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192060 11/23/2010 CITY OF CARMEL, INDIANA VENDOR: 093000 Page 1 of 1 ONE CIVIC SQUARE FEDEX 0 CHECK AMOUNT: $5.67 CARMEL, INDIANA 46032 Po eox 94515 PALATINE IL 60094 -4515 CHECK NUMBER: 192060 CHECK DATE: 11/23/2010 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1202 4342100 7- 287 -92510 5.67 POSTAGE Fed o Invoice Number Invoice Date Billing Address: Shipping Address: CITY OF CARMEUMAYOR'S OFC CITY OF CARMEL JENNY CHASTAIN 1 Civic SO. 1 CIVIC SQ CARMEL IN 46032 -2584 Contact Questions? Contact FedEx Revenue Services CARMEL IN 46032 -2584 Phone: (800) 622 -1147 M -Sa 7 -6 CST) Fax: (800) 548 -3020 Invoice Summary Nov 10, 2010 Internet: www.fedox.com FedEx Ground Services Important Service Message: Transportation Charges 5.37 Effective Jan. 3, 2011, FedEx Express package and Other Handling Charges 0.30 freight rates will increase an average of 5.9% for U.S. Total Charges USO $5.67 and U.S. export services. The rate increase will be TOTAL THIS INVOICE USO $5.67 partially offset by adjusting the fuel price atwhich the fuel surcharge begins, reducing the fuel surcharge by 2 Other discounts may apply, percentage points. FedEx Ground, FedEx Home Y Delivery® and FedEx SmartPost@ rates will also increase. For detailed information about rate, surcharge, fee and other important changes, go to fedex.com /2011 rates. FedEx News! Need a return solution? Whether you need contracts, damaged parts, diagnostic samples or unwanted merchandise returned, FedEx has a solution for you. For case studies and videos showing you how to improve your efficiency, customer satisfaction and sales, while reducing your costs, visit www.fedex.com/returns. Invoice Number Invoice Date Account Number Page 7-287-92510 Nov 10, 2610 2 of I Adjustment Request Fax to 08) 548-3020 U se this is 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 wwwiedex.com or calling 800.622.1147. Please use multiple forms for additional requests. Please complete all fields in black ink. Requestor Name I I Date l I I I I I I I I Phone Fax# E-mail Address =Yes, I waritto update account contactwM the above information. Tracking Number Bill to Account Amount IIIIIIIIIIIIIII IIIIIIIIII IIIIII. J I I I L 1 1 I 1 1 1 J f lllllllllllllll l J I I I J L_LJ ADR Address Correction INW -incorrect Weight OVS Oversize Surcharge For all Service failures or other 0 DVC Declared Value INS Incorrect Service RSU Residential Delivery surcharges please use our web d IAN Invalid Acct OCF Grd Pick-up Fee PNO Pwrshp Not Delivered site wwwJedox.com or call OCS Exp Pick-up Fee SOR Saturday Delivery (NO) M -1147 Rerate information only (round to nearest inch) Tracking Number Code Amount LBS L W H X X X X J. I LLJ I I I I1 1 I 1X X X X I I I E X I I I X I 1-T I Invoice Number Invoice Date 4 of 4 FedEx Ground Shipment Detail By Reference (Original) p hater�r# It(� �f4rrratlnyst$m� �.e. Tracking 10 161629315000002 Sand&t X18 Transportation Charge 5.37 Service Type Ppd, Domestic CITY OF CARMEL RMA# 35087469 Fuel Surcharge 0.30 Zone 02 1 CIVIC SO CHECKPOINT SOFTWARE TECHNOLO Total Change USD 55.67 Packages 1 CARMEL IN 46032 -2584 21211 CREEKSIDE PKWY Actual Weight 41 1bs LOCKBOURNE OH 43137- 928620 Rated Weight 51bs Delivered Nov 05, 2010 Information Systems Reference Subtotal USD $5.67 Total FedEx Ground USD $5.67 1313-014)0-002919 1-000 1-007 26 3 3 p Invoice Number Invoice Date 3 of 4 FedEx Ground Shipment Summary By Reference FedExGround Shipments (Original) itaRelw 1Afetght Trtot4alnn ©tlerl#ndlIng RGhplt�x Refaran�a Sft�pmerrts lhs Charges harG Credrts/Ottter otat Charge Information Systems 1 5 .5.37 0.30 5.67 IT round ::i ;b3741.3l1 Total This Invoice USD $5.67 1313.014))- 0029191 -0001 -W 726 3 3 VOUCHER NO. WARRANT NO. FedEx ALLOWED 20 IN SUM OF P.O. Box 94515 Palatine, IL 60094 -4515 $5.67 ON ACCOUNT OF APPROPRIATION FOR Carmel IS Department PO# Dept. INVOICE NO, ACCT41TITLE AMOUNT Board Members 1202 7- 287 -92510 1 43-421,001 $5.67 1 hereby certify that the attached invoice(s), or 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 /,-T-Onday, Nov 7- er 22, 2010 i Director, IS Title Cost distribution ledger classification if claim paid motor 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 service rendered, by whom, rates per day, number of hours, rate per hour, number of units, price per unit, etc. Payee Purchase Order No. Terms Date Due Invoice Invoice Description Amount Date Number (or note attach invoice(s) or bill(s)) 11/10/10 7- 287 -92510 I $5.67 1 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 2Q Clerk- Treasurer