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Home My WebLink About192934 12/15/2010 CITY OF CARMEL, INDIANA VENDOR: 314125 Page 1 of 1 ONE CIVIC SQUARE UPS CHECK AMOUNT: $15.42 CARMEL, INDIANA 46032 LOCKBOX 577 CAROL STREAM IL 60132 -0577 CHECK NUMBER: 192934 CHECK DATE: 12/15/2010 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 601 5023990 76V77A480 15.42 CONT SERVICES OTHER Delivery Service Invoice Invoice date November 27, 2010 Shipped from: Invoice number 000076V77A480 CARMEL UTILITIES DISTRIBUTION Shipper number 76V77A C�Tm 3450 W 1031ST ST Control ID J769 WESTFIELD, IN 46074 Page 1 of 3 Sign up for electronic billing today! 0249A000076V77A9 77401400028760 Visit ups.com/billing AT 01 031006 99655HI04 D *3DGT For questions about your invoice, call: 111" 11' 111�11�11�11' III�I" 1��1�1�1 .I...I"1��1��111�111'll1 (800) 811 -1648 Monday Friday 8:00 a.m. 9:00 p.m. E.T. CARMEL UTILITIES 3450 W 131ST ST or write: CARMEL, IN 46074 -8267 UPS P.O. Box 650580 Dallas, TX 75265 -0580 Account Status Summary Thank you for using UPS Weekly Payment Plan Summary f Charges Amount Due This Period 15.42 Y 9 Amount Outstanding (prior invoices) 20.55 age Charge Total Amount Outstanding 35.97 Outbound Please include the Return Portion of each outstanding invoice with 3 UPS Internet Shipping 15.42 your payment. See Account Status for details. Amount due this period 15.42 2011 Rates Information Effective Jan. 3, 2011, UPS Rates will increase as follows: UPS payment terms require payment of this invoice by December UPS Ground Services will increase a net 4.9% and UPS Air 8, 2010. and International Services will increase a net 4.9 Also, the Note: This invoice may contain a fuel surcharge as described at dimensional weight divisor will change from 194 to 166 for ups.com. The published fuel surcharge is 5.5% for UPS Ground domestic U.S. services, and from 166 to 139 for U.S. export Services and 8.5% for UPS Air Services, UPS 3 Day Select, and shipments. Learn more at ups.com /rates International services. For more information, visit ups.com. Delivery Service Invoice Invoice date November 27, 2010 Invoice number 000076V77A480 Shipper number 76V77A n Page 2 of 3 Account Status Weekly Payment Plan Payments Applied Amount Invoice Number Invoice Date Paid 000076V77A410 10/09/2010 23.09 000076V77A430 10/23/2010 15.38 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 000076V77A440 10/30/2010 20.55 Total 20.55 Outstanding balances reflect any payments received as of 11/26/2010. Please ignore this message if a recent payment has been made for any outstanding invoices. Delivery Service Invoice Invoice date November 2 1 7, 2010 Invoice number 000076V77A480 Shipper number 76V77A n Page 3 of 3 Outbound UPS Internet Shipping Pickup ZIP Billed Date Tracking Number Service Code Zone Weight Charge 11/10 1Z76V77A0392989199 Ground Commercial 46202 2 3 7.31 Fuel Surcharge 0.40 Total 7.71 1st ref Fluoride Samples 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 11/23 1Z76V77A0395578690 Ground Commercial 46202 2 3 7.31 Fuel Surcharge 0.40 Total 7.71 1st ref fluoride samples 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 15.42 Total UPS Internet Shipping 2 Package(s) 15.42 Total Outbound 2 Package(s) 15.42 VOUCHER 103523 WARRANT ALLOWED 314125 IN SUM OF UPS WATER LOCKBOX 577 CAROL STREAM, IL 60132 Carmel Water Utility ON ACCOUNT OF APPROPRIATION FOR Board members PO INV ACCT AMOUNT Audit Trail Code 76V77A480 01- 6360 -03 $15.42 Voucher Total $15.42 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 12/6/2010 Invoice Invoice Description Date Number (or note attached invoice(s) or bill(s)) Amount 12/6/2010 76V77A480 $15.42 I hereby certify that the attached invoice(s), or bill(s) is (are) true and correct and I have a udited same in accordance with IC 5- 11- 10 -1.6 Date Officer