181668 01/20/2010 ,r CITY OF CARMEL, INDIANA VENDOR: 314125 Page 1 of 1
1 I
ONE CIVIC SQUARE UPS
o CARMEL, INDIANA 46032 LOCKBOX577 CHECK AMOUNT: $14.61
3,;/ CAROL STREAM IL 60132 -0577 CHECK NUMBER: 181668
CHECK DATE: 1/20/2010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
601 5023990 76V77A020 14.61 OTHER EXPENSES
Delivery Service Invoice
Invoice date January 9, 2010
Shipped from: Invoice number 000076V77A020
CARMEL UTILITIES DISTRIBUTION Shipper number 76V77A
3450 W 1031ST ST
WESTFIELD, IN 46074 Control ID 504Q
Page 1 of 3
#BWNCWNG# Sign up for electronic billing today!
#0249A000076V77A9# 77401200021452 Visit ups.com/billing
AT 01 028376 1600511 82 A *3DGT For questions about your invoice, call:
iu1.1I'11111Iir1'n1, 11111' n' 1' I111J11'111.11l1Ii1,1111111r111' (800) 811 -1648
Monday Friday
CARMEL UTILITIES 8:00 a.m. 9:00 p.m. E.T.
3450 W 131ST ST or write:
WESTFIELD, IN•46074 -8267 UPS
P.O. Box 650580
Dallas, TX 75265 -0580
Account Status Summary
Weekly Payment Plan Thank you for using UPS.
Amount Due This Period 14.61 Summary of Charges
Amount Outstanding (prior invoices) 15.36 page Charge
Total Amount Outstanding 29.97 Outbound
Please include the Return Portion of each outstanding invoice with 3 UPS Internet Shipping 7.05
your payment. See Account Status for details. 3 Adjustments Other Charges 7.56
2010 Rates Information Amount due this period 14.61
After careful evaluation of customers' needs and the rising
costs that affect all businesses, UPS has set next year's rates, UPS payment terms require payment of this invoice by January
effective Jan. 4, 2010. UPS Ground Service rates will increase 20, 2010.
4.9 and Air and International Services rates will increase a Note: This invoice may contain a fuel surcharge as described at
net of 4.9 through a combination of 6.9% increase in rates ups.com. The published fuel surcharge is 5.O% for UPS Ground
and a 2% reduction in the fuel surcharge. Learn more at Services and 7.0% for UPS Air Services, UPS 3 Day Select, and
ups.com /rates. International services. For more information, visit ups.com.
Delivery Service Invoice r.
Invoice date January 9, 2010
ups Invoice number 000076V77A020
Shipper number 76V77A
Page 2of3
Account Status
Weekly Payment Plan
Payments Applied
Amount
Invoice Number Invoice Date Paid
000076V77A509 12/12/2009 22.58
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 126
000076V77A010 01/02/2010 14.10
Total 15.36
Outstanding balances reflect any payments received as of
01/08/2010. Please ignore this message if a recent payment has
been made tor any outstanding invoices.
Delivery Service Invoice
Invoice date January 9, 2010
S Invoice number 000076V77A020
Shipper number 76V77A
Page 3of3
Outbound
UPS Internet Shipping
Pickup ZIP Billed
Date Tracking Number Service Code Zone Weight Charge
12/29 1Z76V77A0397576492 Ground Commercial 46202 2 2 6.78
Fuel Surcharge 0.27
Total 7 -05
1st ref weekly fluoride samples Used() 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 7.05
Total UPS Internet Shipping 1 Package(s) 7.05
Total Outbound 1 Package(s) 7.05
Adjustments Other Charges
On -Call Pickup Requests
Date of Billed
Date Request Pickup Request No. Service Charge
01/06 01/05 2920524GIE3 Future Day Pickup Web Request 5.00
Residential Pickup Surcharge 2.20
Fuel Surcharge 0.36
Total 7.56
1st ref: steve cook
Total On -Call Pickup Requests 1 Request(s) 7.56
Total Adjustments Other Charges 7.56
VOUCHER 094115 WARRANT ALLOWED
314125 IN SUM OF
a
U P S .(�C V
LOCKBOX 577 0
CAROL STREAM, IL 60132 Kk'
Carmel Water Utility
ON ACCOUNT 0 APPRSP" ATION FOR
a■ 1
Board members
PO INV ACCT AMOUNT Audit Trail Code
76V77A020 01- 6360 -03 $14.61
Voucher Total $14.61
Cost distribution ledger classification if
claim paid under vehicle highway fund
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 1/13/2010
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
1/13/2010 76V77A020 $14.61
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