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183489 03/16/2010 CITY OF CARMEL, INDIANA VENDOR: 314125 Page 1 of 1 ONE CIVIC SQUARE UPS CHECK AMOUNT: $144.36 CARMEL, INDIANA 46032 LOCKBOX577 CAROL STREAM IL 60132 -0577 CHECK NUMBER: 183489 CHECK DATE: 3/16/2010 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1115 4342100 170AT6100 19.33 POSTAGE 651 5023990 6990090 47.26 OTHER EXPENSES 651 5023990 6990100 36.37 OTHER EXPENSES 601 5023990 7000090 15.72 OTHER EXPENSES 601 5023990 7000100 10.39 OTHER EXPENSES 601 5023990 76V77A090 15.29 OTHER EXPENSES Delivery Service Invoice Invoice date March 6 2010 Invoice number 0000170AT6100 Shipper number 170AT6 n Control ID 53K6 Page 1 of 3 #BWNCWNG# Sign up for electronic billing today! #0249A0000170AT64# 77401 1 0001 6028 Visit ups.com/billing AT 01 026670 56823H 81 A *3DGT For questions about your invoice, call: I�Id I llrll (800) 811-1648 Monday Friday CARMEL CLAY COMMUNICATION CTR 8:00 a.m.- 9:00 p.m.E.T. 31 1ST AVE NW or write: CARMEL, IN 46032 -1715 UPS P.O. Box 650580 Dallas, TX 75265 -0580 Account Status Summary Thank you for using UPS. Weekly Payment Plan Amount Due This Period $19.33 Summary of Charges Amount Outstanding (prior invoices) 0.00 age C ar9e Total Amount Outstanding $19.33 Outbound A mailbox that makes sense 3 UPS Shipping Document 14.05 With a mailbox at The UPS Stored, you can opt to receive a 3 Adjustments Other Charges 5.28 text message or e-mail notification when you have a package Amount due this period 19.33 waiting, eliminating_ unnecessary trips to the center. And, The UPS Store will accept packages from all carriers. To find a UPS payment terms require payment of this bill by March 17, location near you, visit theupsstore.com today. 2010. Note: This invoice may contain a fuel surcharge as described at ups.com. The published fuel surcharge is 5.5% for UPS Ground Services and 7.5% for UPS Air Services, UPS 3 Day Select and International services. For more information, visit ups.com. Delivery Service Invoice Invoice date march 6, 2010 Invoice number 0000170AT6100 Shipper number 170AT6 TY Page 2 of 3 Account Status Weekly Payment Plan Payments Applied Amount Invoice Number Invoice Date Paid 0000170AT6439 10/24/2009 144.94 i 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 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)) 03/06/10 10000170AT6100I I $19.33 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 `_!OUCHER NO. WARRANT NO. Unl ALLOWED 20 e Parcel Service IN SUM OF r L ckbox 577 Carol Stream, IL 60132 $19.33 ON ACCOUNT OF APPROPRIATION FOR Carmel Clay Communications PO# Dept. INVOICE NO. ACCT #(TITLE AMOUNT Board Members 1115 0000170AT6100 43- 421.00 $19.33 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 Friday, March 12, 2010 Director Title Cost distribution ledger classification if claim paid motor vehicle highway fund Delivery Service Invoice Invoice date February 27, 2010 Shipped from: Invoice number OOOORV6990090 CITY OF CARMEL/WASTEWATER Shipper number RV6990 TERESA LEWIS Control ID 4X$9 9609 HAZEL DELL PKWY INDIANAPOLIS, IN 46280 -2935 Page 1 of 3 #BWNCWNG# Sign up for electronic billing today! #0249A000ORV69900# 77401400014613 Visit ups.com /billing AT 01 030303 50616W 94 A *3DGT For questions about your invoice, call: 11 {'lll!I'llln' 111!1'11' 1111111 '1i1111i11'lllll'lll'I'll1 "!'ill (800) 811 -1648 Monday Friday CITY OF CARMEL 8:00 a.m. 9:00 p.