181888 02/03/2010 ,.r., CITY OF CARMEL, INDIANA VENDOR 093000 Page 1 of 1
ONE CIVIC SQUARE FEDEX
CARMEL, INDIANA 46032 PO BOX 94515 CHECK AMOUNT: $13.10
0 .0,0 PALATINE IL 60094 -4515 CHECK NUMBER: 181888
CHECK DATE: 2/3!2010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1091 4342100 9- 476 -06989 13.10 POSTAGE
War
Invoice Number Invoice Date Account Number Page
9- 476 -06989 Jan 22, 2010 1 of 4
FedEx Tax ID: 71- 0427007
Billing Address: Shipping Address:
CARMEL CLAY PARKS RECREATION CARMEL CLAY PARKS RECREATION
1411 E 116TH ST 1411 E 116TH ST
Contact CARMEL IN 46032-7611 CARMEL IN 46032 -7611 C Invoice Questions?
Contact FedEx Revenue Services
Phone: (800) 622 -1147 M -Sa 7 -6 (CST)
Fax: (800) 548-3020
Invoice Summary Jan 22, 2010 Internet: vuvuw.fedex.com
FedEx Ground Services
Transportation Charges 5.81
Other Handling Charges 7.29
Total Charges USD $13.10
TOTAL THIS INVOICE USD $13.10
Other discounts may apply.
JAN 25 20111
res1 Invoice Number Invoice Date Account Number Page
9- 476 -06989 Jan 22, 2010 2 of 4
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.
G Please complete all fields in black ink.
Re uestor Name 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 I 1 1 1 1 1 1 1 1 1 1 1 Date l_J_ 1/ 1 1 1 1 1
a Phone 1 1 1 1- I 1 1 1- I 1 1 1 1 Fax# 1 1 1 1- I 1 1 1 -1 1 1 1 1
E�=
Email Address CI Yes, I wantto update account contact with the above information.
Tracking Number Bill to Account Amount
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'>II 111111I11I1III 1111111111 11 1111.1 11
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1 111.111I11111111 111 1!11!1.111
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ADR Address Correction INW Incorrect Weight OVS Oversize Surcharge For all Service failures or other
DVC Declared Value INS Incorrect Service RSU Residential Delivery surcharges please use our web
e IAN Invalid Acct OCF Grd Pick -up Fee PND Pwrshp Not Delivered site www.fedex.com or call
OCS Exp Pick -up Fee SDR Saturday Delivery (800) 622 -1147
Rerate information only (round to nearest inch)
G_ Tracking Number Code Amount LBS L W H
l 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1) I• I I I I 11 II I I 1x1 11 IXI 11 I
ii
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t 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 x 1 1 1 J x l 1 1 1
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I 111l11111111111111111111I •IIIIIIIl1IIxlIllxl111
1 Invoice Number Invoice Date
4 of 4
FedEx Ground Bill Third Party Detail (Original)
Pu kup Date Jai t1 4DU Cast RRef NO REFERENCE INFORMA11 N 4.
P uykin Qr "ht rd Pff 28 646i 0:..; :<f1ept
Tracg ID 46 51021 99 9 Sender R ecipient Sp T ransportation Charge 5 8 1
Service Type Direct Signature Reg KINKIJ S /GD NONACCT BRCD /LOC Payne arkman Declared Value 7.00
Zone 02 .530E CARMEL DR 2571 ROANOKE AVE Fuel Surcharge 0.29
t Packages 1 CARMEL IN 46032 -2814 NEW ALBANY IN 47150- 372471 Total Charge USD $13.10
Actual Weight 6.2 lbs
Rated Weight 71bs
Declared Value USD 1,000.00
Delivered Jan 12, 2010
Bill Third Party Subtotal USD $13.10
Total FedEx Ground USD $13.10
i
JAN 2 5 2010
its
Invoice Number Invoice Date
3 of 4
FedEx Ground Shipment Summary By Payor Type
FedEx Ground Shipments (origin al)
h ate d
Wergl t 'rartspnrtatian other'Handing Ret GhgfTax
Sh gprnents..,.: ttrs.... Ghanjes charq Caredrts)Other Total t..r...s
Ground-Bill Third Party
01111 1 7 5.81 7.29 13.10
Ground -Bill Third Party Subtotal 513.10
Tottal Fedt:x Oreunrl 1 7 8t t I Q''
Total This Invoice USD $13.10
073842 2/2
ACCOUNTS PAYABLE VOUCHER
CITY OF CARMEL
An invoice of 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.
Payee
Purchase Order No.
093000 FedEx Terms
P.O. Box 94515
Palatine, IL 60094 -4515
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) PO Amount
1/22/10 9- 476 -06989 Postage for shipping 13.10
Total 13.10
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
20
Clerk- Treasurer
Voucher No. Warrant No.
093000 FedEx Allowed 20
P.O. Box 94515
Palatine, IL 60094 -4515
In Sum of
13.10
ON ACCOUNT OF APPROPRIATION FOR
109 Monon Center
PO# or Board Members
INVOICE NO. ACCT #/TITLE AMOUNT
Dept
1091 9 4342100 13.10 I hereby certify that the attached invoice(s), or
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
28 -Jan 2010
b i .1
Signature
13.10 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund