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334185 01/04/19 CITY OF CARMEL, INDIANA VENDOR: 314125 ® ONE CIVIC SQUARE UPS CHECK AMOUNT: $********23.74* s9� Jr4 CARMEL, INDIANA 46032 LOCKBOX 577 CHECK NUMBER: 334185 CAROL STREAM IL 60132-0577 CHECK DATE: 01/04/19 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1115 4342100 170AT6518 12.52 POSTAGE 601 5023990 518 11.22 OTHER EXPENSES VOUCHER NO. WARRANT NO. Prescribed by State Board of Accounts City Form No.201 (Rev.1995) ALLOWED 20 ACCOUNTS PAYABLE VOUCHER Vendor#. 314125 IN SUM OF$ UPS 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 $12.52. ON ACCOUNT OAPPROPRIATION:FOR Purchase Order# F: ICS 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 0000170AT6518 43-421.00 $12.52 1 hereby certify that the attached invoice(s),or .12/22/18 : 0000170AT6518 $12.52 1115 101 Prior Year 1115 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, December.31,2018 Arnone, Janet Admin Assistant 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 N m Delivery Service Invoice Invoice Date December 22, 2018 i Invoice Number 0000170AT6518 Shipper Number 170AT6 TM Control ID 68X8 Page 1 of 3 Sign up for electronic billing todayl 0749A0000170AT69 77366040041263 Visit ups.comlbilling AB 01 041826 26540 H 115 A For questions about your invoice,call: (800)811-1648 Monday-Friday ICS DEPARTMENT 8:00 a.m.-9:00 p.m.E.T. 31 1ST AVE NW or write: CARMEL, IN 46032-1715 UPS P.O.Box 7247-0244 Philadelphia,PA 19170.0001 Account Status Summary Thank you for using UPS. Weekly Payment Plan Summary of Charges Amount Due This Period $12.52 Page Charge Amount Outstanding(prior invoices) $0.00 Outbound Total Amount Outstanding $12.52 3 UPS Internet Shipping $12.52 Holiday Season Service Guarantees Update Amount due this period $12.62 Commitment times for Air and International Air packages UPS payment terms require payment of this bill by January 2,2019. scheduled for delivery Dec. 17-31 are being extended. Delivery times for UPS Next Day Air Early-and UPS-Worldwide Express Note:This invoice may contain a fuel surcharge as descrlbed at-- Plus services will be extended by 90 minutes and all other Air ups.com.For more information,please visit ups.com. and International Air services will be extended to end-of-day. View the updated 2018 Year-End Holiday Schedule at ups.com/holidays. Xi! Delivery Service In voice Invoice Date December 22, 2018 OTM InvoiceNumber 0000170AT6518 Shipper Number 170AT6 Page 3 of 3 Outbound UPS Internet Shipping Pickup ZIP Billed Date Tracking Number Service Code Zone Weight Charge 12/13 1Z170AT60391152571 Ground Commercial 30518 4 7 11.62 Customer Weight 2 Fuel Surcharge 0.90 Customer Entered Dimensions= 12 x 9 x 9 in Total 12.52 USerID:MKlekovski Sender :MARTIN KLEKOVSKI Receiver:AXIS RETURN CARMEL COMMUNICATIONS AXIS COMMUNICATIONS 31 1ST AVE NW 4345 HAMILTON MILL ROAD CARMEL IN 46032 BUFORD GA 30518 Message Codes:r Total for Internet-ID: MKlekovski 12.52 Total UPS Internet Shipping 1 Package(s) 12.52 Total Outbound 1 Package(s) 12.52 Invoice Messaging Code Message r Dimensional weight applied .............................................................................................................................. . ............................................................ . ..... ........................................................................................................ VOUCHER NO. 183709 WARRANT NO. Prescribed by State Board of Accounts City Form No.201(Rev 1995) ALLOWED 20 Vendor# 314125 IN SUM OF$ ACCOUNTS PAYABLE VOUCHER UPS CITY OF CARMEL LOCKBOX 577 An invoice or bill to be properly itemized must show: kind of service,where performed, CAROL STREAM, IL 60132 dates service rendered, by whom, rates per day, number of hours, rate per hour, numbers of units, price per unit,etc. Payee 11.22 314125 Purchase Order No, ON ACCOUNT OF APPROPRATION OR UPS Terms Carmel Water Utility LOCKBOX 577 Due Date BOARD MEMBERS I hereby certify that that attached invoice(s), CAROL STREAM,IL 60132 or bill(s)is(are)true and correct and that PO# ACCT# the materials or services itemized thereon for DATE INVOICE# Description DEPT# INVOICE# Fund# AMOUNT which charge is made were ordered and DEPT# FUND# (or note attached invoice(s)or bill(s)) AMOUNT 518 01-6360-03 $11,22 and received except 12/27/2018 518 $11.22 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. 