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Home My WebLink About194387 02/03/2011 CITY OF CARMEL, INDIANA VENDOR: 314125 Page 1 of 1 ~f ONE CIVIC SQUARE UPS CHECK AMOUNT: $16.65 J CARMEL, INDIANA 46032 LOCKBOX577 ;o —ao CAROL STREAM IL 60132 -0577 CHECK NUMBER: 194387 CHECK DATE: 2/3/2011 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 601 5023990 76V77A041 16.65 CONT SERVICES OTHER Delivery Service Invoice Invoice date January 22, 2011 t Shipped from: Invoice number 000076V77A041 CARMEL UTILITIES DISTRIBUTION Shipper number 76V77A 3450 W 1031ST ST Control ID H613 WESTFIELD, IN 46074 Page 1 of 3 Sign up for electronic billing today! 0249A000076V77A9 77401400031068 Visit ups.com /billing AT 01 034331 28362H113 D *3DGT For questions about your invoice, call: IIIIIIIIn�I�IrrI�I�IIrrIiIrl�IlrLrrl��lll��ln (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.D. Sox 650580 Dallas, TX 75265 -0580 Account Status Summary Thank you for using UPS Weekly Payment Plan Amount Due This Period $16.65 Summary of Charges Amount outstanding (prior invoices) $15.16 age C arge Total Amount Outstanding 31.81 outbound Please include the Return Portion of each outstanding invoice with 3 UPS Internet Shipping 16.65 your payment. See Account Status for details. Amount due this period $16.65 Enhanced tracking on ups.com Tracking on ups.com just got better. A new status bar UPS payment terms require payment of this invoice by February indicates your shipment's progress, and special messaging 2, 2011. informs you of potential delivery delays. When you log in to My Note,. This invoice may contain a fuel surcharge as described at UPS, you can save up to 50 tracking numbers with the option ups.com. The published fuel surcharge is 5.59. for UPS Ground to add a description "Dad's birthday gift for easy reference. Services and 9.0% for UPS Air Services, UPS 3 Day Select and You can also request alerts that notify you about unforeseen International services. For more information, visit ups.com. events such as a weather disruption. Delivery Service Invoice Invoice date January 22, 2011 Invoice number 000076V77A041 Shipper number 76V77A n Page 2 of 3 Account Status Weekly Payment Plan Payments Applied Amount Invoice Number Invoice Date Paid 000076V77A510 12/18/2010 15.34 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 000076V77A011 01/01/2011 15.16 Total 15.16 Outstanding balances reflect any payments received as of 0112112011. Please ignore this message if a recent payment has been made tar any outstanding invoices. Delivery Service Invoice Invoice date January 22, 2011 Invoice number 000076V77AO41 Shipper number 76V77A n Page 3 of 3 Outbound UPS Internet Shipping Pickup ZIP Billed Date Tracking Number Service Code Zone Weight Charge 01/11 1776V77AP291706811 Ground Commercial 46202 2 4 8.03 Fuel Surcharge 0.44 Total 8.47 UseriD CarmelWater Sender Michelle Breedlove Receiver: Environmental Sample Carmel Utilities Distributin Indiana State Deptof Health 3450 w 131 st 550 West 16th Street Carmel IN 46074 INDIANAPOLIS IN 46202 01/20 1Z76V77A0392347828 Ground Commercial 46202 2 2 7.75 Fuel Surcharge 0.43 Total 8.18 1st ref Weekly Fluoride Samples 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 Total for Internet -ID: CarmelWater 16.65 Total UPS Internet Shipping 2 Package(s) 16.65 Total Outbound 2 Package(s) 16.65 VOUCHER 103941 WARRANT ALLOWED 314125 IN SUM OF UPS w v! LOCKBOX 577 ano CAROL STREAM, IL 60132 Carmel Water Utility ON ACCOUNT OF APPROPRIATION FOR Board members PO INV ACCT AMOUNT Audit Trail Code 76V77A041 01- 6360 -03 $16.65 Voucher Total $16.65 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 1/27/2011 Invoice Invoice Description Date Number (or note attached invoice(s) or bill(s)) Amount 1/27/2011 76V77A041 $16.65 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