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 47,26 Summary of Charges Amount Outstanding (prior invoices) $13.02 P age Charge Total Amount Outstanding 60.28 Outbound Please include the Return Portion of each outstanding invoice with 3 UPS Internet Shipping 47.2 your payment. See Account Status for details. Amount due this period 47.26 A mailbox that makes sense. With a mailbox at The UPS Store you can opt to receive a UPS payment terms require payment of this invoice by March 10, text message or e-mail notification when you have a package 2010. waiting, eliminating unnecessary trips to the center- And, The Note: This invoice may contain a fuel surcharge as described at UPS Store will accept packages from all carriers. To find a ups.com. The published fuel surcharge is 5.091. for UPS Ground location near you, visit theupsstore.com today. Services and 6.5% for UPS Air Services, UPS 3 Day Select, and International services. For more information, visit ups.com. Delivery Service Invoice Invoice date February 27, 2010 Invoice number OOOORV6990090 Shipper number RV6990 Page 2 of 3 Account Status Weekly Payment Plan Payments Applied Amount Invoice Number Invoice Date Paid OOCORV6990030 01/16/2010 77.44 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 OOOORV6990060 02/06/2010 13.02 Total $13.02 Outstanding balances reflect any payments received as of 0212612010. Please ignore this message if a recent payment has been made for any outstanding invoices. Delivery Service Invoice Invoice date February 27, 2010 Invoice number OOOORV6990090 Shipper number RV6990 n Page 3 of 3 Outbound UPS Internet Shipping Pickup ZIP Billed Date Tracking Number Service Code Zone Weight Charge 02/22 1ZRV69900392458958 Ground Commercial 28273 4 31 12.80 Declared Value 2,000.00 14.00 Fuel Surcharge 0.64 Total 27.44 UserlD TLEWIS9609 Sender :TERESA LEWIS Receiver: RGA 10 -0218 CITY OF CARMEL WWTP ITT WATER WASTEWATER 9609 HAZEL DELL PARKWAY 14125 SOUTH BRIDGE CIR CLE INDIANAPOLIS IN 46280 CHARLOTTE NC 28273 1ZRV69900392610569 Ground Commercial 28273 4 21 9.54 Declared Value 1,400.00 9.80 Fuel Surcharge 0.48 Total 19.82 UserlD TLEWIS9609 Sender TERESA LEWIS Receiver: RGA 10 -0218 CITY OF CARMEL WWTP ITT WATER WASTEWATER 9609 HAZEL DELL PARKWAY 14125 SOUTH BRIDGE CIR CLE INDIANAPOLIS IN 46280 CHARLOTTE NC 28273 Total for Internet -ID: TLEWIS9609 47.26 Total UPS Internet Shipping 2 Package(s) 47.26 Total Outbound 2 Package(s) 47.26 030303 212 VOUCHER 105006 WARRANT ALLOWED 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 6990090 01- 7362 -05 $47.26 i Voucher Total $47.26 Cost distribution ledger classification if claim paid under vehicle highway fund Prescribed by State Board of Accounts City Form No. 201 (Rev 1995)1 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. LOCK 5 77 Te rms CAROL STREAM, IL 60132 -0577 Due Date 3/5/2010 Invoice Invoice Description Date Number (or note attached invoice(s) or bill(s)) Amount 3/5/2010 6990090 $47.26 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 s, Delivery Service Invoice Invoice date March 6, 2010 Shipped from: Invoice number OOOORV7000100 CITY OF CARMEUUTILITIES Shipper number RV7000 LISA KEMPA Control ID 46A1 TM ONE CIVIC SQUARE CARMEL, IN 46032 -2584 Page 1 of 3 #BWNCWNG# Sign up for electronic billing today! #0249A000ORV70007# 77401 1 0001 4680 Visit ups.com /billing AT 01 026645 56823H 81 A *3DGT For questions about your invoice, call: (800) 811 -1648 Monday Friday CITY OF CARMEL /UTILITIES 8:00 a.m.- 9:00 p.m.E.T. LISA KEMPA or write: 760 3RD AVE SW STE. 110 UPS P.O. CARMEL, IN 46032-2070 526 Dallas, TX 75265 -0580 Account Status Summary Weekly Payment Plan Thank you for using UPS. Amount Due This Period $10.39 Summary of Charges Amount Outstanding (prior invoices) $15.72 age C Fa ge Total Amount Outstanding 26.11 Outbound Please include the Return Portion of each outstanding invoice with 3 UPS Internet Shipping 5.11 your payment. See Account Status for details. 3 Adjustments Other Charges 5.28 A mailbox that makes sense. Amount due this period $10.39 Wit a mail box at The UPS Storee, you.can opt-to receive a text message or e-mail notification when you have a package UPS payment terms require payment of this invoice by March 17, waiting, eliminating unnecessary trips to the center. And, The 2010. UPS Store will accept packages from all carriers. To find a Note: This invoice may contain a fuel surcharge as described at location near you, visit theupsstore.com today. ups.com. The published fuel surcharge is 5.5% for UPS Ground Services and 7.5% for UPS Air Services, UPS 3 Day Select, and International services. For more information, visit ups.com. Delivery Service Invoice Invoice date March 6, 2010 Invoice number OOOORV7000100 Shipper number RV7000 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 OOOORV7000090 02/27/2010 15.72 Total $15.72 Outstanding balances reflect any payments received as of 03/05/2010. Please ignore this message if a recent payment has been made for any outstanding invoices. Delivery Service Invoice Invoice date March 6, 2010 OTM Invoice number OOOORV7000100 Shipper number RV7000 Page 3 of 3 Outbound UPS Internet Shipping Pickup ZIP Billed Date Tracking Number Service Code Zone Weight Charge 03/02 1 ZRV70000398297653 Ground Commercial 46202 2 1 4.84 Fuel Surcharge 0.27 Total 5.11 UserlD UTILITIES Sender City of Carmel Utili Receiver: Mr. Matthew Klein Carmel Utilities Dept of Waterworks 760 Third Avenue SW City of Indianapolis Carmel IN 46032 INDIANAPOLIS IN 46202 Total for Internet -ID: UTILITIES 5.11 Total UPS Internet Shipping 1 Package(s) 5.11 Total Outbound 1 Package(s) 5.11 Adjustments Other Charges On -Call Pickup Requests Date of Billed Date Request Pickup Request No. Service Charge 03/03 03/02 294230MSAN4 Future Day Pickup Web Request 5.00 Fuel Surcharge 0.28 Total 5.28 Pickup Address: City of Carmel Utili Carmel Utilities 760 Third Avenue SW Carmel IN 46032 Total On -Call Pickup Requests 1 Request(s) 5.28 Total Adjustments Other Charges 5.28 Q 026645 zit N VOUCHER 101144 WARRANT ALLOWED v 314125 IN SUM OF UPS LOCKBOX 577 CAROL STREAM, IL 60132 Carmel Water Utility ON ACCOUNT OF APPROPRIATION FOR Board members PO INV ACCT AMOUNT Audit Trail Code 7000100 01- 6360 -08 $10.39 Voucher Total $10.39 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 t 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 3/12/2010 Invoice Invoice Description Date Number (or note attached invoice(s) or bill(s)) Amount 3/12/2010 7000100 $10.39 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 E Delivery Service Invoice Invoice date February 27, 2010 Shipped from: Invoice number 000076V77A090 CARMEL UTILITIES DISTRIBUTION Shipper number 76V77A 3450 W 1031ST ST Control ID 659S WESTFIELD, IN 46074 Page 1 of 3 #BWNCWNG# Sign up for electronic billing today! #0249A000076V77A94t 77401400019175 Visit ups.comlbilling AT 01 030581 50816H 94 A *30GT For questions about your invoice, call: II'l' 111111" 11 111 "'1111'II'�I'llll�llllllllllll "1111 "IIIIIII� (800) 811 -1648 Monday Friday CARMEL UTILITIES 8:00 a.m.- 9:00 p.m.E.T. 3450 W 131ST ST or write: WESTFIELD, IN 46074 -8267 UPS P.O. Box 650580 Dallas, TX 75265 -0580 Account Status Summary Thank you for using UPS. Weekly Payment Plan Amount Due This Period $15,29 Summary of Charges Amount Outstanding (prior invoices) 23.95 age Charge Total Amount Outstanding 39.24 Outbound Please include the Return Portion of each outstanding invoice with 3 UPS Internet Shipping 15.29 your payment. See Account Status for details. Amount due this period 15.29 A mailbox that makes sense With a mailbox at The UPS Store you can opt to receive a UPS payment terms require payment of this invoice by March 10, 2010. text message or e-mail notification when you have a package waiting, eliminating unnecessary trips to the center. And, The Note: This invoice may contain a fuel surcharge as descri at UPS Store will accept packages from all carriers. To find a ups.com. The published_faPJ location near you, visit theupsstore.com toda Delivery Service Invoice Invoice date February 27, 2010 f Invoice number 000076V77A090. Shipper number 76V77A n Page 2 of 3 Account Status Weekly Payment Plan Payments Applied Amount Invoice Number Invoice Date Paid 000076V77A030 01/1612010 23.50 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 000076V77A239 06/0612009 1.26 000076V77A070 02/13/2010 22.69 Total 23.95 Outstanding balances reflect any Payments received as of 0212612010. Please ignore this message if a