187468 07/07/2010 F CITY OF CARMEL, INDIANA VENDOR: 314125 Page 1 of 1
0 k ONE CIVIC SQUARE UPS CHECK AMOUNT: $40.19
/o CARMEL, INDIANA 46032 LOCKBOX 577
CAROL STREAM IL 60132 -0577 CHECK NUMBER: 187468
CHECK DATE: 717/2010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1110 4342100 170AT6250 17.26 POSTAGE
601 5023990 76V77A240 22.93 CONT SERVICES OTHER
Delivery Service Invoice
Invoice date June 19, 2010
Invoice number 0000170AT6250
Shipper number 170AT6
n
Control ID 3170
Page 1 of 3
#BWNCWNG# Sign up for electronic billing today!
#0249A0000170AT64# 77401300027053 Visit ups.com/billing
AT 01 034465 235311-1113 B* 3DGT For questions about your invoice, call:
Ill�lllll'I 1 111' fill- Il lllll 'FI'llll- Ill.I'lll Monday -F day
CARMEL CLAY COMMUNICATION CTR 8:oo am. 9:o0p.m.E.T.
31 1ST AVE NW or write:
CARMEL, IN 46032-1715 UPS
P.O. Box 650580
Dallas, TX 75265 -0580
Account Status Summary
Weekly Payment Plan Thank you for using UPS.
Amount Due This Period $1726 Summary of Charges
Amount Outstanding (prior invoices) 0.00 Page C arge
Total Amount Outstanding $17.26 Outbound
Go green and save 3 UPS Shipping Document 10.90
Save money. Save time. Save trees. Choose a UPS electronic 3 Adjustments Other Charges 6.3
billing solution as an alternative to receiving a paper bill. You Amount due this period 17.26
will be able to view, manage and pay your UPS bills. Choose
the electronic bill format that best suits your company's needs. UPS payment terms require payment of this bill by June 30, 2010.
Learn more at www.uRS.COtXllbllhng Note: This invoice may contain a fuel surcharge as described at
ups.com. The published fuel surcharge is 6.09 for UPS Ground
Services and 10.0% for UPS Air Services, UPS 3 Day Select, and
International services. For more information, visit ups.com.
Delivery Service Invoice
Invoice date June 19, 2010
Invoice number 0000170AT6250
Shipper number 170AT6
n
Page 2 of 3
Account Status
Weekly Payment Plan
Payments Applied
Amount
Invoice Number Invoice Date Paid
0000170AT6170 04/24/2010 12.52
Delivery Service Invoice
Invoice date June 19, 2010
Invoice number 0000170AT6250
Shipper number 170AT6
Page 3 of 3
Outbound
UPS Shipping Document
Pickup ZIP Billed
Date Tracking Number Service Code Zone Weight Charge
06/14 K1440955307 Ground Commercial S.D.P. 62522 3 2 10.28
Fuel Surcharge 0.62
Total 10.90
ist ret: 00029240
Sender :BRIAN SMITH Receiver: DECATUR ELECTRONICS
CARMEL POLICE DEPT ATTN REPAIR DEPT
INDIANAPOLIS IN 46268 DECATUR IL 62522
Total UPS Shipping Document 1 Package(s) 10.90
Total Outbound 1 Package(s) 10.90
Adjustments Other Charges
On Call Pickup Requests
Date of Billed
Date Request Pickup Request No. Service Charge
06/14 06/14 2955K2HOF33 Same Day Pickup Phone Request 6.00
Fuel Surcharge 0.36
Total 6.36
Pickup Address: TODD LUCKOSKI
CARMEL CLAY COMMUNICATION C
31 1 ST AVE NW
CARMEL IN 46032
Total On -Call Pickup Requests 1 Request(s) 6.36
Total Adjustments Other Charges 6.36
034465 212
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
UPS Purchase Order No.
Lockbox 577 Terms
Carol Stream. TL 60132 -0577 Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
6/19/10 170AT6250 payment for shipping charges 17.26
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.
