180805 12/30/2009 CITY OF CARMEL, INDIANA VENDOR: 093000 Page 1 of 1
j ONE CIVIC SQUARE FEDEX
1, a CARMEL, INDIANA 46032 Po Box 94515 CHECK AMOUNT: $23.00
PALATINE IL 60094 -4515
c .2-.� CHECK NUMBER: 180805
CHECK DATE: 12/30/2009
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1205 4342100 9- 434 -53129 23.00 POSTAGE
Invoice Number Invoice Date Account Number Page
9 -434 -53129 Dec 16, 2009 1062- 2307 -6 1 of 4
12s1 FedEx Tax ID: 71- 0427007
Billing Address: Shipping Address:
CITY OF CARMEUMAYOR'S OFC CITY OF CARMEL
JENNY CHASTAIN 1 CIVIC SQ
1 CIVIC SQ CARMEL IN 46032 -2584 Invoice Questions?
Contact FedEx Revenue Services
CARMEL IN 46032 -2584 Phone: (800) 622 -1147 M -Sa 7 -6 (CST)
Fax: (800) 548-3020
Invoice Summary Dec 16, 2009 Internet: www.fedex.com
FedEx Express Services FedEx News!
Transportation Charges 17.20 FedEx First Overnight® Beat the Competition Get It
Special Handling Charges 5.80 There Early Need to deliver a critical shipment by first
Total Charges USD $23.00 thing tomorrow morning? FedEx First Overnight provides
TOTAL THIS INVOICE USD x delivery by 8 a.m. to more ZIP codes than UPS Next Day
Air Early A.M.
Other discounts may apply.
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Invoice Number Invoice Date Account Number P
9- 434 -53129 I Dec 16, 2009 1062- 2307 -6 3 of 4
FedEx Express Shipment Summary By Reference
Fed Express Shipments (Original)
Baled s Rpaeia#
INe f: 'ranspartaUon }bmdhnj Re £hgffax
Reference Shipments Ibs Charges- Charges Credds)Other trscnvnts_ Tiltal charges.
NO REFERENCE INFORMATION 1 14.0 17.20 5.80 23.00
Total This Invoice USD $23.00
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Invoice Number Invoice Date Account Number Page
9- 434 -53129 Dec 16, 2009 1062 2307 -6 4114
FedEx Express Shipment Detail By Reference (Original)
Ptcked up 1 2 9 f ttst Ruf Ni R 1 NFO RM AT ON :lRpt. 2
Pa ijo Sh1ppe0 tef #3
Fuel S urcharge -FedEx has applied a fuel surcharge of 8.50% to this shipment
Distance Based Pricing, Zone 2
Automation USAB Sender Recipient
Tracking ID 861994324041 SHELLY LINGELBAUGH BAS
Service Type FedEx 2Day CITY OF CARMEL 17475 JURONNA OR
Package Type Customer Packaging 1 CIVIC SQ HOMEWOOD IL 60430 US
Zone 02 CARMEL IN 46032 -2584 US
Packages 1
Rated Weight 14.0 lbs, 6.4 kgs
Delivered Dec 14, 200908:40 Transportation Charge 17.20
Svc Area Al Fuel Surcharge 1.80
Signed by D.ARTHUR Courier Pickup Charge 4.00
FedEx Use 034401566/0005980!_ Total Charge USD 523.00
NO REFERENCE INFORMATION Reference Subtotal USD $23.00
Total FedEx Express USD $23.00
VOUCHER NO. WARRANT NO. Prescribed by State Board of Accounts City Form No. 201 (Rev. 1995)
ALLOWED 20 ACCOUNTS PAYABLE VOUCHER
FedEx
IN SUM OF CITY OF CARMEL
P.O. Box 94515 An invoice or bill to be properly itemized must show: kind of service, where performed, dates service rendered, by
Palatine, IL 60094 -4515 whom, rates per day, number of hours, rate per hour, number of units, price per unit, etc.
$23.00 Payee
Purchase Order No.
ON ACCOUNT OF APPROPRIATION FOR
Terms
Carmel Administration
Date Due
Invoice Invoice Description Amount
PO# Dept. INVOICE NO. ACCT# /TITLE AMOUNT Board Members Date Number (or note attached invoice(s) or bill(s))
1205 I 9- 434 -53129 43- 421.00 I $23.00 I hereby certify that the attached invoice(s), or 12/16/09 9- 434 -53129 Open Enrollment Forms to BAS $23.00
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
Tuesday, December 22, 2009
1r
Director, Administration
Title
Cost distribution ledger classification if I hereby certify that the attached invoice(s), or bill(s), is (are) true and correct and I have audited same in accordance
claim paid motor vehicle highway fund with IC 5- 11- 10 -1.6
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Clerk- Treasurer
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