193240 12/22/2010 CITY OF CARMEL, INDIANA VENDOR: 314125 Page 1 of 1
ONE CIVIC SQUARE UPS CHECK AMOUNT: $69.55
LOCKBOX 577
CARMEL INDIANA 46032
CAROL STREAM IL 60132 -0577 CHECK NUMBER: 193240
CHECK DATE: 12/22/2010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1115 4342100 170AT6500 29.53 POSTAGE
651 5023990 6990500 40.02 CONT SVS -OTHER
Delivery Service Invoice
Invoice date December 11, 2010
Shipped from: Invoice number OOOORV6990500
CITY OF CARMEL/WASTEWATER Shipper number RV6990
TERESA LEWIS Control ID 7Q$7
9609 HAZEL DELL PKWY
INDIANAPOLIS, IN 46280 -2935 Page 1 of 3
Sign up for electronic billing today!
0249A0000RV69900 77401200025840 Visit ups.com/billing
AT 01 035493 065291-1120 A *3DGT For questions about your invoice, call:
'l'll' 11111" Illlllllllllllllllllil 'I'1'll'I'lll{I'lll'llll'I'lll (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
CARMEL, IN 46032 -2072 P.O. Box s5058o
Dallas, TX 75265 -0580
Account Status Summary Thank you for using UPS.
Weekly Payment Plan
Amount Due This Period 40.02 Summary of Charges
Amount Outstanding (prior invoices) 20.47 Page Wa rge
Total Amount Outstanding 60.49 Outbound
Please include the Return Portion of each outstanding invoice with 3 UPS Internet Shipping 32.02
your payment. See Account Status for details. 3 Adjustments Other Charges 8.00
Happy holideyS Amount due this period 40.02
Season's greetings from UPS, To -view or print UPS operating
schedules for the holidays, visit ups.com /holiday. UPS payment terms require payment of this invoice by December
22, 2010.
Note: This invoice may contain a fuel surcharge as described at
ups.com. The published fuel surcharge is 6.09'. for UPS Ground
Services and f0.o% for UPS Air Services, UPS 3 Day Select and
International services. For more information, visit ups.com.
I lease tear off and send with your pa ment n the Isnc,lo
Delivery Service Invoice
Invoice date December 11, 2010
Invoice number OOOORV6990500
Shipper number RV6990
n
Page 2 of 3
Account Status
Weekly Payment Plan
Payments Applied
Amount
Invoice Number Invoice Date Paid
OGOORV6990430 10/23/2010 11.37
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
OOOORV6990450 11/06/2010 20.47
Total 20.47
Outstanding balances reflect any payments received as of
12110/2010. Please ignore this message if a recent payment has
been made for any outstanding invoices.
Delivery Service Invoice
Invoice date December 11, 2010
Invoice number OOOORV6990500
Shipper number RV6990
TM
Page 3 of 3
Outbound
UPS Internet Shipping
Pickup ZIP Billed
Date Tracking Number Service Code Zone Weight Charge
11/15 1ZRV69900391241004 Ground Commercial 46217 2 1 4.84
Fuel Surcharge 0.27
Total 5.11
UserlD TLEWIS9609
Sender :TERESA LEWIS Receiver:
CITY OF CARMEL WWTP STOOPS FREIGHTLINER
9609 HAZEL DELL PARKWAY 1851 W THOMPSON RD
INDIANAPOLIS IN 46280 INDIANAPOLIS IN 46217
12101 1ZRV69900395285344 Ground Commercial 33487 5 22 11.49
Declared Value 1,000.00 7.00
Fuel Surcharge 0.63
Total 19.12
UserlD TLEWIS9609
Sender :TERESA LEWIS Receiver: RMA003046
CITY OF CARMEL WWTP MULTITRODE INC
9609 HAZEL DELL PARKWAY UNIT 3 990 SOUTH ROGER S CIRCLE
INDIANAPOLIS IN 46280 BOCA RATON FL 33487
12107 1 ZRV69900394084616 Ground Commercial 60106 2 5 5.37
Declared Value 300.00 2 -10
Fuel Surcharge 0.32
Total 7.79
UserlD TLEWIS9609
Sender TERESA LEWIS Receiver:
CITY -OF CARMEL WWTP COIN ACCEPTORS
9609 HAZEL DELL PARKWAY 862 EAGLE DRIVE
INDIANAPOLIS IN 46280 BENSENVILLE IL 60106
Total for Internet -ID: TLEWIS9609 32.02
Total UPS Internet Shipping 3 Package(s) 32.02
Total Outbound 3 Package(s) 32.02
Adjustments Other Charges
Shipping Charge Corrections Learn how to avoid future shipping charge corrections- Visit www.ups.comlavoidcharges.
