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192274 11/23/2010 CITY OF CARMEL, INDIANA VENDOR: 314125 Page 1 of 1 ONE CIVIC SQUARE UPS CARMEL, INDIANA 46032 LOCKBOX 577 CHECK AMOUNT: $41.02 CAROL STREAM IL 60132 -0577 CHECK NUMBER: 192274 CHECK DATE: 11/23/2010 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 651 5023990 6990450 20.47 CONT SVS -OTHER 601 5023990 76V77A440 20.55 CONT SERVICES OTHER Delivery Service Invoice Invoice date October 30, 2010 Shipped from: Invoice number 000076V77A440 CARMEL UTILITIES DISTRIBUTION Shipper number 76V77A 3450 W 1031ST ST Control ID 9N47 WESTFIELD, IN 46074 Page 1 of 3 #BWNCWNG# Sign up for electronic billing today! #0249A000076V77A9# 77401 500031 1 01 Visit ups.com/billing AT 01 031802 8721 OH109 E *3DGT For questions about your invoice, call: ��III�I�III„ ��l�l�ll��lllll��' �III��III '1II "IIIIII'�'I'�I'�II� (800) 811 1648 Monday Friday CARMEL UTILITIES 8:00 a.m.- 9:00 p.m.E.T. 3450 W 131ST ST or write: CARMEL, IPA 46074 -8267 !�,Vs UPS P.O. Box 650580 Dallas, TX 75265 -0580 Account Status Summary Weekly Payment Plan Thank you for using UPS Amount Due This Period 20.55 Summary of Charges Amount Outstanding (prior invoices) 38.47 age Charge Total Amount Outstanding 59.92 Outbound Please include the Return Portion of each outstanding invoice with 3 UPS Internet Shipping 20.55 your payment. See Account Status for details. Amount due this period 20.55 Reducing credit card fraud _UP5 Capital® has- teamed with CardinalCommerce to help _UPS payment terms require of this invoice by November e -commerce merchants reduce credit card fraud and activate 10, 2010. new alternative payments such as PayPalTm, Bill Me Later® Note: This invoice maycontain a fuel surcharge as described at and many others. To learn more, visit ups.com. The published fuel surcharge is 6.0 for UPS Ground upseapital.comlfraudprotection. Services and 8.0% for UPS Air Services, UPS 3 Day Select and International services. For more information, visit ups.com. f Delivery Service Invoice Invoice date October 30, 2010 Invoice number 000076V77A440 Shipper number 76V77A Page 2 of 3 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 000076V77A410 10/09/2010 23.09 000076V77A430 10/23/2010 15.38 Total 38.47 Outstanding balances reflect any payments received as of 10/29/2010. Please ignore this message if a recent payment has been made for any outstanding invoices. f Delivery Service Invoice Invoice date October 30, 2010 Invoice number 000076V77A440 Shipper number 76V77A TM Page 3 of 3 Outbound UPS Internet.Shipping Pickup ZIP Billed Date Tracking Number Service Code Zone Weight Charge 10/25 1 Z76V77A0390130770 Ground Commercial 46202 2 2 7.25 Fuel Surcharge 0.44 Total 7.69 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 10/27 lZ76V77A0394064586 Ground Commercial 47250 2 14 10.43 Delivery Area Surcharge Extended 1.70 Fuel Surcharge 0.73 Total 12.86 isl ref TfHM HAA5 4th quarter UserlD CarmelWater Sender Michelle Breedlove Receiver: Jan Carmel Utilities Distributin Environmental Labs 3450 w 131 st 635 Green Rd Carmel IN 46074 MADISON IN 47250 Total for Internet -ID: CarmelWater 20.55 Total UPS Internet Shipping 2 Package(s) 20.55 Total Outbound 2 Package(s) 20.55 VOUCHER 103299 WARRANT ALLOWED 314125 'V IN SUM OF UPS LOYCKBOX 577 n �NS 4 CAROL STREAM, IL 60132 Carmel Water Utility ON ACCOUNT OF APPROPRIATION FOR Board members PO INV ACCT AMOUNT Audit Trail Code 76V77A440 01- 6360 -03 $20.55 Voucher Total $20.55 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 11/16/2010 Invoice Invoice Description Date Number (or note attached invoice(s) or bill(s)) Amount 11/16/201( 76V77A440 $20.55 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 Date Officer Delivery Service Invoice Invoice date November 6 2010 Shipped from: Invoice number OOOORV6990450 CITY OF CARMELIWASTEWATER Shipper number RV6990 TERESA LEWIS Control ID M931 9609 HAZEL DELL PKWY INDIANAPOLIS, IN 46280 -2935 Page 1 of 3 #BWNCWNG# Sign up for electronic billing today! Visit ups.com /billing #0249A000ORV69900# 77401100022531 AT 01 031916 90456H110 B *3DGT For questions about your invoice, call: 11111111111113111 1111'1' 111111' 1 '1 "t�1��lll�ll��l�ll�'ll'�ll "Il (800) 811 1648 Monday Friday CITY OF CARMEL 8:00 a.m.