184517 04/14/2010 CITY OF CARMEL, INDIANA VENDOR: 314125 Page 1 of 1
ONE CIVIC SQUARE UPS
CHECK AMOUNT: $31.08
CARMEL, INDIANA 46032 LOCKBOX 577
CAROL STREAM IL 60132 -0577 CHECK NUMBER: 184517
CHECK DATE: 4/14/2010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1115 4342100 170AT6140 18.09 POSTAGE
601 5023990 76V77A130 12.99 OTHER EXPENSES
Delivery Service In voice
Invoice date April 3, 2010
Invoice number 0000170AT6140
Shipper number 170AT6
na
Page 3 of 3
Outbound
UPS Shipping Document
Pickup ZIP Billed
Date Tracking Number Service Code Zone Weight Charge
03/30 K1440955325 Ground Commercial S.D.P. 62522 3 7 11.15
Fuel Surcharge 0.61
Total 11.76
1st ref: 27137
Sender BRIAN SMITH Receiver: ATTN REPAIR
CARMEL CALY COMM CEN DECATUR ELECTRONICS
INDIANAPOLIS IN 46268 DECATUR IL 62522
Total UPS Shipping Document 1 Package(s) 11.76
Total Outbound 1 Package(s) 11.76
Adjustments Other Charges
On -Call Pickup Requests
Date of Billed
Date Request Pickup Request No. Service Charge
03/30 03/30 2943245NENE Same Day Pickup Phone Request 6.00
Fuel Surcharge 0.33
Total 6.33
Pickup Address: BRIAN SMITH
CARMEL CLAY COMMUNICATION C
31 1ST AVE NW
CARMEL IN 46032
Total On -Call Pickup Requests 1 Request(s) 6.33
Total Adjustments Other Charges 6.33
MET
035763 2/2
VOUCHER NO. WARRANT NO,
ALLOWED 20
United- Parcel Service
IN SUM OF
Lockbox 577
Carol Stream, IL 60132
$18.09
ON ACCOUNT OF APPROPRIATION FOR
Carmel Clay Communications
PO# Dept. INVOICE NO. ACCT /TITLE AMOUNT Board Members
1115 0000170AT6140 43- 421.00 $18.09 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
Monday, April 12, 2010
Director
Title
Cost distribution ledger classification if
claim paid motor 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 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))
04/03/10 10000170AT6140I I $18.09
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
20
Clerk- Treasurer
Delivery Service Invoice
Invoice date March 27, 2010
Shipped from: Invoice number 000076V77A130
CARMEL UTILITIES DISTHIBUTION Shipper number 76V77A
3450 W 1031 ST ST Control ID 66N1
WESTFIELD, IN 46074
Page 1 of 3
#BWNCWNG# Sign up for electronic billing today!
40249A000076V77A9# 77401400018969 Visit ups.com /twilling
AT 01 030006 71669H 91 A *3DGT For questions about your invoice, call:
(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 4 6074 -82,67 UPS
P.O. Box 650580
Dallas, TX 75265 -0580
Account Status Summary
Weekly Payment Plan Thank you for using UPS.
Amount Due This Period $12.99 Summary of Charges
Amount Outstanding (prior invoices) 34.99 P age Charge
Total Amount Outstanding 47.98 Outbound
Please include the Return Portion of each outstanding invoice with 3 UPS Internet Shipping 7.71
your payment. See Account Status for details. 3 Adjustments Other Charges 5.28
.Go green and save. Amount due this period 12.99
Save money. Save time. Save trees. Choose a UPS electronic
billing solution as an alternative to receiving a paper bill. You UPS payment terms require payment of this invoice by April 7, e
will be able to view, manage and pay your UPS bills. Choose 2010.
the electronic bill format that best suits your company's needs. Note: This invoice may contain a fuel surcharge as described at
Learn more at www.ups.com /billing ups.com. The published fuel surcharge is 5.5% for UPS Ground
Services and 7.591. for UPS Air Services, UPS 3 Day Select, and
International services. For more information, visit ups.com.
Delivery Service Invoice
Invoice date March 27, 2010
Invoice number 000O76V77A13O
Shipper number 76V77A
n
Page 2 of 3
Account Status
Weekly Payment Plan
Payments Applied
Amount
Invoice Number Invoice Date Paid
000076V77A070 02/13/2010 22.69
000076V77A090 02/27/2010 15.29
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
000076V77A100 03/06/2010 12.25
000076V77A110 03/13/2010 22.74
Total 34.99
Outstanding balances reflect any payments received as of
03126/2010. Please ignore this message if a recent payment has
been made for any outstanding invoices.
Delivery Service Invoice
Invoice date March 27, 2010
Invoice number 000076V77A130
Shipper number 76V77A
n
Page 3 of 3
Outbound
UPS Internet Shipping
Pickup ZIP Billed
Date Tracking Number Service Code Zone Weight Charge
03/24 1 Z76V77A0391913940 Ground Commercial 46202 2 3 7.31
Fuel Surcharge 0.40
Total 7.71
1st ref Fluoride Samples UserlD CarmelWater
Sender Michelle Breedlove Receiver: Environmental Sample
Carmel Utilities Distributin Indiana State Dept of Health
3450 w 131 st 550 West 16th Street
Westfield IN 46074 INDIANAPOLIS IN 46202
Total for Internet -ID: CarmelWater 7.71
Total UPS Internet Shipping 1 Package(s) 771
Total Outbound 1 Package(s) 7.71
Adjustments Other Charges
On -Call Pickup Requests
Date of Billed
Date Request Pickup Request No. Service Charge
03/25 03/24 2922P157JA0 Future Day Pickup Web Request 5.00
Fuel Surcharge 0.28
Total 5.28
Pickup Address: Michelle Breedlove
Carmel Utilities Distributi
3450 w 131 st
westfield IN 46074
Total On -Call Pickup Requests 1 Request(s) 5.28
Total Adjustments Other Charges 5.28
VOUCHER 101304 WARRANT ALLOWED
P
31.4125 IN SUM OF
UPS �kc1 co
LOCKBOX 577 0
CAROL STREAM, IL 60132 &—R
Carmel Water Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO INV ACCT AMOUNT Audit Trail Code
76V77A130 01- 6360 -03 $12.99
Voucher Total $12.99
Cr" 'istribution ledger classification if
'd 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 4/7/2010
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
4/7/2010 76V77A130 $12.99
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