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Home My WebLink About182330 02/17/2010 CITY OF CARMEL, INDIANA VENDOR: 358991 Page 1 of 1 i ONE CIVIC SQUARE GEORGIANNA EDWARDS CHECK AMOUNT: $11.46 CARMEL, INDIANA 46032 1830 E 67TH STREET INDIANAPOLIS IN 46220 CHECK NUMBER: 182330 CHECK DATE: 2/17/2010 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1081 4239039 REIMB 11.46 GENERAL PROGRAM SUPPL Cal 0 Clay 'arks &Recreation Employee Expense Reimbursement Request Date of Fund Account Account Receipt Vendor listed on receipt Line Budget Description Amount Pu r pose of Expense 1 VA m dC6 r No re ceipts should be attached in the same order as listed above. II sales tax will be reimbursed. TOTAL: lf� t Employee Name (print) G r l n Address l j Check payable to: City, St, Zip 1 5 Signature: ��J Approved by: Date: Date: Business Services Division, Revised 7 -7 -08 FILE: Shared \Administrative\Forms\Staff Forms\Employee Exp Reimb Request .r r 1 O D "RIPPLE AVE lTLILIS, IN 46220 cat i or GSHK i- V vice ID: SHK -POS1 Emp 1 ogee 265253 sac 2063174• 11.46-` pment 'tal: r Total-me: 11.46 (V) CreditCard: 11.46 h Ueieht entered nanually 5 Ueight read fron scale 1 Taxable iten Subject to additional charges. See FedEx Seruice Guide at fedex.con for details. All nerchandise sales final. Visit us at: f edex.com Or call 1.800.GoFedEx 1.800.463.3339 January 15, 2010 12:07:00 PM Order Form. Sender's Co?y Ground Must be processed at a FedEx shipping counter. k I From Plea. primendpresshard. 3 Package Information Sender's FedEx Date l Ac count Number r Residential Delivery Address Nonresidential (Business) Delivery Address G: 1 1 ti r< j C• Number of Packages I Weight Re 0 w 1 ;rT t` �)l Declared Value f Our liability is limited to $100 per package unless you docIarea higher value. See back for details. For multiple packages to one delivery address, seethe shipping agent to declare a value for each package. 4 Delivery Signature Options If you require esignature, check Director Indirect L' I No Signature Required Direct Signature El It P.ck.gemay be left withom obtainin Anyaneatthedeliveryeddress If no one is avaable at delivery address. X I r •'1 /j asignsuen, rdelivery. may sign far delivery. anyone at a neighboring address may Fee applies. ign for delivery. Available for residential shipmaon only. Fee applies. W iJ. t p 5 FedEx Home Delivery Premium Service Upgrades Residential deliveries for packages up to 7016s. s FedEx Date Certain FedEx Evening FedEx Appointment iii Home Delivery Home Delivery Home Delivery •i Delivery anespeafm date you select Delivery betweon 5end0p.m. an Derrvary on a specdic data and time Tuesday through Saturday, provided the the scheduled data of delivery. you select We attempt to contact the date is not before the standard delivery Fee applies. recipient in adverts. Fee applies. v. tt time and is within two weeks after it 1 .l r ll Fee applies. 6 Payment auto: -T� r— Enter FedEx ACCS. NO. astow. -1 r' t Sender Recipient Third Parry Credit Card Cash /Check Acct No. in Section i i lY 1 r, I_,t iT r 'v'- Iwin be billed. FedEx Acct. No. Weight Base Rate Total Charge �tit Taff "@M@@ @R ftftn@M FedEx Use Only s Tracking Number Questions? Go to fedek.com or call 1.800.GoFedEx 1.800.463.3339. Employee Number 6 4 7 2 p 6 The FedEx Ground Order Form is for FedEx Ground shipments within the U.S. By using this FedEx Ground Order Form, 1 u agree to the service,conditions on the back of the Sender's Copy of this document and in the current FedEx Service Guide, N including terms that limit our liability. Hazardous materials cannot be shipped using this FedEx Ground Order Form. Rev. Date 9/08 Part 156276 01994 -2008 FedEx PRINTED IN U.S.A. OP- 253WSC v Terms and Condition's Definitions, On this FedEx Ground Order Form, "we," "our," "us" and "FedEx" refer to FedEx Ground Package You may call our customer service department at 1.800.GoF�AEx 1.800.463.3339 to report a claim; System, Inc. (FedEx Ground), its employees and agents. "You" and "your" refer to the sender, its employees however, you must still file a timely written claim. and agents. We aren't obligated to act on any claim until you have paid all transportation charges, and you may not Agreement to Terms By giving us your package to deliver, you agree to all the terms on this FedEx Ground daduct the amount of your claim from those charges. Order Form, in