ALLOWED 20
CPS IN SUM OF
Lockbox 577
Carol Stream, IL 60132 -0577
17.26
ON ACCOUNT OF APPROPRIATION FOR
p olice general fund
Board Members
Po# or INVOICE NO. ACCT #/TITLE AMOUNT
DEPT. I hereby certify that the attached invoice(s), or
1110 170AT6250 421 17.26 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
June 28 20 10
Signature
Chief of Police
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund
Delivery Service Invoice
Invoice date June 12, 2010
Shipped from: Invoice number 000076V77A240
CARMEL UTILITIES DISTRIBUTION Shipper number 76V77A
3450 W 1031 ST ST Control ID 42PO
WESTFIELD, IN 46074
Page 1 of 3
Sign up for electronic billing today?
#BWNGWNG# Visit ups.comlbilling
#0249A000076V77A9# 77401200038788
AT 01 038772 20314HI23 A *3DGT For questions about your invoice, call:
11�- I 1111 1 I- I--- s11,-, I111 1111- I1 "IIII1I- III�I�II�I- .1. -I -I (800) 811 -1648
Monday Friday
CARMEL UTILITIES 8:00 a.m.- 9:00p.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
Weekl Payment Plan Thank you for using UPS.
Amount Due This Period 22,93 Summary of Charges
Amount Outstanding (prior invoices) $15.09 age Charge
Total Amount Outstanding 38.02 Outbound
Please include the Return Portion of each outstanding invoice with 3 UPS Internet Shipping 22.9
your payment. See Account Status for details. Amount due this period 22.93
Go green and save
Save money. Save time. Save trees. Choose a UPS electronic UPS payment terms require payment of this invoice by June 23,
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 6.051. for UPS Ground
Learn more at www.ups.com /billing Services and 10.0% for UPS Air Services, UPS 3 Day Select, and
International services. For more information, visit ups.com.
i
Delivery Service Invoice
Invoice date June 12, 2010
Invoice number 000076V77A240
Shipper number 76V77A
n
Page 2 of 3
Account Status
Weekly Payment. Plan
Payments Applied
Amount
Invoice Number Invoice Date Paid
000076V77A190 05/08/2010 1526
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
000076V77A210 05/22/2010 15.09
Total $15.09
Outstanding balances reflect any Payments received as of
06/1112019. Please ignore this message if a recent payment has
been made for any outstanding invoices.
Delivery Service In voice
Invoice date June 12, 2010
Invoice number 000076V77A240
Shipper number 76V77A
TM
Page 3 of 3
Outbound
UPS Internet Shipping
Pickup ZIP Billed
Date Tracking Number Service Code Zone Weight Charge
05127 1Z76V77A0395048182 Ground Commercial 46202 2 3 7.31
Fuel Surcharge 0.40
Total 7.71
1st ref Weekly 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
06/09 1Z76V77AP298140400 Ground Commercial 46202 2 3 7.31
Fuel Surcharge 0.44
Total 7.75
1st ref fl sampels 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
1Z76V77AP298907592 Ground Commercial 46204 2 1 7.05
Fuel Surcharge 0.42
Total 7.47
1 st ref mro UserlD: CarmelWater
Sender Jaimie Foreman Receiver:
Carmel Drinking Water Plant IDEM/ Drinking Water B ranch
5484 E. 126th St 100 N SENATE AVE
CARMEL IN 46033 INDIANAPOLIS IN 46204
Total for Internet -ID: CarmelWater 22.93
Total UPS Internet Shipping 3 Package(s) 22.93
Total Outbound 3 Package(s) 22.93
VOUCHER 102018., WARRANT ALLOWED
314125 IN SUM OF
UP's
LOCKBOX 577
CAROL STREAM, IL 60132
Carmel Water Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO INV ACCT AMOUNT Audit Trail Code
76V77A240 01- 6360 -03 $22.93
Voucher Total $22.93
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 6/28/2010
Invoice Invoice Description
Date Dumber (or note attached invoice(s) or bill(s)) Amount
6/28/2010 76V77A240 $22.93
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