182575 02/17/2010 CITY OF CARMEL, INDIANA VENDOR: 314125 Page 1 of 1
ONE CIVIC SQUARE UPS
I LOCKBOX 577 CHECK AMOUNT: $13.02
CARMEL, INDIANA 46032
_off a CAROL STREAM IL 60132 -0577 CHECK NUMBER: 182575
CHECK DATE: 2/1712010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBE AMOUNT DESCRIPTION
651 5023990 6990060 13.02 OTHER EXPENSES
Delivery Service Invoice
Invoice date F eb ruary 6, 2010
Shipped from: Invoice number OOOORV6990060
CITY OF CARMEUWASTEWATER Shipper number RV6990
TERESA LEWIS Control ID V724
9609 HAZEL DELL PKWY
INDIANAPOLIS, IN 46280 -2935 Page 1 of 3
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#0249A000ORV69900# 77401100014918 Visit ups.comlbilling
AT 01 027133 35955H 82 A *3DGT For questions about your invoice, call:
ILI "I' III' lll' II�IIIIIII' llllllllllllllllllll 'll'llll'lllll'I,I (800) 811 -1648
Monday Friday
CITY OF CARMEL 8:00 a.m.- 9:o0p.m. E.T.
UTILITIES or write:
760 3RD AVE SW UPS
CARMEL IN 46032-2072 P.O. Box 650580
Dallas, TX 75265 -0580
Account Status Summary
Weekly Payment Plan Thank you for using UPS.
Amount Due This Period $13.02 Summary of Charges
Amount Outstanding (prior invoices) 77.44 Page C arge
Total Amount Outstanding 90.46 Outbound
Please include the Return Portion of each outstanding invoice with 3 UPS Internet Shipping 13.02
your payment. See Account Status for details. Amount due this period 13.02
.Go electronic in 2010.
Save money. Save time. Save trees. Choose a UPS electronic UPS payment terms require payment of this invoice by February
billing solution as an alternative to receiving a paper bill. You 17, 201
will be able to view, manage and pay your UPS bills. Choose Note: This invoice may contain a fuel surcharge as described at
the electronic bill format that best suits your company's needs. ups.com. The published fuel surcharge is 5.0% for UPS Ground
Learn more at www.ups.com /billing Services and 5.5% for UPS Air Services, UPS 3 Day Select, and
International services. For more information, visit ups -com.
Delivery Service Invoice
Invoice date February 6, 2010
f Invoice number OOOORV6990060
Shipper number RV6990
n
Page 2 of 3
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
OOOORV6990030 01/16/2010 77.44
Total 77.44
Outstanding balances reflect any payments received as of
0210512010. Please ignore this message if a recent payment has
been made for any outstanding invoices.
Delivery Service Invoice
Invoice date February 6, 2010
Invoice number OOOORV6990060
Shipper number RV6990
07M
Page 3 of 3
Outbound
UPS Internet Shipping
Pickup ZIP Billed
Date Tracking Number Service Code Zone Weight Charge
02103 1ZRV69900397151056 Ground Commercial 46310 2 5 5.37
Delivery Area Surcharge 1.70
Declared Value 800.00 5.60
Fuel Surcharge 0.35
Total 13.02
UserlD TLEWIS9609
Sender :TERESALEWIS Receiver:
CITY OF CARMEL WWTP AFC INTERNATIONAL, INC
9609 HAZEL DELL PARKWAY 715 ALMOND S.W. SUITE C
INDIANAPOLIS IN 46280 DEMOTTE IN 46310
Total for Internet -ID: TLEWIS9609 13.02
Total UPS Internet Shipping 1 Package(s) 13.02
Total Outbound 1 Package(s) 13.02
027133 212
VOUCHER 09732-9 WARRANT ALLOWED
4,314125 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
6990060 01- 7362 -05 $13.02
Voucher Total $13.02
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 2/12/2010
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
2/12/2010 6990060 $13.02
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