Pickup Tracking Original Service ZIP Billed Adjustment
Date Number Corrected Service Code Zone Weight Charge Amount
12101 IZRV69900395285344 Ground 33487 5
Dimensions 73 x 4 x 4
Additional Handling Length 8.00 8.00
Sender TERESA LEWIS Receiver: RMA003046
CITY OF CARMEL/WASTEWATER MULTITRODE INC
INDIANAPOLIS IN 46280 BOCA RATON FL 33487
Total Shipping Charge Corrections 1 Package(s) 8.00
Total Adjustments Other Charges 8.00
035493 2/2
VOUCHER 106773 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
6990500 01- 7362 -05 $40.02
Voucher Total $40.02
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 12/15/2010
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
121151201( 6990500 $40.02
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
/Z //L
Date Officer
Delivery Service Invoice
f Invoice date December 11, 2010
Invoice number 0000170AT6500
Shipper number 170AT6
Control ID 1 Q03
Page 1 of 3
Sign up for electronic billing today!
0249A0000170AT64 77401 200028594 Visit ups.com/billing
AT 01 035510 06529M120 A *3DG7 For questions about your invoice, call:
I„ 1, l�ll�l�lllllllll�" IIIIIII���I 'lll�lllll�llllllllllltll (800) 811 -1648
Monday Friday
CARMEL CLAY COMMUNICATION CTR 8:00 a.m. 9:00 p.m.E.T.
31 1ST AVE NW or write:
CARMEL, IN 46032 -1715 UPS
P.O. Box 650580
Dallas, TX 75265 -0580
Account Status Summary Thank you for using UPS.
Weekly Payment Plan
Amount Due This Period 29.53 Summary of Charges
Amount Outstanding (prior invoices) 0.00 Page Charge
Total Amount Outstanding 29.53 Outbound
Happy holidays 3 UPS Shipping Document 2117
Season's greetings from UPS. To view or print UPS operating 3 Adjustments Other Charges 6.36
schedules for the holidays, visit ups.com /holiday. Amount due this period 29.53
UPS payment terms require payment of this bill by December 22,
2010.
Note: This invoice may contain a fuel surcharge as described at
ups.com. The published fuel surcharge is 6.0% for UPS Ground
Services and 10.0% for UPS Air Services, UPS 3 Day Select, and
International services. For more information, visit ups.com.
i
Delivery Service Invoice
Invoice date December 11, 2010
Invoice number 0000170AT6500
OTM
Shipper number 170AT6
Page 2 of 3
Account Status
Weekly Payment Plan
Payments Applied
Amount
Invoice Number Invoice Date Paid
0000170AT6390 09/25/2010 12.66
Delivery Service Invoice
Invoice date December 11, 2010
Invoice number 0000170AT6500
Shipper number 170AT6
n
Page 3 of 3
Outbound
UPS Shipping Document
Pickup ZIP Billed
Date Tracking Number Service Code Zone Weight Charge
12/06 K1440955272 Ground Commercial S.D.P. 13760 4 11 12.42
Missing /Invalid Acct No. 10.00
Fuel Surcharge 0.75
Total 23.17
Sender BRIAN SMITH Receiver:
CARMEL CLAY COMM CEN DB INNOVATIONS
INDIANAPOLIS IN 46268 ENDICOTT NY 13760
Message Codes ab
Total UPS Shipping Document 1 Package(s) 23.17
Total Outbound 1 Package(s) 23.17
Adjustments Other Charges
On Call Pickup Req
Date of Billed
Date Request Pickup Request No. Service Charge
12/06 12106 294BL40SBD3 Same Day Pickup Phone Request 6.00
Fuel Surcharge 0.36
Total 6.36
Pickup Address: TODD LUCKOSKI
CARMEL CLAY COMMUNICATION C
31 1ST -AVE NW
CARMEL IN 46032
Total On -Call Pickup Requests 1 Request(s) 6.36
Total Adjustments Other Charges 6.36
Invoice Messaging
Code Message
ab Missing or invalid account number charge applied
036610 212
i
s
VOUCHER NO. WARRANT NO.
ALLOWED 20
United Parcel Service
IN SUM OF
Lockbox 577
Carol Stream, IL 60132
$29.53
ON ACCOUNT OF APPROPRIATION FOR
Carmel Clay Communications
PO# Dept. INVOICE NO. ACCT /TITLE AMOUNT Board Members
1115 0000170AT6500 43- 421.00 $29.53 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
Friday, December 17, 2010
Director
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 attached invoice(s) or bill(s))
12/11/10 10000170AT6500I $29.53
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
20
Clerk- Treasurer