the current FedEx Service Guide and as supplemented in the FedEx Retail Counter Rates Book, which is available upon request. You also agree to those terms on behalf of any third party with an interest in If the recipient accepts your package without noting any damage on the-delivery record, we will the package. If there is a conflict between the current FedEx Service Guide and this FedEx Ground Order Form, assume the package was delivered in good condition. For us to process your claim, you must make the the current FedEx Service Guide will control. No one is authorized to change the terms of our Agreement. original shipping cartons and packing available for inspection. Responsibility for Packaging and Completing the FedEx Ground Order Form You are responsible for Right to Inspect We'may, at our option, open and inspect your packages before or after you give them adequately packaging your goods and properly completing this FedEx Ground Order Form. If you omit the to us to deliver. number of packages and /or weight per package, our billing will be based on our best estimate of the number of packages we received and /or an estimated "default" weight per package as determined by us. Right of Rejection damage reserve the right to reject a t or personnel; en such package would o b likely cause delay or damage to other packages, equipment or personnel; or if the package is prohibited by Responsibility for Payment Even if you givens different payment instructions, you will always be primarily law; or if the package would violate any terms of our FedEx Ground Order Form.or the current FedEx responsible for all delivery costs, as well as any cost we incur in either returning your package to you or Service Guide. warehousing it pending disposition. C.D.D. Services C.O.D. SERVICE IS NOT AVAILABLE WITH THIS FEOEX GROUND ORDER FORM. If Limitations on Our Liability and Liabilities Not Assumed C.O.D. service is required, please refer to the current FedEx Service Guide. Our liability in connection with this package is limited to the lesser of your actual damages or $100, unless packages to AK, HI and PR .Packages tendered to Alaska, Hawaii or Puerto Rico are subject to you declare a higher value, pay an additional charge and document your actual loss in a timely manner. aviation security controls by carriers and, when appropriate, other government regulations. Copies of You may pay an additional charge for each additional $100 of declared value. The declared value does not all relevant shipping documents showing the package's consignee, consignor, description and other constitute, nor do we provide, cargo liability insurance. relevant data will be.retained on file until the package completes its air transportation. In any event, we will not be liable for any damage in excess of the declared value of a shipment. We won't be liable: Residential Deliveries Residential deliveries include deliveries made to: a business with a residence If you or the recipient violates any of the terms of our Agreement. at the same location and in the same building; a residence where the consignee sells /distributes For loss of or damage to shipments of prohibited items. products using the home as a base; residents of multiple- unit iresidences; or a rectory, convent or For loss, damage or delay caused by events we cannot control, including but not limited to acts of God, parsonage. Residential deliveries that are not delivered by the Home Delivery Division of FedEx Ground perils of the air, weather conditions, acts of public enemies, war, strikes, civil commotions or acts of are not eligible for the FedEx Ground money -back guarantee. public authorities with actual or apparent authority. For any special, incidental or consequential damages, including but not limited to hiss of income or Premium Home Delivery Options FedEx offers three premium service upgrade options for shippers using profits, whether or not FedEx had knowledge that such damages might be incurred. FedEx Home Delivery, and special handling fees apply. See the rates in the current FedEx Service Guide. Declared Value Limits f Delivery Signature Options FedEx offers delivery signature options for shippers, and special handling If you declare a higher value.and pay an extra charge, the highest declared value allowed is $50,000 fees apply. See the rates in the current FedEx Service Guide. Indirect Signature Required is not unless your package contains items of extraordinary value, in which case the highest declared value available for shipments to nonresidential addresses. allowed is $100. Money -Back Guarantee In,the event of untimely delivery, FedEx will, at your request and wither Items of extraordinary value include shipments containing such items as artwork, jewelry, furs, precious some limitations, refund or credit all transportation charges. See the current FedEx Servico' metals, negotiable instruments and other items listed in the current FedEx Service Guide. more information. Filing a Claim YOU MUST MAKE ALL CLAIMS IN WRITING and notify us of your claim within strict time limits SHIPPER AGREES NOT TO TENDER HAZARDOUS MATERIALS OR OTHER PROHIBr set out in the current FedEx Service Guide. Rev. Date 9/08 Part i of i Wgt Total FedEX S,H OS AddH Resi (!bs) DV Chg j N 4668093,10203176 12.70 $0 2 �6 i I i i Total Charges $11.46 CreditCard xxxxx6912 Emp 2265253 Ship Date:15JAN10 CONDITIONS OF CONTRACT FOR INTERNATIONAL FEDEX SHIPMENTS ONLY DEFINITIONS. On Ines All Wayb,IL'we' a,d',s olef to Federal Express Corporation ifs subs,d,ar ,es and branches and their respective ployees agents and independent contractors. 'You' and your" refer to the shippe employees pa V and agents It your shipment originates outside the United States. your contract M carriage Is with the 'odlm.l Express sub,.d,a,y branch or ndependent camractor who re ginally accepts the shipment from you Package' means any contaner or envelope that ,5 accept lid e by as tar delivery, lncludeg a such .lams tendered by you uirz g our automated systems. meters aile.ls or waybllls •Shipment' ny means ell packages which are tendered to and accepted by us on a sin. glo Air Waybill AGREEMENT TO TERMS. By giving us your shipment, you agree regardless of whether you sign the front of this Air Waybill, for yourself and a.% agent for antl on behalf of any other person hay- ing an mlere5l In this shlpment, to all terms on this NON NEGOTIABLE Air Waybill, in any applicable Ia I11 antl 1a our current Service Guide or Standard Conditions of Carriage, copies of which are available upon 11 If there 15 a conflict between this Art Waybill and either the tariff, Service Guide. or Standard Conai,m then In effect, the tariff and the terms of any customer automation agreement between the ship. per end Federal Eaprers w1:1 control (in. Service Guide or Standard Conditions have seconalory priority) No one Is a..mnnaed to alter or modify the terms of our agreement This Au Waybill shall be binding on us when the ship,,.. of -pled YOUR OBLIGATIONS. You warrant that each article in the shipment is properly described .r Ih.• Air Wayb61 and is acceptable for transport by us, and that the shipment is prop city marked, addressed (inducing postal codes) and packed to ensure sate transportation with ordinary care in handling NOTICE CONCERNING UL:ITATIONS OF LIABILITY. Air Ccrrlago Notice. If the car (logo of your shipment by air involves as ultimate destination or stop in a country other then the country of departure, the Warsaw Convention. an international treaty relating to international carriage by air, may be applicable. which treaty would then govern and in most cases limit our heb,bty for loss or delay of or dam- age to your shipment In the U S the Warsaw Convention limits our liability to U.S 89 07 per pound (U S $20 38 per kaogram), unless you declare a higher value for carriage as described below The interpreta- tion of the Warsaw Convention's liability limit. may very in other eoudirce There are no stopping places nice are agreed al the time of tender of the shipment and we re ve the right to route ship- ,ny way we doom appropriate Road Trenaport Notic.. Shop -rni Iz m,p •,ion p., .:,n n on, n.plvn agree' In do .o n. .Tr am m nr roe a nn, the Inlc•mabnra fa•r.vpe of C.. ti ,neu, Ina Limitation of Liability. it not governed by the Warsaw Convention or the CMR as described above hour maximum liability for loss, damage or delay is limned by this Air Waybill to U S $100 per shipment or U S $9 07 par pound (U S 20.38 per kilo) (or equivalent local currency). whichever ,s greater. unless you declare a higher value for carriage as described below Fad E, does not provide cargo liability or all risk insurance. but you may pay an additional charge to each