recent payment has been made for any outstanding invoices. Delivery Service Invoice Invoice date February 27, 2010 1 Invoice number 000076V77A090 Shipper number 76V77A Page 3 of 3 Outbound UPS Internet Shipping Pickup ZIP Billed Date Tracking Number Service Code Zone Weight Charge 02112 1Z76V77AP291864301 Ground Commercial 46202 2 2 7.25 Fuel Surcharge 0.36 Total 7.61 1st ref Fluoride UserlD CarmelWater Sender Jaimie Foreman Receiver: Environmental Sample Carmel Drinking Water Plant Indiana State Dept of Health 5484 E. 126th St 550 West 16th Street CARMEL IN 46033 INDIANAPOLIS IN 46202 02123 1Z76V77AP296277124 Ground Commercial 46202 2 3 7.31 Fuel Surcharge 0.37 Total 7.68 1st ref Fluoride UserID CarmelWater Sender Jaimie Foreman Receiver: Environmental Sample Carmel Drinking Water Plant Indiana State Dept of Health 5484 E. 126th St 550 West 16th Street CARMEL IN 46033 INDIANAPOLIS IN 46202 Total for Internet -ID: CarmelWater 1529 Total UPS Internet Shipping 2 Package(s) 15.29 Total Outbound 2 Package(s) 15.29 Prescribed by State Board of Accounts Form NO. 307 (Rev. 1995) ACCOUNTS PAYABLE VOUCHER TO ADDRESS Invoice Date Invoice Number Item Amount 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 Mo. Day Yr. Signature Title 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. Mo. Day Yr. Officer Title Voucher No. Warrant No. r ACCOUNTS PAYABLE DETAILED ACCOUNTS MUNICIPAL W ACCT. NO. CARMEL, INDI Favor Of LIPS 0 Total Amount of Voucher Deductions CCCQ Amount of Warrant Month of Yr VOUCHER RECORD Acct. No. Source of Suppl Water Treatment Transmission and Dist. Customer Accounts Administrative and General Operation-Maintenance Utility Plant in Service Constr. Work in Progress Materials and Supplies Customers Deposits Total Allowed Board of Control Filed Official Title BOYCE FORMS SYSTEMS 1 -800- 382 -8702 325 Delivery Service Invoice Invoice date February 27, 2010 Shipped from: Invoice number OOOORV7000090 CITY OF CARMEUUTILITIES Shipper number RV7000 LISA KEMPA Control ID 4G89 ONE CIVIC SQUARE CARMEL, IN 46032 -2584 Page 1 of 3 #BWNCWNG# Sign up for electronic billing today! #0249A000ORV70007# 77401 40001 461 4 Visit ups.com /billing AT 01 030304 50816H 94 A *3DGT For questions about your invoice, call: I' 11111'1 "lll'lllllllll' 111111' I'lllll'lllllllllll "lll'lllll�� (800) 811 -1648 Monday Friday CITY OF CARMEL /UTILITIES 8:00 a.m.- 9:00 p.m.E.T. LISA KEMPA or write: 760 3RD AVE SW STE. 110 UPS CARMEL, IN 46032 -2070 D .O.Bo T 7526 Dallas, TX 75265 -0580 Account Status Summary Weekly Payment Plan Thank you for using UPS. Amount Due This Period $15.72 Summary of Charges Amount Outstanding (prior invoices) 0.00 Page Charge Total Amount Outstanding $15.72 Outbound A mailbox that makes sense 3 UPS Internet Shipping 5.22 With a mailbox at The UPS Store®, you can opt to receive a 3 Adjustments Other Charges 10.50 text message or e-mail notification when you have a package Amount due this period 15.72 waiting, eliminating unnecessary trips to the center. And, The UPS Store will accept packages all carriers. To find a UPS payment terms require payment of this bill by March 10 location near you, visit theupsstore.com today. 2010. Note: This invoice may contain a fuel surcharge as described at ups.com. The published fuel surcharge is 5.09.' for UPS Ground Services and 6.5% for UPS Air Services, UPS 3 Day Select, and International services. For more information, visit ups.com. Delivery Service Invoice Invoice date February 27, 2010 Invoice number OOOORV7000090 Shipper number RV7000 n Page 2 of 3 Account Status Weekly Payment Plan Payments Applied Amount Invoice Number Invoice Date Paid OOOORV7000429 10/17/2009 9.02 Delivery Service Invoice Invoice date February 27, 2010 Invoice number OOOORV7000090 Shipper number RV7000 Page 3 of 3 Outbound UPS Internet Shipping Pickup ZIP Billed Date Tracking Number Service Code Zone Weight Charge 02/24 1ZRV70000391643273 Ground Commercial 46204 2 2 4.97 Fuel Surcharge 0.25 Total 5.22 