183102 03/10/2010 CITY OF CARMEL, INDIANA VENDOR: 080501 Page 1 of 1
0 ONE CIVIC SQUARE CINDY SHEEKS CHECK AMOUNT: $26.15
CARMEL, INDIANA 46032 13791 LAREDO DRIVE
o� `o CARMEL IN 46032 CHECK NUMBER: 183102
CHECK DATE: 3/10/2010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1701 4342100 26.15 MAIL LAPTOP
Shi Receipt-: Page #1 of 1
THIS IS NOT A SHIPPING LABEL. PLEASE S FOR YOUR RECORDS.
SHIP DATE: SHIPMENT INFORMATION:
Mon, Mar 8, 2010 UPS Ground Commercial
8.30 Ibs acival w1
EXPECTED DELIVERY DATE: 9.00 Ibs billable wi
WED,, MAR 10, 2010 EOD Dims: 20.Ox14.04.0
Declared Value $800,00
SHIP FROM: E -mail Noiifica {ion: Ship
Cindy L Sheeks
1 Civic Square
Carmel IN 46032 Tracking Number: 1z3E87840342113365
(317) 571.2428 Shipment ID: MMPCVKX68A1XV
Order /Item 0:
Ref gbh
SHIP TO:
Tech Daia Corproa {ion DESCRIPTION OF GOODS:
RA 422614 lapiop
5104 LIBERTY WAY
FORT WORTH TX 76177.4008
Business
SHIPMENT CHARGES:
Ground Commercial $11.09
Service 0 }ions $13.25
SHIPPED THROUGH: Fuel Surcharge $0.61
THE UPS STORE #2587 CMS Processing Fee $0.20
Carmel,IN 46032
(317) 574 -0570
Toial $25.15
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the UPS Store #2587
484 E. Carmel Dr.
Carmel, IN 46032 -2812
(317) 574 -0570
03/08/10 02:39 PM
We are the one stop for all your
shipping, postal and business needs.
I I III II IIII! illl II I Illllllllllil illl Ilillllllil Ilill� fill
001 001040 (001) TE 25.15
Ground Commercial
Tracking# U3EB7840342113365
002 000012 (009) 11 1.00
mat'ls standard pack
Subl*ota1 26.15
Total 26.15
26.1b
ACCOUNT NUMBER *00 *0001962
Tax Exempt ID: 0031201550
Tax Exemption 0% Sales.Tax (TE) 0.07
Receipt ID 82276488145220888249 002 Items
CSH: Gale Tran: 9224 Reg: 002
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Prescribed by State Board of Accounts ACCOUNTS PAYABLE VOUCHER City Form No. 201 (Rev. 1995)
CITY OF CARMEL
An invoice or 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.
Terms
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
Total
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.
ALLOWED 20
IN SUM OF
ON ACCOUNT OF APPROPRIATION FOR
Board Members
PO# or DEPT. INVOICE NO. ACCT #/TITLE AMOUNT 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
20
Signature
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund