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185988 05/26/2010 CITY OF CARMEL, INDIANA VENDOR: 314125 Page 1 of 1 ONE CIVIC SQUARE UPS CHECK AMOUNT: $15.26 CARMEL, INDIANA 46032 LOCKBOX 577 CAROL STREAM IL 60132 -0577 CHECK NUMBER: 185988 CHECK DATE: 5/26/2010 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 601 5023990 76V77A190 15.26 OTHER EXPENSES Delivery Service Invoice Invoice date May 8, 2010 Shipped from: Invoice number 000076V77Al90 CARMEL UTILITIES DISTRIBUTION Shipper number 76V77A 3450 W 1031ST ST Control ID G485 WESTFIELD. IN 46074 Page 1 of 3 Sign up for electronic billing today! #BWNCWNG# Visit ups.com /billing #0249A000076V77A9# 77401200039941 AT 01 040202 01101H129 A *3 ©GT For questions about your invoice, call: I II II- i -If II IIII- II- 1- 1 I I II H- fi ll -'1 -III (800) 811 Monday Friday CAR M E L 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 Amount Due This Period 15.26 Summary of Charges Amount Outstanding (prior invoices) 50.45 Page Charge Total Amount Outstanding 65.71 Outbound Please include the Return Portion of each outstanding invoice with 3 UPS Internet Shipping 15.2 your payment. See Account Status for details. Amount due this period 15.26 Go green and save Save money. Save time`Save "trees. "Choose a UPS electronic UPS payment terms require payment of this invoice by May 19, billing solution as an alternative to receiving a paper bill- You 2010. will be able to view, manage and pay your UPS bills. Choose Note: This invoice may contain a fuel surcharge as described at the electronic bill format that best suits your company's needs. ups.com. The published fuel surcharge is 5.59 for UPS Ground Learn more at www.ups.com and 8.59 for UPS Air Services, UPS 3 Day Select, and International services. For more information, visit ups.com. r e Delivery Service Invoice Invoice date May 8, 2010 Invoice number 000076V77A190 Shipper number 76V77A ry Page 2 of 3 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 000076V77A150 04/10/2010 35.23 000076V77A170 04/24/2010 1522 Total 50.45 Outstanding balances reflect any payments received as of 05/07/2010. Please ignore this message if a recent payment has been made for any outstanding invoices. 6 Delivery Service Invoice Invoice date May 8, 2010 1 Invoice number 000076V77A190 Shipper number 76V77A Page 3 of 3 Outbound UPS Internet Shipping Pickup Zip Billed Date Tracking Number Service Code Zone Weight Charge 04/27 1 Z76V77AP292520386 Ground Commercial 46202 2 2 7.25 Fuel Surcharge 0.36 Total 7.61 1st ret Fluoride Userlf7 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 05(03 1Z76V77AP295086172 Ground Commercial 46202 2 2 7.25 Fuel Surcharge 0.40 Total 7.65 1st ref Fluoride Userlf) 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 15.26 Total UPS Internet Shipping 2 Package(s) 15.26 Total Outbound 2 Package(s) 15.26 TOM VOUCHER 101621 WARRANT ALLOWED 314925 IN SUM OF UPS�►� LOCKBOX 577 CAROL STREAM, IL 60132 0 Carmel Water Utility ON ACCOUNT OF APPROPRIATION FOR Board members PO INV ACCT AMOUNT Audit Trail Code 76V77A190 01- 6360 -03 $15.26 Voucher Total $15.26 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 5/18/2010 Invoice Invoice Description Date Number (or note attached invoice(s) or bill(s)) Amount 5/1812010 76V77A190 $15.26 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 Offic