UserlD UTILITIES Sender City of Carmel Utili Receiver: Mr. Troy Miller Carmel Utilities Bose McKinney Evans LLP 760 Third Avenue SW 111 Monument Circle Carmel IN 46032 INDIANAPOLIS IN 46204 Total for Internet -ID: UTILITIES 5.22 Total UPS Internet Shipping 1 Package(s) 5.22 Total Outbound 1 Package(s) 5.22 Adjustments Other Charges On -Call Pickup Requests Date of Billed Date Request Pickup Request No. Service Charge 02/24 02/23 2951 P314F05 Future Day Pickup Web Request 5.00 Fuel Surcharge 0.25 Total 5.25 Pickup Address: City of Carmel Utili Carmel Utilities 760 Third Avenue SW Carmel IN 46032 02/25 02/24 2931Q46N9C1 Future Day Pickup Web Request 5.00 Fuel Surcharge 0.25 Total 5.25 Pickup Address: City of Carmel Utili Carmel Utilities 760 Third Avenue SW Carmel IN 46032 Total On -Call Pickup Requests 2 Request(s) 10.50 Total Adjustments Other Charges 10.50 030304 2/2 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 Due Date 3/5/2010 Invoice Invoice Description Date Number (or note attached invoice(s) or bill(s)) Amount 3/5/2010 7000090 $15.72 y 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 VCJUCHER 10.1004 WARRANT ALLOWED 314125 IN SUM OF UPS LOCKBOX 577 CAROL STREAM, IL 60132 Carmel Water Utility ON ACCOUNT OF APPROPRIATION FOR Board members PO INV ACCT AMOUNT Audit Trail Code 7000090 01- 6360 -08 $15.72 Voucher Total $15.72 Cost distribution ledger classification if claim paid under vehicle highway fund Delivery Service Invoice Invoice date March 6, 2010 Shipped from: Invoice number OOOORV6990100 CITY OF CARMELIWASTEWATER Shipper number RV6990 OT. TERESA LEWIS Control ID H948 9609 HAZEL DELL PKWY INDIANAPOLIS, IN 46280 -2935 Page 1 of 3 #BWNCWNG# Sign up for electronic billing today! #0249A0000RV69900# 77401100014678 Visit ups.com /billing AT 01 026644 56823H 81 A *3DGT For questions about your invoice, call: II'1 "II "�'I'�Il� "'lll�ll "�'I' III 'll'�II�111��111��1'�'lll'lll (800) 811 -1648 Monday Friday CITY OF CARMEL 8:00 a.m.- 9:00p.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 36.37 Summary of Charges Amount Outstanding (prior invoices) 47.26 Page arge Total Amount Outstanding 83.63 Outbound Please include the Return Portion of each outstanding invoice with 3 UPS Internet Shipping 7.04 your payment. See Account Status for details. 3 Adjustments Other Charges 29.33 A mailbox that makes sense. Amount due this period 36.37 With a mailbox at The UPS Store®, _you can-opt to receive a texi message or e-mail notification when you have a package UPS payment terms require payment of this invoice by March 17, waiting, eliminating unnecessary trips to the center. And, The 2010. UPS Store will accept packages from all carriers. To find a Note: This invoice may contain a fuel surcharge as described at location near you, visit theupsstore.com today. ups.com. The published fuel surcharge is 5.59". for UPS Ground Services and 7.59 for UPS Air Services, UPS 3 Day Select, and International services. For more information, visit ups.com. Delivery Service Invoice Invoice date March 6, 2010 Invoice number OOOORV6990100 Shipper number RV6990 TM Page 2 of 3 Account Status Weekly Payment Plan Payments Applied Amount Invoice Number Invoice Date Paid OOOORV6990060 02/06/2010 13.02 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 OOOORV6990090 02/27/2010 47.26 Total 47.26 Outstanding balances reflect any payments received as of 03/05/2010. Please ignore this message if a recent payment has been made for any outstanding invoices. ri VOUCHER.,# 105095 WARRANT ALLOWED 0 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 6990100 01- 7362 -05 $36.37 Voucher Total $36.37 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 h 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. LO 57 7 Terms CAROL STREAM, IL 60132 -0577 ^Due Date =3/12/2010= Invoice Invoice Description Date Number (or note attached invoice(s) or bill(s)) Amount 3/12/2010 6990100 $36.37 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