Surcharge For all Service failures or other
C DVC-Declared Value INS- Incorrect Service RSU- Residential Delivery surcharges please use our web
" d IAN- Invalid Acct# OCF- Grd Pick-up Fee PND-Pwrshp Not Delivered site www.fedex.com or call
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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
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Check all that apply Effective Date I I I/ WWJ/ L_LJ
❑Shipping Address(Physical Address) ❑Billing Address Only ❑Billing Same As Shipping Address
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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 I I
Address I I I I I I I I I I I I I I I I I I Address I I I I I I I I I I I I I I I 1 LJ
s; Address I I I I I I I I I I I I I I I I I I Address L-L I -LI I I I I I I I I I I I I I I I
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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 I
City I I I I I I I I I I I I I I I I I I City I I I I I I I I I I I I I I I I Li
9 State W Zip Code 1 1 1 1 1 1 -1 ( I I I State W Zip Code I I I I I I -WWW
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F—Invoice Number Invoice Date —Account Number Page
Fedr-n'
6-183-91146 May 16,2018 3 of 3
FedEx Other Charges Detail
Purchaser: Jim Descrhition Qu ti Unit Price Total Charae
Purchase Location: 20'x20"xl 2"Box 1 4.00 4.00
530 E CARMEL DR Sales Tax 0.28
CARMEL,IN 46032 Total USD 4.28
Merchandise Sales Subtotal USD 4.28
Total Other Charges USD 4.28