189546 08/31/2010 CITY OF CARMEL, INDIANA VENDOR: 314125 Page 1 of 1
ONE CIVIC SQUARE UPS CHECK AMOUNT: $15.37
CARMEL, INDIANA 46032 LOCKBOX 577
CAROL STREAM IL 60132 -0577 CHECK NUMBER: 189546
CHECK DATE: 8/31/2010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
601 5023990 76V77A330 15.37 CONT SERVICES OTHER
I
Delivery Service Invoice
Invoice date August 14, 2010
Shipped from: Invoice number 000076V77A330
CARMEL UTILITIES DISTRIBUTION Shipper number 76V77A
O3450 W 1031ST ST Control ID 3R39
WESTFIELD, IN 46074
Page 1 of 3
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#0249A000076V77A9# 77401200037525 Visit ups.com /billing
AT 01 037329 51168H121 A* *3DGT For questions about your invoice, call:
I.,' �II'' I��I' I1 11�' �II�' IJIII ,II„II'��'I'lll�l�'CIIII��I,I" (800) 811 -1648
Monday Friday
8:00 a.m. 9:00 p.m. E.T.
CARMEL UTILITIES
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 $15,37 Summary of Charges
Amount Outstanding (prior invoices) 48.10 age C Fa rge
Total Amount Outstanding 63.47 Outbound
Please include the Return Portion of each outstanding invoice with 3 UPS Internet Shipping 15.37
your payment. See Account Status for details. Amount due this period 15.37
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i
Delivery Service Invoice
Invoice date August 14, 2010
Invoice number 000076V77A330
Shipper number 76V77A
Page 2 of 3
Account Status
Weekly Payment Plan
Payments Applied
Amount
Invoice Number Invoice Date Paid
000076V77A260 06/26/2010 23.12
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
000076V77A280 07110/2010 15.16
000076V77A300 07/24/2010 15.44
000076V77A310 07/3112010 17.50
Total 48.10
Outstanding balances reflect any payments received as of
08/1312010. Please ignore this message if a recent payment has
been made for any outstanding invoices.
i
Delivery Service Invoice
Invoice date August 14, 2010
low Invoice number 000076V77A330
Shipper number 76V77A
Page 3 of 3
Outbound
UPS Internet Shipping
Pickup ZIP Billed
Date Tracking Number Service Code Zone Weight Charge
08110 1 Z76V77A0393752487 Ground Commercial 46204 2 1 7.05
Fuel Surcharge 0.39
Total 7.44
1st ref JULY 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
08111 iZ76V77A0390449098 Ground Commercial 46202 2 4 7.52
Fuel Surcharge 0.41
Total 7.93
1st ref Weekly Fluoride UserlD CarmelWater
Sender Michelle Breedlove Receiver: Environmental Sample
Carmel Utilities Distributin Indiana State Dept of Health
3450 w 131 st 550 West 16th Street
Carmel IN 46074 INDIANAPOLIS IN 46202
Total for Internet -ID: CarmelWater 15.37
Total UPS Internet Shipping 2 Package(s) 15.37
Total Outbound 2 Package(s) 15.37
VOUCHER 102477 WARRANT ALLOWED
31,4125 IN SUM OF
UPS��
LOCKBOX 577 en
CAROL STREAM, IL 60132 9
Carmel Water Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO INV ACCT AMOUNT Audit Trail Code
76V77A330 01- 6360 -03 $15.37
Voucher Total $15.37
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 8/20/2010
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
8/20/2010 76V77A330 $15.37
hereby certify that the attached invoice(s), or bill(s) is (are) true and
correct and I have
f audited same in accordance with IC 5- 11- 10 -1.6
Date Officer