183278 03/16/2010 a., CITY OF CARMEL, INDIANA VENDOR: 093000 Page 1 of 1
4 ONE CIVIC SQUARE FEDEX CHECK AMOUNT: $6.55
G CARMEL, INDIANA 46032 Po Box 94515
PALATINE IL 60094 -4515 CHECK NUMBER: 183278
CHECK DATE: 3/16/2010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1093 4239099 7 -012 -18869 6.55 OTHER MTSCELLANOUS
r
I
F8 CE X I Invoice Number Invoice Date
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 Invoice Questions?
CARMEL IN 46032 -7611 CARMEL IN 46032 -7611 Contact FedEx Revenue Services
Phone: (800) 622 -1147 M -Sa 7 -6 (CST)
Fax: (800) 548 -3020
Invoice Summary Mar 05, 2010 Internet: www.fedex.com
FedEx Ground Services FedEx News!
Transportation Charges 6.24 Reliable and cost effective, FedEx Ground is faster to
Other Handling Charges 0.31 more locations than UPS Ground. We know that fewer
Total Charges USA $6.55 days in transit can help contribute to a lean, just -in -time
TOTAL THIS INVOICE USO $6.55 environment, giving you a competitive advantage in this
challenging economy. We now deliver overnight to
more ZIP codes than ever. To view transit time maps for
Other discounts may apply. your FedEx Ground shipments,go to fedex.comlmaps.
I M3
6CE Invoice Number Invoice Date
1 2of4
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.
Please complete all fields in black ink.
Re uestor Name 11 1 1 1 I I I I I I 1 1 1 1! l I I I I I I I I I I I Date W/ W/ W
a> Phone 1! 1 1 1 1 1 1 I I I I I Fax WWW
E mail Address Yes, I wantto update account contactwith the above information.
Tracking Number Bill to Account Amount
e l I l l l l l l l l l l l l l l I I I I I I I I I I L__L I_ I_ L I W
I l I l I l l l l 1 1 1 1 1 1 1 l 1 I I I f l l l l W
I __I 1 -1 1 I I I I I 1 1 1 1 I I I I I I I I I I l i f l l l W
f
I W
IIIIIIIIIIIIIILI IIIIIIIIII IIIIII
ADR -Address Correction INW Incorrect Weight OVS Oversize Surcharge For all Service failures or other
o 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)
C Tracking Number Code Amount LBS L W H
e; I I I I l I l l l l l l l l l l i l l l l l l l l l W WWW 1 1 1 11 1 X 1 I I I
I I I I I I I I I I I I I I I I 1 1 1 1 1 1 1 1 I W WLJWWWX I I I I I I
_I__ I__1 I I I I I_ I I I I I I I I WWW I I I I I I I L
I I I I I I I I I I I I I L1WJ LWW x I I I I X I I I I
I I I I! 1 f I I I 1 I I I I I I E I I I I I I I I I I I LWWJ WLWJ x I X I
FecEx. Invoice Number
invoice Date [:
3of4
FedEx Ground Shipment Summary By Payor Type
FedEx Shipments (Original)
I,
owatt
Ground-Bill Third Party
02/18 1 3 6.24 0.31 6.55
Ground-Bill Third Party Subtotal $6.55
t
R 1:::»:::.::::>::::
Total This Invoice USD $6.55
065281212
F e&Ex. I Invoice Number Invoice Date F
4 of 4
FedEx Ground Bill Third Party Detail (Original►
Q 1. �.ORMA ION:
X
X
J t "fA
T
I
o1fif"'
I ii ni&
�X I
I.
Pa or.%
I
..V
Tracking 10 468 646510220783 Sender Recipient Transportation Charge 6.24
Service Type Bill 3rd Party, Dom KINKO'S/GD NONACCT BRCD/LOC FOUNTAIN PEOPLE Fuel Surcharge 0.31
Zone 05 530 E CARMEL DR GUY SEMMMLER Total Charge USID 56.55
Packages I CARMEL IN 46032-2814 4600 N STATE HIGHWAY 123
Rated Weight 3lbs SAN MARCOS TX 78666-940800
Delivered Fe 23, 201
Bill Third Party Subtotal USD $6.55
Total FedEx Ground USO $6.55
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 FeclEx Terms
P.O. Box 94515
Palatine, IL 60094 -4515
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) PO Amount
315/10 701218869 Postage for shipping 6.55
Total 6.55
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
1 20
Clerk- Treasurer
Voucher No. Warrant No.
093000 FedEx Allowed 20
P.O. Box 94515
Palatine, IL 60094 -4515 p
`ru In Sum of
6.55
ON ACCOUNT OF APPROPRIATION FOR
109 Monon Center
PO# or INVOICE NO. ACCT #/TITLE AMOUNT Board Members
Dept
1093 701218869 4239099 6.55 1 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 -Mar 2010
Signature
6.55 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund