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185458 05/11/2010 CITY OF CARMEL, INDIANA VENDOR: 314125 Page 1 of 1 ONE CIVIC SQUARE UPS CHECK AMOUNT: $27.74 CARMEL, INDIANA 46032 LOCKBOX 577 r'ror7!. CAROL STREAM IL 60132 -0577 CHECK NUMBER: 185458 CHECK DATE: 5/11/2010 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1115 4342100 170AT6170 12.52 POSTAGE 601 5023990 76V77A170 15.22 OTHER EXPENSES Delivery Service Invoice Invoice date April 24, 2010 Shipped from: Invoice number 000076V77A170 CARMEL UTILITIES DISTRIBUTION Shipper number 76V77A 3450 W 1031ST ST Control f© 94U4 WESTFIELD, IN 46074 Page 1 of 3 #BWNCWNG# Sign up for electronic billing today! #0249A000076V77A9# 77401400035511 Visit ups.com /billing AT 01 039176 92145H126 A* *3DGT For questions about your invoice, call: IIII' 111' 111 "II1111111' 111111' I 'I'IIIIIIIIIIIIII�ILILllllll�l, (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 Summary of Charges Amount Due This Period 15.22 y ar 9 es Amount Outstanding (prior invoices) 35.23 Page Charge Total Amount Outstanding 50.45 Outbound Please include the Return Portion of each outstanding invoice with 3 UPS Internet Shipping 15.22 your payment. See Account Status for details. Amount due this period 15.22 Online printing from The UPS Store Add convenience to your busy day with new online printing UPS payment terms require payment of this invoice by 5, from The UPS- Store. Whether you need to print a flyer, a 2010. presentation or something in between, you can easily upload, customize, preview and submit your project right from your Note: This invoice may contain a fuel surcharge as described at desktop. Then, simply stop by to pick up your print job. Get ups.com. The published fuel surcharge is 5.0% for UPS Ground stared today at theups store. camlprint. Services and 7.0% for UPS Air Services, UPS 3 Day Select, and International services. For more information, visit ups.com. Delivery Service Invoice Invoice date April 24, 2010 Invoice number 000076V77A170 Shipper number 76V77A n Page 2 of 3 Account Status Weekly Payment Plan Payments Applied Amount Invoice Number Invoice Date Paid 000076V77A130 03/27/2010 12.99 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 000076V77A450 04/10/2010 35.23 Total 35.23 Outstanding balances reflect any payments received as of 04/23/2010. Please ignore this message if a recent payment has been made for any outstanding invoices. Delivery Service Invoice Invoice date April 24, 2010 1 Invoice number 000076V77A170 Shipper number 76V77A n Page 3 of 3 Outbound UPS Internet Shipping Pickup ZIP Billed Date Tracking Number Service Code Zone Weight Charge 04/13 1Z76V77AP292691568 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 04/20 1Z76V77AP292962579 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 Total for Internet -ID: CarmelWater 15.22 Total UPS Internet Shipping 2 Package(s) 15.22 Total Outbound 2 Package(s) 15.22 VOUCHER 101515 WARRANT ALLOWED 314125 IN SUM OF UPS LbCKBOX 577 CAROL STREAM, IL 60132 z Carmel Water Utility ON ACCOUNT OF APPROPRIATION FOR Board members PO INV ACCT AMOUNT Audit Trail Code 76V77A170 01- 6360 -03 $15.22 Voucher Total $15.22 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 5/3/2010 Invoice Invoice Description Date Number (or note attached invoice(s) or bill(s)) Amount 5/3/2010 76V77A170 $15.22 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 Delivery Service Invoice Invoice date April 24, 2010 Invoice number 0000170AT6170 Shipper number 170AT6 n Control ID 543A Page 1 of 3 #BWNCWhiG# Sign up for electronic billing today! #0249A0000170AT64# 77401400028016 Visit ups.com /billing AT 01 038926 92146HI26 A *3DGT For questions about your invoice, call: 1� 1 lIII Y- (800) 811 -1648 Monday Friday 8:00 a.m. 9:00 p.m. E.T. CARMEL CLAY COMMUNICATION CTR 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 $12.52 Summary of Charges Amount Outstanding (prior invoices) 0.00 Page CRarge Total Amount Outstanding 12.52 Outbound Online printing from The UPS Store 3 UPS Shipping Document 12.52 Add convenience to your busy day with new online printing Amount due this period 12.52 from The UPS Store. Whether you need to print a flyer, a presentation or something in between, you can easily upload, UPS payment terms require payment of this bill by May 5, 2010. customize, preview and submit your project right from your desktop. Then, simply stop by to pick up your print job. Get Note: This invoice may contain a fuel surcharge as described at started today at theupsstore.com /print. ups.com. The published fuel surcharge is 5.095 for UPS Ground Services and 7,095 for UPS Air Services, UPS 3 Day Select and International services. For more information, visit ups.com. Delivery Service Invoice Invoice date April 24, 2010 Invoice number 0000170AT6170 Shipper number 170AT6 Page 2 of 3 Account Status Weekly Payment Plan Payments Applied Amount Invoice Number Invoice Date Paid 0000170AT6140 04/03/2010 18.09 Delivery Service Invoice Invoice date April 24, 2010 OTM, Invoice number 0000170AT6170 Shipper number 170AT6 Page 3 of 3 Outbound UPS Shipping Document Pickup ZIP Billed Date Tracking Number Service Code Zone Weight Charge 04/19 K1440955316 Ground Commercial S_D.P. 07005 5 5 11.92 Fuel Surcharge 0.60 Total 12.52 1st ref: 004546 Sender CARMEL CLAY COMMUNIC Receiver: L3 L3 COMMUNICATIONS INDIANAPOLIS IN 46268 BOONTON NJ 07005 Total UPS Shipping Document 1 Package(s) 12.52 Total Outbound 1 Package(s) 12.52 0389262/2 VOUCHER N O. WARRANT NO. ALLOWED 20 Urited Parcel Service IN SUM OF Lockbox 577 Carol Stream, IL 60132 $12.52 ON ACCOUNT OF APPROPRIATION FOR Carmel Clay Communications PO# Dept. INVOICE NO. ACCT /TITLE AMOUNT Board Members 1115 0000170AT6170 43- 421.00 $12.52 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 Wednesday, May 05, 2010 Director Title Cost distribution ledger classification if claim paid motor vehicle highway fund Prescribed by State Board of Accounts I 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)) 04/24/10 10000170AT6170I I $12.52 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