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183965 03/29/2010 f CITY OF CARMEL, INDIANA VENDOR: 314125 Page 1 of 1 tt ONE CIVIC SQUARE UPS 1, CARMEL, INDIANA 46032 LOCKBOX 577 CHECK AMOUNT: $34.99 CAROL STREAM IL 60132 -0577 CHECK NUMBER: 183965 CHECK DATE: 3/29/2010 DEPARTMENT ACCOUNT PO N INVOICE NUMBER AMOUNT DESCRIPTION 601 5023990 76A77A100 12.25 OTHER EXPENSES 601 5023990 76A77A110 22.74 OTHER EXPENSES Delivery Service Invoice Invoice date March 13, 2410 Shipped from: Invoice number 000076V77A110 CARMEL UTILITIES DISTRIBUTION Shipper number 76V77A V3450 W 1031ST ST Control ID 7P92 WESTHELD, IN 46074 Page 1 of 3 #E3WNCWNG# Sign up for electronic billing today! #0249A000076V77A9# 77401200021290 Visit ups.com/billing AT 01 028276 62280H 85 A *3DGT For questions about your invoice, call: IIII'll` 1111111111" IIIIIIII111" "IIII'lllll'll'I'I'lllllllll�ll (800) 811 -1648 Monday Friday CARMEL UTILITIES 8:00 a.m.- 9:00p.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 Weekly Payment Plan Thank you for using UPS. Summary f Charges Amount Due This Period 22.74 y g Amount Outstanding (prior invoices) 51.49 Page arge Total Amount Outstanding 74.23 Outbound Please include the Return Portion of each outstanding invoice with 3 UPS Internet Shipping 22.74 your payment. See Account Status for details. Amount due this period 22.74 Go green -and save Save money. Save time. Save trees. Choose a UPS electronic UPS payment terms require payment of- this invoice by March 24, billing solution as an alternative to receiving a paper bill. You 2010' will be able to view, manage and pay your UPS bills. Choose Note: This invoice may contain a fuel surcharge as described at MIT the electronic bill format that best suits your company's needs. ups.com. The published fuel surcharge is 5.5 for UPS Ground Learn more at www.ups.com /billing Services and 7.59P. for UPS Air Services, UPS 3 Day Select, and International services. For more information, visit ups.com. Delivery Service In voice Invoice date March 13, 2010 OT.M Invoice number 000076V77A110 Shipper number 76V77A 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 Bate Due 000076V77A239 06/06/2009 1.26 000076V77A070 02/13/2010 22.69 000076V77A090 02/27/2010 15.29 000076V77A100 03/06/2010 12.25 Total 51.49 Outstanding balances reflect any payments received as of 03/1212010. Please ignore this message if a recent payment has been made for any outstanding invoices. Delivery Service In voice Invoice date March 13, 2010 1 Invoice number 000076V77A110 Shipper number 76V77A Page 3 of 3 Outbound UPS Internet Shipping Pickup ZIP Billed Date Tracking Number Service Code Zone Weight Charge 03/05 1 Z76V77AP291595521 Ground Commercial 46204 2 1 7.05 Fuel Surcharge 0.39 Total 7.44 1st ref M_R.O (FEB.) UserlD CarmelWater Sender :Jaimie Foreman Receiver: Carmel Drinking Water Plant IDEM/ Drinking Water B ranch 5484 E. 126th St 100 N SENATE AVE CARMEL IN 46033 INDIANAPOLIS IN 46204 1776V77AP294598513 Ground Commercial 46202 2 2 7.25 Fuel Surcharge 0.40 Total 7.65 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 03/09 1 Z76V77AP291559338 Ground Commercial 46202 2 2 7.25 Fuel Surcharge 0.40 Total 7.65 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 1N -46202 Total for Internet -ID: CarmelWater 22.74 Total UPS Internet Shipping 3 Package(s) 22.74 Total Outbound 3 Package(s) 22.74 I Delivery Service Invoice Invoice date March 6, 2010 Shipped from: Invoice number 000076V77A100 CARMEL UTILITIES DISTRIBUTION Shipper number 76V77A 3450 W 1031ST ST Control ID O5P6 WESTFIELD, IN 46074 Page 1 of 3 #BWNCWNG# Sign up for electronic billing today! #0249A000076V77A9# 77401100019211 Visit ups.com/billing AT 01 026934 56823H 81 A *3DGT For questions about your invoice, call: I�lll�lll��l�l�] I"' ��I` �I' II�III "Il��lllli�lll'�III'lll� (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 Weekly Payment Plan Thank you for using UPS. Amount Due This Period $12,25 Summary of Charges Amount Outstanding (prior invoices) 39.24 Page Charge Total Amount Outstanding 51.49 Outbound Please include the Return Portion of each outstanding invoice with 3 UPS Internet Shipping 12.2 your payment. See Account Status for details. Amount due this period $12.25 A mailbox that makes sense. With. a- mailbox at -The UPS_Storea,- you -can opt to receive a- UPS payment terms require payment of -this invoice by March 17, text message or e 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 5.5% for UPS Ground TOOT location near you, visit theupsstore.com today. Services and 7.590 for UPS Air Services, UPS 3 Day Sept, and lntemational services. For more information, visit ups.com. Delivery Service Invoice Invoice date March 6, 2010 Invoice number 000076V77A100 Shipper number 76V77A 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 pate Due 000076V77A239 06/06/2009 1.26 000076V77A070 02/13/2010 22.69 000076V77A090 02/27/2010 15.29 Total 39.24 Outstanding balances reflect any payments received as of 0310512010_ Please ignore this message it a recent payment has been made for any outstanding invoices. Delivery Service In voice Invoice date Larch 6, 2010 i Invoice number 000076V77A100 Shipper number 76V77A n Page 3 of 3 Outbound UPS Internet Shipping Pickup ZIP Billed Date Tracking Number Service Code Zone Weight Charge 03/02 1Z76V77A0398492133 Ground Commercial 50010 4 15 11.61 Fuel Surcharge 0.64 Total 12.25 1st ref Analyzer UserlD CarmelWater Sender Jaimie Foreman Receiver: Linda Carmel Drinking Water Plant Hach Co 5484 E. 126th St 100 Dayton Ave CARMEL IN 46033 AMES IA 50010 Total for Internet -ID: CarmelWater 12.25 Total UPS Internet Shipping 1 Package(s) 12.25 Total Outbound 1 Package(s) 12.25 VOUCHER 101179 WARRANT ALLOWED 314125 IN SUM OF UPS LOCKBOX 577 CAROL STREAM, IL 60132 0 Carmel Water Utility ON ACCOUNT OF APPROPRIATION FOR Board members PO INV ACCT AMOUNT Audit Trail Code 76V77A110 01- 6360 -03 $22.74 7(. V 77A r •1�3 .63 1�� 5 Voucher Total 7 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 Due Date 3/22/2010 Invoice Invoice Description Date Number (or note attached invoice(s) or bill(s)) Amount 3/22/2010 76V77A110 $22.74 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 L f L. rc,.....e L Date Officer