184018 03/31/2010 a CITY OF CARMEL, INDIANA VENDOR: 093000 Page 1 of 1
ONE CIVIC SQUARE FEDEX
CARMEL, INDIANA 46032 PO BOX 94515 CHECK AMOUNT: $5.29
PALATINE IL 60094 -4515
CHECK NUMBER: 184018
CHECK DATE: 3/31/2010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1125 4342100 7- 035 -95178 5.29 POSTAGE
F Invoice Number Invoice Date
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 26, 2010 Internet: www.fedex.com
FedEx Ground Services
Transportation Charges 5.01
Other Handling Charges 0.28
Total Charges USO $5.29
TOTAL THIS INVOICE USO $5.29
Other discounts may apply. a 3 O T 9 7 3
MAR 3 0 2
195 4 �4 0 C) Lam W f l-w7L B Ya
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Fec EX. 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 l l l l l l l l l l l l l l l l l l l l l l l l l l l l Date W W W
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a Phone 1 1 1 1 I i l l l l l l f Fax
E -mail Address Yes, I wantto update account contactwith the above information.
Tracking Number Bill to Account Amount
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ADR Address Correction INW Incorrect Weight OV5 Oversize Surcharge For all Service failures or other
o DVC Declared Value INS Incorrect Service RSU Residential Delivery surcharges please use our web
a IAN Invalid Acct OCF Grd Pick -up Fee PND Pwrshp Not Delivered site www.fedex.com or call
OCS Exp Pick -up Fee SDI; Saturday Delivery (800) 622 -1147
Rerate information only (round to nearest inch)
Tracking Number Code Amount LBS L W H
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F ecEx I Invoice Number Invoice Date
3of4
FedEx Ground Shipment Summary By Payor Type
FedEx Ground Shipments {Original}
I�gted 1.
Vatt TranspartairQn_ trer >tglTair
ohs es< ....::.:..fiha' .:rrtsl0. Sher 7t►t�L Chet e>
Ground -Bill Third Party
03116 1 3 5.01 0.28 5.29
Ground -Bill Third Party Subtotal $5.29
etat:�etlEtc_Gttil .,..t
Total This Invoice USD $5.29
073310212
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Fe c E x
Invoice Number Invoice Date
4 of4
FedEx Ground Bill Third Party Detail (Original)
MR' Pilij� f 16�Ia Riff REREk I€MATfN p 4 K a}iat: Tf..��d m...�Y �1ep
Tracking ID 468646510225962 Sender Reciplenj Transportation Charge 5.01
Service Type Bill 3rd Party, Dom KINKO'S /GO NONACCT BRCD /LOC STATE OF INDIANA Fuel Surcharge 028
Zone 01 530 E CARMEL DR GREG BEIFUSS Total Charge USo $5.29
Packages 1 CARMEL IN 46032 -2814 402 W WASHINGTON ST
Actual Weight 2.7 Ibs RM 271
Rated Weight 3lbs INDIANAPOLIS IN 46204 224399
Delivered Mar 17, 2010
Bill Third Party Subtotal USo $5.29
Total FedEx Ground USD $5.29
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
3126110 703595178 Postage for shipping 5,29
Total 5.29
1 hereby certify that the attached invoice(s), or bill(s) is (are) true and correct and I have audited same in accordance
with 1C 5- 11- 10 -1.6
.20
Clerk- Treasurer
Voucher No. Warrant No.
093000 FedEx Allowed 20
P.O. Box 94515
Palatine, IL 60094 -4515
In Sum of
5.29
ON ACCOUNT OF APPROPRIATION FOR
101 -General Fund
PO# or Board Members
Dept INVOICE NO. ACCT #/TITLE AMOUNT
1125 703595178 4342100 5.29 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
30 -Mar 2010
Signature
5.29 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund