182119 02/03/2010 A VENDOR: 314125 Page 1 of 1
CITY OF CARMEL, INDIANA
t.,. ONE CIVIC SQUARE UPS
i
�2 CARMEL, INDIANA 46032 LOCKBOX 577 CHECK AMOUNT: $100.94
CAROL STREAM IL 60132 -0577 CHECK NUMBER: 182119
CHECK DATE: 2/3/2010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
651 5023990 6990030 77.44 CONT SVS -OTHER
601 5023990 76V77A030 23.50 CONT SERVICES OTHER
Delivery Service Invoice
U P Invoce date January 16, 2010
Shipped from: Invoce number 000076V77A030
CARMEL UTILITIES DISTRIBUTION Shipper number 76V77A
a 3450 W 1031ST ST Control ID 929T
N WESTFIELD, IN 46074
Page 1 of 3
-r
#BWNCWNG# Sign up for electronic billing today!
#0249A000076V77A9# 77401300020395 Visit ups.com /billing
AT 01 028574 21312H 87 A'x300T For questions about your invoice, call:
1 11 1 111 11 1 1 1 111111 1111111 11 11 11 11111 1 11111111'111111"111111111 (800) 811 -1648
Monday Friday
CARMEL UTILITIES 8:OOam. 9:OOp.m.E.T.
3450 W 13IST ST or write:
MM
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 23.50 Summary of Charges
Amount Outstanding (prior invoices) 29.97 Page Charge
Total Amount Outstanding 53.47 Outbound
Please include the Return Portion of each outstanding invoice with 3 UPS Internet Shipping 25.81
your payment. See Account Status for details. 3 Adjustments Other Charges -2.31
Go electronic in 2010, Amount due this period 23.50
Save money. Save time. Save trees. Choose a UPS electronic
billing solution as an alternative to receiving a paper bill. You UPS payment terms require payment of this invoice by January
will be able to view, manage and pay your UPS bills. Choose 27, 2010
the electronic bill format that best suits your company's needs. Note: This invoice may contain a fuel surcharge as described at
Learn more at www.ups.comlbilling ups.com. The published fuel surcharge is 5.0% for UPS Ground
Services and 7.0% for UPS Air Services, UPS 3 Day Select, and
International services. For more information, visit ups.com.
Delivery Service invoice
Invoice date January 16, 2010
U S Invoice number 000076V77A030
t Shipper number 76V77A
Page 2 of 3
Account Status
Weekly Payment Plan
r
Amount Outstanding (prior invoices):
Please include the Return Portion of each outstanding invoice
with your payment.
Balance
Invoice Number Invoice Date Due
000076V77A239 06/0612009 1.26
000076V77A010 01/02/2010 14.10
000076V77A020 01/09/2010 14.61
Total 29.97
Outstanding balances reflect any payments received as of
01/15/2010. Please ignore this message if a recent payment has
been made for any outstanding invoices.
Delivery Service Invoice
In voice date January 16, 2010
S Invoice number 000076V77A030
Shipper number 76V77A
rho
Page 3of3
Outbound
UPS Internet Shipping
Pickup ZIP Billed
Date Tracking Number Service Code Zone Weight Charge
01/05 1Z76V77A0394075467 Ground Commercial 30336 4 7 10.01
Fuel Surcharge 0.50
Total 10.51
UserlD CarmelWater
Sender Michelle Breedlove Receiver: Returns Dept
Carmel Utilities Distributin G &K
3450 w 131 st 6150 Lagrange blvd #D
westfield IN 46074 ATLANTA GA 30336
01/07 1Z76V77A0390398474 Ground Commercial 46204 2 1 7.05
Fuel Surcharge 0.35
Total 7.40
1st ref Dec 2009 MRO UserlD CarmelWater
Sender :Jaimie Foreman Receiver: Linda Edwards
Carmel Drinking Water Plant IDEM/ Drinking Water B ranch
5484 E. 126th St 100 N SENATE AVE
CARMEL IN 46033 INDIANAPOLIS IN 46204
01/12 1Z76V77A0395695303 Ground Commercial 46204 2 4 7.52
Fuel Surcharge 0.38
Total 7.90
1st ref Weekly Fluoride Samples UserlD CarmelWater