additional U S 5100 for equivalent local currency) of declared slue for carriage If a higher value fur carnage is declared and the additional charge Is paid. FedEx's maximum liability will be the tosser of the declared value for car. ,ago or your actual tlamages. LIABILITIES NOT ASSUMED. IN ANY EVENT, WE WON'T BE LIABLE FOR ANY DAMAGES, WHETHER DIRECT. INCIDENTAL. SPECIAL OR CONSEQUENTIAL, IN EXCESS OF THE DECLARED VALUE FOR CARRIAGE (INCLUDING BUT NOT LIMITED TO LOSS OF INCOME OR PROFITS) WHETHER OR NOT WE HAD ANY KNOWLEDGE THAT SUCH DAMAGES MIGHT BE INCURRED. UNLESS SUCH DAhIAGFS WERE CAUSED BY OUR OWN WILLFUL MISCONDUCT OR GROSS NEGLIGENCF Wu woo I tie n rbeu for your acts ui omis,mos. Including but not limited to incorrect declaration of cargo improper or .nsull,cieet packing. c r „g, marking or addressing of the shipment o for the acts or mea -me, of the -rem— ie anvmo an interest in the shipment AN,, we won't be kable d you of me rec,im.re violate any of the term, of our agreement We won't be liable for Loss of or damage to shipments of cash. currency or rimer prohAned dens Wr• won't be liable for loss. tlamages or delay caused by events we cannot control. including but not limited to sets of God. perils of the so wrath. at conditions, mechanical delays, acts of public enemies, war. strike, cw,l eommotons. or acts or orris. terns of public authorities lincluding customs and health officials) wdh actual ,r ,ppereat authority NO WARRANTIES. We make no warranties, express or imDl,ed. CLAIM FOR LOSS, DAMAGE OR DELAY. ALL CLAIMS fALJtiT BE NOTIFIED TO US WITHIN 15 DAYS AFTER DELIVERY OF THE SHIPMENT, FAIL- ING WHICH'IU ACTION FOR DAMAGES MAY BE BROUGHT All claims for loss. non delvery or cars. dekvery must be received by us with, r 4' duy r'he shlpment e, accepted by us The right to damages against a shall be e,I,nq,,,h,d tin e,s i' irt.on s b: ought within iwa years from the date of delivery o1 the shipment or lion. dale no which ,h.Vmere sh,,Id have been delivered Within 30 day after maid. cation to us of inn claim ,t muG be dncumenled by ser us all relevant information about it We are not .ofigaletl to ail nn in, r n met: J' ,,orl lion �I -q—. h.wr h, p.od. me dam —te nt nut be deducted from Ihose .eta ,I Ma ept. tai, h,pmenl weh"el nranq •ley d,mlgo on the dairy ary record, we vall assume the shipment was delivered in good condition In order for us to consider a claim lot damage, the contents, original shipping cartons, and packing must be available to us for Inspection. RIGHT TO INSPECT. Your Shipment may, at our option or at the request o1 guvein ant„ ,nh te, be opened and inspected by us or such authorities at any time CUSTOMS CLEARANCE. a I- .espor sibifdy to provide proper cu ,I. m's documentaaon and confirmation where required EXPORT CONTROL. You authorize Federal Express or, a "evarding agent for you for export control and custom, purpos- es You hereby certify that all statements la motion contained ,n th,s air waybill relating to export, ,ion are true end Torre "I I urth eencre, you um tr hnl civil slid �;-mal penalties, mclud,ng forfeiture and sale, may be imp-ed for making false or Iraud,.,n nr Ipr the wolalion of any United Stales Laws on exportation, mcl..idm9 but not limited to, 1 USC :or r SC Sec. 401; 18 USC Sec 1001. 50 USC App 2410 MANDATORY LAW. Insofar rs cry provision C, d or referred to In this Air W,:yblll they rte contrary 1., t roy appli -be .ntarnauon, �.ity Isw yovcr•'men: c orders dr re. qu, ,nl�'urh pin allsit ,�upai ,r tore Inr.,. �ntovet „ddr•n T o' mvattoy n s n r n u ,'o-. I Unless uth ndl, led o, ,11•.. ..1 ";.,ledn culionand it, _i if 11 tiller W vb,ll t oesnnetrn Ue;.. •11 1 orporn USA s 'n.• 'nr R. 5!9"a 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. 358991 Edwards, Georgianna Terms Invoice Invoice Description Date Number (or note attached invoice(s) or bill(s)) PO Amount 1115110 Reimb. Postage for return package to S S 11.46 Total 19.46 1 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. 358991 Edwards, Georgianna Allowed 20 In Sum of 11.46 ON ACCOUNT OF APPROPRIATION FOR 108 ESE PO# or INVOICE NO. ACCT #/TITLE AMOUNT Board Members Dept 1081 -9 Reimb. 4239039 11.46 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 11 -Feb 2010 Signature 11.46 Accounts Payable Coordinator Cost distribution ledger classification if Title claim paid motor vehicle highway fund