20_ Clerk-Treasurer Delivery Service Invoice Invoice Date December 22, 2018 Shipped from: Invoice Number 000076V77A518 CARMEL UTILITIES DISTRIBUTION Shipper Number 76V77A ul; 3450 W 1031 ST ST Control ID E155 WESTFIELD,IN 46074 Page 1 of 3 Sign up for electronic billing todayl 0749A000076V77A4 77366040044068 Visit ups.com/billing AB 01 041769 26540 H 115 A For questions about your Invoice,call: I'�'�I"1111"�I'I�'III'll�ll'III "IIII'll�"�II��..I"��II'lll' (800)811-1648 Monday-Friday CARMEL UTILITIES 8:00 a.m.-9:00 p.m.E.T. 3450 W 131 ST ST or write: CARMEL, IN 460748267 UPS P.O.Box 7247-0244 Philadelphia,PA 19170.0001 Incentive Savings Thank you for using UPS. Summary of Charges Total incentive savings this period $16.03 Page Charge Your amount due this period includes these savings. Outbound See incentive summary section for details. 3 UPS Internet Shipping $11.22 Account Status Summary Weekly Payment Plan Amount due this period $11.22 Amount Due This Period $11.22 UPS payment terms require payment of this invoice by January 26, Amount Outstanding(prior invoices) $3.91 2019. Total Amount Outstanding with payments received late are subject to a late payment fee of 6%of Please Include the Return Portion of each outstanding Invoice with the Amount Due This Period.(see Tariff/Terms and Conditions of your payment.See Account Status for details. Service at ups.com for details) Holiday Season Service Guarantees Update :•r.. Commitment times for Air and International Air packages Note:This invoice may contain a fuel surcharge as described at f I For more Information,please visit ups.com. scheduled for delivery Dec. 17-31 are being extended. Delivery ups.com. times for UPS Next Day Air Early and UPS Worldwide Express 41Plus services will be extended by 90 minutes and all other Air and International Air services will be extended to end-of-day. View the updated 2018 Year-End Holiday Schedule at ups.com/holidays. Delivery Service Invoice Invoice Date December 22, 2018 ' Invoice Number 000076V77A518 Shipper Number 76V77A Page 3 of 3 Outbound UPS Internet Shipping Pickup ZIP Published Incentive Billed Date Tracking Number Service Code Zone Weight Charge Credit Charge 12/17 1Z76V77A1292147072 3 Day Select Commercial 47250 302 2 10.75 -5.96 4.79 Delivery Area Surcharge-Extended 2.75 -0.61 2.14 Fuel Surcharge 0.91 -0.54 0.37 Total 14.41 -7.11 7.30 UserlD:CarmelWater Sender :Michelle Breedlove Receiver:Whitney Carmel Utilities Distributin Environmental Labs 3450 w 131 st 635 Green Rd CARMEL IN 46074 MADISON IN 47250 12/19 1 Z76V77A0397334378 Ground Commercial 48071 3 13 11.94 -8.20 3.74 Customer Weight 4.2 Fuel Surcharge 0.90 -0.72 0.18 Customer Entered Dimensions= 16 x 12 x 11 in Total 12.84 -8.92 3.92 UserlD:CarmelWater Sender :Michelle Breedlove Receiver:Chuck Spencer Carmel Utilities Distributin Galco 3450 w 131 st 1001 E.Lincoln CARMEL IN 46074 MADISON HEIGHTS MI 48071 Message Codes:bf Total for Internet-ID: CarmelWater 27.25 -16.03 11.22 Total UPS Internet Shipping 2 Package(s) 27.25 -16.03 11.22 Total Outbound 2 Package(s) 27.25 -16.03 11.22 Invoice Messaging A; Code Message :.-I bf Custom Dimensional Weight Applied �i .................................................... ............ ............................................................................................................................................................................................................................................................ Shipment Receipt I UPS Page 1 of 1 Shipment Receipt December 19, 2018 1Z76V77A0397334378 Where Ship From Ship To Carmel Utilities Distributin,Michelle Breedlove Galco,Chuck Spencer 3450 w 131 st,CARMEL,IN 46074 1001 E.Lincoln,RMA 4225356,MADISON USHEIGHTS,MI 48071 mbreedlove@carmel.in.gov,317-733-2859 US 8889888083 4546 What Package 1-1Z76V77A0397334378 Weight Dimensions 4.2 lbs 16 in x 11 in x 12 in My Packaging Service Details - UPS Ground Estimated Delivery Friday December 21,2018,End of Day Additional Options Email Notifications:btolan@carmel.in.gov Payment Bill Shipping Charges To:Shipper-76V77A-Carmel Utilities Distribution Shipping Total Shipping Fees Subtotals Package 1 Shipping Fees $12.84 UPS Ground $11.94 Combined Charges $12.84 Fuel Surcharge $0.90 Contract Rate $3.92 Transportation Charges:for services listed as guaranteed,refunds apply to Rate includes a fuel Surcharge,but excludes taxes,duties and other transportation charges only.See Terms and Conditions in the Service charges that may apply to the shipment. Guide for details.Certain commodities and high value shipments may Your invoice may vary from the displayed reference rates require additional transit time for customs clearance. Note:This document is not an invoice. Received : Date : AGGT # : tQ Use if https://www.ups.corh/ship/core/confirmation?tx=5594446716899594&loc=en US 12/19/2018