188317 08/03/2010 CITY OF CARMEL, INDIANA VENDOR: 093000 Page 1 of 1
ONE CIVIC SQUARE FEDEX
CHECK AMOUNT: $123.82
CARMEL, INDIANA 46032 PO Box 94515
PALATINE IL 60094 -4515
CHECK NUMBER: 188317
CHECK DATE: 8/3/2010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1110 4342100 7- 155 -98735 123.82 POSTAGE
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FedEx Tax ID: 71- 0427007
Billing Address: Shipping Address:
CARMEL COMMUNICATIONS CARMEL COMMUNICATIONS
311 STAVE NW 31 1 ST AVE NW
FedEx CARMEL IN 46032 -1715 CARMEL IN 46032 -1715 Invoice inns?
CContactF FedEx Revanue Services
Phone: (800) 622 -1147 M -Sa 7 -6 (CST)
Fax: (600) 548 -3020
Invoice Summag Jul 14, 2010 Internet: www.fedex.com
FedEx Express Services FedEx News!
Transportation Charges 106.65 Better foryou. Better for the environment. Choose
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19 X L 1 5�-2 A
Invoice Number Invoice Date
7_03
Adjustment Request
Fax to 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 wwwJedox.com or calling
800.622.1147. Please use multiple forms for additional requests.
t Please complete all fields in black ink.
RequestorNamel I D ate I I I L.J..-J I t J.._�
Phone Fax#
It E-mail Address ❑Yes, I wantlo update account contact with the above information.
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Tracking Number Bill to Account Amount
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4. 1
AD R Address Correction INW Incorrect Weight OVS Oversize Surcharge For all Service failures or other
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Declared Value Incorrect Service HSU Residential Delivery
DVC INS surcharges please use our web
d IAN Invalid Acct OCF Grd Pick-up Fee PND Pwrshp Not Delivered site www.fadox.com or call
OCS (80011622
Exp Pick-up Fee SDR Saturday Delivery -1147
Rerate information only (round to nearest inch)
Tracking Number Code Amount I LBS L W H
X LWWJ X L WWI
I I i I X
X X
X X
J X LWWJ X LWWJj
Invoice Number I Invoice Date F Nqmber Page
7-155-98735 Jul 14,2010 3 of 3
FedEx Express Shipment Detail By Payor Type (Original)
1
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Fuel Surcharge FedEx h as applied a fuel surcharge of 8.00% to this shipment.
Distance Based Pricing, Zone 8
Automaton USAB §2ndgr Racipift
Tracking 10 872333688554 TODD LUEKOSKI DOUGLAS CARRUTHERS
Service Type FedEx 2Day 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 I
Rated Weight 12.0 lbs, 5.4 kgs
Delivered Jul 12, 2010 Transportation Charge 55.10
Svc Area A2 Fuel Surcharge 4.73
Signed by &GEORGE Courier Pickup Charge 4.00
FedEx Use 018919127/0006112/ Total Charge USD $023
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4
1; jx�
Pal
Fuel Surcharge FedEx has applied a fuel surcharge of 8-00% to this shipment.
Distance Based Pricing, Zone 8
Automaton USAB Sands Ree
Tracking ID 87233494593 TODD LUCKOSKI DOUGLAS CARRUTHERS
Service Type FedEx2Day CARMEL COMMUNICATIONS GENERAL DYNAMICS ITRONIX
Package Type Customer Packaging 31 1 STAVE NW 250 S MI LPITAS BLVD
Zone 08 CARMEL IN 46032-1715 US MILPITAS CA 95035 US
Packages I
Rated Weight 11.0 lbs, 5.0 kgs
Delivered Jul 12,2010 10:37 Transportation Charge 5155
Svc Area A2 Fuel Surcharge 4.44
Signed by B.GEORGE Courier Pickup Charge 4.00
FedEx Use 0189191271OM112f Total Charge USD MM
Shipper Subtotal USD $123.82
Total FedEx Express USD $123.82
1194-01-00-0030706-(M] -0076147
Prescribed by State Board o1 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 invoice(s) or bill(s))
7/14/10 715598735 payment for shipping charges 123.82
Total
I hereby certify that the attached invoice(s), or bill(s), is (are) true and correct and 1 have audited same in accordance
with IC 5- 11- 10 -1.6.
20
Clerk- Treasurer
VOUCHER NO. WARRANT NO.
ALLOWED 20
Fedlix
IN SUM OF
P.O. BOx 94515
Palatine, IL 60094 -4515
123.82
ON ACCOUNT OF APPROPRIATION FOR
police general fund
Board Members
Po# or INVOICE NO. ACCT #/TITLE AMOUNT
DEPT. l hereby certify that the attached invoice(s), or
1110 715598735 421 1231:82 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
July 23 20 10
Signature
Chief of Police
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund