185723 05/26/2010 CITY OF CARMEL, INDIANA VENDOR: 093000 Page 1 of 1
ONE CIVIC SQUARE FEDEX
0 CHECK AMOUNT: $53.12
s,s CARMEL, INDIANA 4 6032 Po sox sans
o PALATINE IL 60094 -4515 CHECK NUMBER: 185723
CHECK DATE: 5/26/2010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1110 4342100 7- 087 -11308 53.12 POSTAGE
F.ecEx.
Invoice Number Invoice Date Account Number Page
7 -087 -11308 May 12, 2010 1 of 3
FedEx TaxID: 71- 0427007
Billing_ Address: Shipping Address:
CARMEL COMMUNICATIONS CARMEL COMMUNICATIONS
31 1 ST AVE NW 31 1 STAVE NW
CARMEL IN 46032 -1715 CARMEL IN 46032 -1715 Invoice Questions?
Contact FedEx Revenue Services
Phone: (800) 622 -1147 M -Sa 7 -6 (CST)
Fax: (800)548 -3020
Invoice Summary May 12, 2010 Internet: www.tedex.com
FedEx Express Services
Transportation Charges 36.30
Special Handling Charges 16.82
Total Charges USD $53.12
TOTAL THIS INVOICE USD $53.12
Other discounts may apply.
F e&x. I Invoice Number Invoice Date Account Number Page
7- 087 -11308 May 12, 2010 11 2 of 3
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.
t Please complete all fields in black ink.
Re uestor Name 11 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 I I I I 1 Date W W W
4
Phone IWLJ WWW I 1 1 1 1 Fax
E -mail Address WYes, I wantto update account contactwith the above information.
Tracking Number Bill to Account Amount
I •W
I I I I I I I I I I I I I L I I I I I! 1 1 1 1 1 L I I I I I •W
Illlllllllll1111 Ikllllllll IIIIII
i�> IIIIIIIillllllll 1111111111 IIIIII
1 1 1 1 1 _I I I l 1 1 1 1 1 1 I I E I I I I I I I 1 1 1 1 1 1 W
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 (800)622 -1147
aerate information only (round to nearest inch)
Tracking Number Code $Amount LBS L W H
d
I I I I I I I I I I I I I I I I I I I I L l I I I I W I I I Il 1 1 l 1 1 l I I I
t I I L_ _I I I i l l l l l l l l l WWW I I I I I I W W—� 1 WI IW X 1 I I i X i I I I
L I I I I I I 1 1 1 1 I_ I I I I I 1 1 1 1 1 1 1 1 I W WWW WW x I 11 l x LW�
1 1 1 1 1 _1_ I I I I I I I I I I W_1 J l_ I I I I W WW�WLWJx i I I I x I I I I
I I I I I I I I I I I I I L 1_ I WW 1 1 1 1 1 1 I_ I I LWW LWWJ x I I I I x WWW
F edEx. I Invoice Number Invoice Date Account Number Page
7- 087 -11308 M 12, 2010 3 of 3
FedEx Express Shipment Detail By Payor Type (Original)
Pst:l edtyt�/ r 3Q fl36 Cost Rtzl Nf# f EF1±fiE i f1511r013MAT.I Rif
P
#f
t o
Fuel Surcharge -Fed Ex has applied a fuel surcharge of 7.00% to this shipment
Distance Based Pricing, Zone 8
Automation USAB Sender Recip
Tracking ID 872333702378 TODD LUCKOSKi DOUGLAS CARRUTHERS
Service Type FedEx Express Saver CARMEL COMMUNICATIONS GENERAL DYNAMICS ITRONIX
Package Type Customer Packaging 31 1ST AVE NW 250 S MILPITAS BLVD
Zone 08 CARMEL IN 46032 -1715 US MILPITAS CA 95035 US
Packages 1
Rated Weight 10.0Ibs, 4.5 kgs Transportation Charge 36.30
Delivered May 04, 201009:03 Account Number Correction 10.00
Svc Area A2 Courier Pickup Charge 4.00
Signed by B.AVANT Fuel Surcharge 2.82
Fed Ex Use 012002070/0007179L Total Charge USD $53.12
Shipper Subtotal USD $53.12
Total FedEx Express USD $53.12
012376212
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
FedEx Purchase Order No.
P.O. Box 94515 Terms
Palatine, IL 60094 --4515 Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoices) or bill(s))
5/12/10 7- 087 -11308 payment for shipping charges 53.12
Total
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.
a
ALLOWED 20
F edEx IN SUM OF
P.O. Box 94515
Palatine, IL 60094 -451.5
53.12
ON ACCOUNT OF APPROPRIATION FOR
police generalcfund
Board Members
PO# or INVOICE NO. ACCT #/TITLE AMOUNT I hereby certify hat the attached invoice(s), or
DEPT. y y 1 i
1110 7- 087 -11308 421 53.1.2 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
May. 20 10
Signature
Chief of Police
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund