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Home My WebLink About190505 09/29/2010 CITY OF CARMEL, INDIANA VENDOR: 314125 Page 1 of 1 0 ONE CIVIC SQUARE UPS CHECK AMOUNT: $22.74 CARMEL, INDIANA 46032 LOCKBOX 577 CAROL STREAM IL 60132 -0577 CHECK NUMBER: 190505 CHECK DATE: 9/2912010 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBE AMOUNT DESCRIPTION 601 5023990 76V77A370 22.74 CONT SERVICES OTHER Delivery Service In voice AAW Invoice date September 11, 2010 Shipped from: Invoice number 000076V77A370 CARMEL UTILITIES DISTRIBUTION Shipper number 76V77A 3450 W 1031ST ST Control ID 877X C TM WESTFIELD. IN 46074 Page 1 of 3 #!3WNGWNG# Sign up far electronic billing today! #0249A000076V77A9# 77401200035483 Visit ups.com /billing AT 01 035053 63720H114 A *3DGT For questions about your invoice, call: I' I�I�III�I�I 'J�I��II�II "Ali'I�I'�l llll!IIJ��Inlll�� s Monday F day CARMEL UTILITIES 8:00 am.- 9:00 p.m.E.T. 3450 W 131ST ST or write: WESTFIELD, IN 46074 -8267 UPS P.Q. Box 650580 Dallas, TX 75265 -0580 Account Status Summary Thank you for using UPS. Weekly Payment Plan Amount Due This Period 22.74 Summary of Charges Amount Outstanding (prior invoices) 35.69 age Charge Total Amount Outstanding 58.43 Outbound Please include the Return Portion of each outstanding invoice with 3 UPS Internet Shipping 22.74 your payment. See Account Status far details. Amount due this period 22.74 Don't lug your luggage Planning a trip? If you want to avoid airline baggage fees and UPS payment terms require payment of this invoice by September long waits at the luggage carousel, The UPS Storeocan help. 22, 2010. Ship your belongings directly to your destination in a specially Note: This invoice may contain a fuel surcharge as described at designed, corrugated luggage box that acts like a suitcase, but ups.com. The published fuel surcharge is 5.5% for UPS Ground is both lighter and trackable. If you'd rather fly with your Services and 7.0 for UPS Air Services, UPS 3 flay Select and belongings, the boxes have a sturdy handle for carrying and International services. For more information, visit ups.com. meet airline size restrictions. Visit theupsstore.com for more details and to find a location near you. t63b,--S Delivery Service Invoice Invoice date September 11, 2010 OTM Invoice number 000076V77A370 Shipper number 76V77A Page 2 of 3 Account Status Weekly Payment Plan Payments Applied Amount Invoice Number Invoice Date Paid 000076V77A300 07/24/2010 15.44 000076V77A310 07/31/2010 17.50 000076V77A330 08/14/2010 15.37 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 000076V77A350 08/28/2010 35.69 Total 35.69 Outstanding balances reflect any payments received as of 09/1012010. Please ignore this message if a recent payment has been made for any outstanding invoices. Delivery Service Invoice Invoice date September 11, 2010 Invoice number 000076V77A370 Shipper number 76V77A OT. Page 3 of 3 Outbound UPS Internet Shipping Pickup ZIP Billed Date Tracking Number Service Code Zone Weight Charge 08/31 1Z76V77A0392390718 Ground Commercial 46202 2 2 7.25 Fuel Surcharge 0.40 Total 7.65 1st ref Weekly Fluoride UserID 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 09109 iZ76V77A0390023538 Ground Commercial 46202 2 2 7.25 Fuel Surcharge 0.40 Total 7.65 1st ref Fluoride 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 1 Z76V77A0393083727 Ground Commercial 46204 2 1 7.05 Fuel Surcharge 0.39 Total 7.44 let 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 22.74 Total UPS Internet Shipping 3 Package(s) 22.74 Total Outbound 3 Package(s) 22.74 VOUCHER 102817 WARRANT ALLOWED 314125 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 76V77A370 01- 6360 -03 $22.74 Voucher Total $22.74 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. LOCKSOX 577 Terms CAROL STREAM, IL 60132 Due Date 9/20/2010 Invoice Invoice Description Date Number (or note attached invoice(s) or bill(s)) Amount 9/20/2010 76V77A370 $22.74 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 Offi