181419 01/13/2010 CITY OF CARMEL, INDIANA VENDOR: 314125 Page 1 of 1
ONE CIVIC SQUARE UPS
C ARMEL, CHECK AMOUNT: $14.10
l INDIANA 46032 LOCKBOX 577
CAROL STREAM IL 60132 -0577
CHECK NUMBER: 181419
CHECK DATE: 1/1312010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
601 5023990 76V77A010 14.10 CONT SERVICES OTHER
Delivery Service Invoice
invoice dale January 2, 2010
U x S Invoice number 000076V77A010
Shipper number 76V77A
TI
Page 3 of 3
Outbound
UPS Internet Shipping
Pickup ZIP Billed
Date Tracking Number Service Code Zone Weight Charge
12/18 1Z76V77A0393295258 Ground Commercial 46202 2 2 6.78
Fuel Surcharge 0.27
Total 7.05
1st ref weekly fluoride samples UserlD CarmelWater
Sender Michelle Breedlove Receiver: Environmental Sample
Carmel Utilities Distributin Indiana State Dept of Health
3450 w 131 st 550 West 16th Street
westfield IN 46074 INDIANAPOLIS IN 46202
12/28 1Z76V77A0396871085 Ground Commercial 46202 2 2 678
Fuel Surcharge 0.27
Total 7.05
1st ref Weekly Fluoride Samples UserlD CarmelWater
Sender Jaimie Foreman Receiver: Environmental Sample
Carmel Drinking Water Plant Indiana State Dept of Health
5484 E. 126th St 550 West 16th Street
CARMEL IN 46033 INDIANAPOLIS IN 46202
Total for Internet -ID: CarmelWater 14.10
Total UPS Internet Shipping 2 Package(s) 14.10
Total Outbound 2 Package(s) 14.10
EMMA
Delivery Service Invoice
Invoice date January 2, 2010
Shipped from: Invoice number 000076V77A010
U .7,::;;r: CARMEL UTILITIES DISTRIBUTION Shipper number 76V77A
3450 W 1031ST ST
WESTFIELD, IN 46074 Control ID 818N
Page 1 of
For questions about your invoice, call:
#BWNCWNG# (800) 811 -1648
#0249A000076V77A9# 77401100016572 Monday Friday
AT 01 023144 09265H 71 D *30GT 8:00 a.m. 9:00 p.m. E.T.
11111111111111111111111111111411111111111111111111111111"11' or visit ups.com
CARMEL UTILITIES orwide:
UPS
3450 W 131ST ST P.O. Box 650580
WESTFIELD, IN 46074-8267 Dallas, TX 75265-0580
Account Status Summary
Weekly Payment Plan Thank you for using UPS.
Amount Due This Period 14.10 Summary of Charges
Amount Outstanding (prior invoices) 23.84 Page Charge
Total Amount Outstanding 37.94 Outbound
Please include the Return Portion of each outstanding invoice with 3 UPS Internet Shipping 14.10
your payment. See Account Status for details. Amount due this period 14.10
2010 Rates Information
After careful evaluation of customers' needs and the rising UPS payment terms require payment of this invoice by- January
costs that affect all businesses, UPS has set next year's rates, 13, 2010.
effective Jan. 4, 2010. UPS Ground Service rates will increase Note: This invoice may contain a fuel surcharge as described at
4.9 and Air and International Services rates will increase a ups.com. The published fuel surcharge is 4.0% for UPS Ground
net of 4.9 through a combination of 6.9% increase in rates Services and 8.5% for UPS Air Services, UPS 3 Day Select, and
and a 2% reduction in the fuel surcharge. Learn more at International services. For more information, visit ups.com.
ups.com /rates.
Delivery Service Invoice
Invoice date January 2, 2010
U S Invoice number 000076V77A010
Shipper number 76V77A
Page 2of3
Account Status
Weekly Payment Plan
Payments Applied
Amount
Invoice Number Invoice Date Paid
000076V77A469 11/14/2009 58.58
000076V77A479 11/21/2009 28.23
000076V77A499 12/05/2009 11.21
Account Status
Weekly Payment Plan
Amount Outstanding (prior invoices):
Please include the Return Portion of each outstanding invoice
with your payment.
Balance
Invoice Number invoice Date Due
000076V77A239 06/06/2009 1.26
000076V77A509 12/12/2009 22.58
Total 23.84
Outstanding balances reflect any payments received as of
01/01/2010. Please ignore this message if a recent payment has
been made for any outstanding invoices.
VOUCHER 094042 WARRANT ALLOWED
314125. IN SUM OF
UPS
LOCKBOX 577 4in c.
CAROL STREAM, IL 60132 0 0
Carmel Water Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO INV ACCT AMOUNT Audit Trail Code
76V77A010 01- 6360 -03 $14.10
Voucher Total $14.10
Cost distribution ledger classification if
claim paid under vehicle highway fund
(1);'
Prescribed by State Board of Accounts City Form No. 201 (Rev 1995)
ACCOUNTS PAYABLE VOUCHER
CITY OF CARMEL
An invoice or bill to be properly itemized must show, kind of service, where
performed, dates of service rendered, by whom, rates per day, number of units,
price per unit, etc.
Payee
314125
UPS Purchase Order No.
LOCKBOX 577 Terms
CAROL STREAM, IL 60132 Due Date 1/7/2010
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
1/7/2010 76V77A010 $14.10
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
Date Officer