Sender Jaimie Foreman Receiver: Linda Edwards
Carmel Drinking Water Plant IDEM/ Drinking Water B ranch
5484 E. 126th St 100 N SENATE AVE
CARMEL IN 46033 INDIANAPOLIS IN 46204
Total for Internet -ID: CarmelWater 25.81
Total UPS Internet Shipping 3 Package(s) 25.8
Total Outbound 3 Package(s) 25.81
Adjustments Other Charges
Adjustments
Number of Billed
Explanation Packages Charge
BILLING ADJUSTMENT FOR W/E 01/09/2010 -2.31
RESIDENTIAL SERVICE ADJUSTMENT
PICKUP REQUEST NO: 2920524GIE3
PICKUP CHARGE BILLED IN ERROR
Total Adjustments 2.31
Total Adjustments Other Charges 2.31
028574 2/2
VOUCHER 094196 VVARRANT ALLOWED
314125 P IN SUM OF
UPS Z
LOCKBOX 577 o
CAROL STREAM, IL 60132
Carmel Water Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO INV ACCT AMOUNT Audit Trail Code
76V77A030 01- 6360 -03 $23.50
Voucher Total $23.50
;;ost distribution ledger classification if
`craim paid under vehicle highway fund
Prescribed by State Board of Accounts Citv,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 1/25/2010
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
1/25/2010 76V77A030
$23.50
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
/a
G -0 ,11
Date Officer
f Delivery Service Invoice
Invoice date January 16, 2010
Shipped from: invoice number 0000RV6990030
CITY OF CARMELNNASTEWATER Shipper number RV6990
TERESA LEWIS
9609 HAZEL DELL PKWY Control ID L081
INDIANAPOLIS, IN 46280 -2935 Page 1 of 3
#BWNCWNG# Sign up for electronic billing today!
#0249A0000RV69900# 77401 30001 561 2 Visit ups.com /billing
AT 01 028268 21312H 87 A *3DGT For questions about your invoice, call:
IIIIIIIIIIIIII'I IIIIIl 'IiIIII'111111III"III'I'Ill1'F 1111I1I'I (800) 811 -1648
Monday Friday
CITY OF CARMEL 8:OOa.m. 9:OOp.m.E.T.
UTILITIES or write:
760 3RD AVE SW UPS
CARMEL, IN 46032-2072 P.O. s,TX75
Dallas, TX 752fi5 -0580
Account Status Summary
Weekly Payment Plan Thank you for using UPS.
Amount Due This Period 77,44 Summary of Charges
Amount Outstanding (prior invoices) 0.00 Page Charge
Total Amount Outstanding 77.44 Outbound
Go electronic in 2010 3 UPS Internet Shipping 69.44
Save money. Save time. Save trees. Choose a UPS electronic 3 Adjustments Other Charges 8.00
billing solution as an alternative to receiving a paper bill. You Amount due this period 77.44
will be able to view, manage and pay your UPS bills. Choose
the electronic bill format that best suits your company's needs. UPS payment terms require payment of this bill by January 27,
Learn more at www.ups.com/billing 2010.
Note: This invoice may contain a fuel surcharge as described at
ups.com. The published fuel surcharge is 5.0% for UPS Ground
Services and 7.0% for UPS Air Services, UPS 3 Day Select, and
international services. For more information, visit ups.com.
Delivery Service Invoice
Invoice date January 16, 2010
U s invoice number 0000RV6990030
4. Shipp number RV6990
f
0,
Page 2 of 3
Account Status
Weekly Payment Plan
Payments Applied
Amount
Invoice Number Invoice Date Paid
0000R V6990449 10/31/2009 21.97
0000RV6990469 11/14/2009 16.19
VOUCHER 097160 WARRANT ALLOWED
'14125 IN SUM OF
UPS
LOCKBOX 577
CAROL STREAM, IL 60132 -0577
Carmel Wastewater Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO INV ACCT AMOUNT Audit Trail Code
6990030 01- 7362 -05 $77.44
Voucher Total $77.44
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 -0577 Due Date 1/25/2010
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
1/25/2010 6990030 $77.44
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