185240 05/11/2010 a. CITY OF CARMEL, INDIANA VENDOR: 093000 Page 1 of 1
ONE CIVIC SQUARE FEDEX CHECK AMOUNT: $43.84
CARMEL, INDIANA 46032 PO BOX 94515
PALATINE IL 60094-4515 CHECK NUMBER: 185240
CHECK DATE: 5/11/2010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1160 4342100 7- 071 -35342 43.84 POSTAGE
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7 -071 -35342 Apr 28, 2010 'Of 4
FedEx Tax ID: 71- 0427007
Billing Address: Shipping Address:
CITY OF CARMEUMAYOR'S OFC CITY OF CARMEL
JENNY CHASTAIN 1 CIVIC SO. Invoice Questions?
1 CIVIC SG CARMEL IN 46032 -2584 Contact FedEx Revenue Services
CARMEL IN 46032 -2584 Phone: (800) 622 -1147 M -Sa 7 -6 (CST)
Fax; (800) 548 -3020
Invoice Summary Apr 28, 2010 Internet: www.fedex.com
FedEx Express Services
Transportation Charges 34.05
Special Handling Charges 2.38
Total Charges USa $36.43
FedEx Ground Services
Transportation Charges 7.06
Other Handling Charges 0.35
Total Charges USO $7.41
TOTAL THIS INVOICE USD $43.84
Other discounts may apply.
u"
rea Invoice Number Invoice Date Account Number 'Page
7 -071 -35342 Apr 28, 2010 2 of 4
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.
0 Re uestor Name I I I I I I I I I I I I I I I 1 1 1 1 1 I I I I I Date W W W
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A` Phone WWW WWW I I I I I Fax
E -mail Address DYes, I want to update account contactwith the above information.
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Tracking Number BIII to Account Amount
I I I I I I I I I 1 1 1 1 1 1 1 l___1 I I I I I I I I I I I I I W
I 1 1 1 1 1 1 1 1 1 1 1 1 l l l I I I I I _J _1_ I I I I I I I I I I I I
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I i111111111111111 IIIIIIIIII IlIIII
IIIIII�I11111111 IIIIIIIIII 111111
ADR Address Correction INW Incorrect Weight OVS Oversize Surcharge For all Service failures or other
C 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 SDR Saturday Delivery X800) G22 -1147
Rerate information only (round to nearest inch)
C Tracking Number Code Amount LBS L W H
e< 1 1 1 1 1! I I I I 1 1 1 1 1 WWW L J I I I I W I I I I! I I I I I I I x I I I I
I I I l I I I I I I I I I I WWLLWJx I I! I x I
I I I I I I I I I I I I I I I I I I I I I I I I I L_LJ WWW I I I I I I I x I I I I
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F ed-E. m I Invoice Number Invoice Date F Num=ber Page
7-071-35342 Apr 28, 2010 4 of 4
FedEx Express Shipment Detail By Reference (Original)
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99 02
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Fuel Surcha Fed as applied a"fuel surcharge 07.00% to this shipment.
Distance Based Pricing, Zone 4
Automation USAB Sender Recipient
Tracking ID 872611421861 SUE MAKI JOCELYN BOGEN
Service Type FedEx Priority Overnight CITY OF CARMEL US CONFERENCE OF MAYORRS
Package Type FedEx Pak I civic SO 1620 EYE ST 4TH FL
Zone 04 CARMEL IN 46032-2584 US WASHINGTON DC 20006 US
Packages I
Rated Weight 1.0 lbs, 0-5 kgs
Delivered Apr 25, 201008:41
-Svc-Area Al Transportation Charge 34.05
Signed by J.HAMILTON Fuel Surcharge 2.38
FedEx Use 011316974100015301_ Total Charge USD 536A3
NO REFERENCE INFORMATION Reference Subtotal USD $36.43
Total FedEx Express USD $36.43
FedEx Ground Shipment Detail By Reference (Original)
I
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A 103.100
OF VS Aaw
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P qanss D60
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Tracking ID 161629310000175 Sender Recipient Transportation Charge 706
Service Type Ppd, Domestic CITY OF CARMEL C/O MENLO WW Fuel Surcharge 0.35
Zone 03 1 civic so 3COM GILS RETURNS Total Charge USD S7.41
Packages 1 CARMEL IN 46032-2584 801 SWAN DR
Actual Weight 11.7 lbs SMYRNATN 37167-204901
Rated Weight 12lbs
Delivered Apr 22, 201
Information Systems Reference Subtotal USD $7.41
Total FedEx Ground USD $7.41
F ec Ek. I Invoice Number Invoice Date Account Number Page
7 -071 -35342 Apr 28, 2010 3 of 4
FedEx Express Shipment Summary By Reference
FedEx Express Shipments (Original)
RaCet1 :...s7p �a
..11esgt Transp�rtatron Dandling #iet GhgfTa�c
i;eterere Sh�p�r#s..:< 1!hs Charges;: Gharq trd}Otterr..... ffiscnus l ntalhasgg
NO REFERENCE INFORMATION 1 1.0 34.05 2.38 36.43
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Toka3FedExtpres ..1Q:::..... .3qU $ZS A3:.
FedEx Ground Shipment Summary By Reference
FedEx Ground Shipments (Original)
Rated
et E._ TO Os 01fi��r )iandlF�g Rei ChgJlax
�islerert�s Srpettts Ibs purges charges ed€tsfOther Fo3al.Ghars<
Information Systems 1 12 7.06 0.35 7.41
vital er#IFx Ground t 12 $l€l6:.::.. X9;35 :iAE
Total This Invoice USD $43.84
017615212
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.
r Payee
Purchase Order No.
Terms
I H hco C L VS 1 5 Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
�5
U tLoas
Total y 3 ti
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
VOUCHER NO. WARRANT NO.
(4 I O ALLOWED 20
C—X IN SUM OF
ON ACCOUNT OF APPROPRIATION FOR
�ko j ii6C L A21pc�
Board Members
PO# or INVOICE NO. ACCT #/TITLE AMOUNT
DEPT. I hereby certify that the attached invoices} or
-p 1 3534 I DO 143. 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
20
f
Signa ire
Cost distribution ledger classification if Title`s
claim paid motor vehicle highway fund