- 9:00 p.m.E.T. UTILITIES or write: 760 3RD AVE SW UPS P.O CARMEL, IN 46032 -2072 Dallas, TX 75265 -0580 Account Status Summary Thank you for using UPS. Weekly Payment Plan Amount Due This Period 20.47 Summary of Charges Amount Outstanding (prior invoices) $11.37 age arge Total Amount Outstanding 31.84 Outbound Please include the Return Portion of each outstanding invoice with 3 UPS Internet Shipping 12.47 your payment. See Account Status for details. 3 Adjustments Other Charges 8.00 2011 Rates Information Amount due this period 20.47 Effective Jan. 3, 2011, UPS Rates will increase as follows: UPS Ground Services will increase a net 4.9% and UPS Air UPS payment terms require payment of this invoice by November and International Services will increase a net 4.9 Also, the 17, 2010. dimensional weight divisor will change from 194 to 166 for Note- This invoice may contain a fuel surcharge as described at domestic U.S, services, and from 166 to 139 for U.S. export ups.com. The published fuel surcharge is 5.5% for UPS Ground shipments. Learn more at ups.com/rates Services and 8.5°JY for UPS Air Services, UPS 3 Day Select, and International services. For more information, visit ups.com. i Delivery Service Invoice Invoice date November 6, 2010 Invoice number OOOORV6990450 Shipper number RV6990 n Page 2 of 3 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 OOOORV6990430 10/23/2010 11.37 Total $11.37 Outstanding balances reflect any payments received as of 11/0512010. Please ignore this message if a recent payment has been made for any outstanding invoices. I Delivery Service Invoice Agm Invoice date November 6, 2010 Invoice number OOOORV6990450 Shipper number RV6990 n Page 3 of 3 Outbound UPS Internet Shipping Pickup ZIP Billed Date Tracking Number Service Code Zone Weight Charge 10/27 1 ZRV69900399525925 Ground Commercial 32750 5 3 6 -24 Fuel Surcharge 0.37 Total 6.61 UserlD TLEWIS9609 Sender :TERESA LEWIS Receiver: CITY OF CARMEL WWTP SILLWORKS RMA #RT43192 9609 HAZEL DELL PARKWAY 375 COMMERCE WAY STE 1 08 INDIANAPOLIS IN 46280 LONGWOOD FL 32750 10/28 IZRV69900398343936 Ground Commercial 45440 2 6 5.53 Fuel Surcharge 0.33 Total 5.86 UserlD TLEWIS9609 Sender :TERESA LEWIS Receiver: CITY OF CARMEL WWTP TEST AMERICA 9609 HAZEL DELL PARKWAY 4738 GATEWAY CIRCLE INDIANAPOLIS IN 46280 DAYTON OH 45440 Total for Internet -ID: TLEWIS9609 12.47 Total UPS Internet Shipping 2 Package(s) 12.47 Total Outbound 2 Package(s) 12.47 Adjustments Other Charges Shipping Charge Corrections Learn how to avoid future shipping charge corrections. Visit www.ups.com/avoidcharges. Pickup Tracking Original Service/ ZIP Billed Adjustment Date Number Corrected Service Code Zone Weight Charge Amount 10/28 1ZRV69900398343936 Ground 45440 2 Additional Handling Not encased in cardboard 8.00 8.00 Sender TERESA LEWIS Receiver: CITY OF CARMEL/WASTEWATER TEST AMERICA INDIANAPOLIS IN 46280 DAYTON OH 45440 Total Shipping Charge Corrections 1 Package(s) 8.00 Total Adjustments Other Charges 8.00 031916 212 VOUCHER 106551 WARRANT ALLOWED 314125 IN SUM OF UPS LOCKBOX 577 CAROL STREAM, IL 60132 -0577 Carmel Wastewater Utility ON ACCOUNT OF APPROPRIATION FOR Board members PO* INV ACCT AMOUNT Audit Trail Code 6990450 01- 7362 -05 $20.47 Voucher Total $20.47 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 -0577 Due Date 11/15/2010 Invoice Invoice Description Date Number (or note attached invoice(s) or bill(s)) Amount 111151201( 6990450 $20.47 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