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Home My WebLink About198790 06/22/2011 W CITY OF CARMEL, INDIANA VENDOR: 314125 Page 1 of 1 ONE CIVIC SQUARE UPS CHECK AMOUNT: $16.82 CARMEL, INDIANA 46032 LOCKBOX CAROL STREAM IL 60132 -0577 CHECK NUMBER: 198790 CHECK DATE: 6/22/2011 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 601 5023990 76V77A231 16.82 OTHER EXPENSES I Delivery Service Invoice Invoice date .tune 4, 2011 Shipped from: Invoice number 000076V77A231 CARMEL UTILITIES DISTRIBUTION Shipper number 76V77A O3450 W 1031ST ST Control ID L939 WESTFIELD, IN 46074 Page 1 of 3 Sign up for electronic billing today! 0249A000076V77A9 77401100026468 Visit ups.com /billing AT 01 025631 98053H 87 D *3DGT For questions about your invoice, call: �Il ��IIII' IE�IIII��In�lllll� lI�IIIII�Illlll�lll�l�nl�,l (800) 811 -1648 Monday Friday CARMEL UTILITIES 8:00 a.m.- 9:00 p.m.E.T. 3450 W 131ST ST or write: CARMEL, IN 46074 -8267 UPS P.O. Box 650580 Dallas, TX 75265 -0580 Account Status Summary Weekly Payment Plan Thank you for using UPS. Amount Due This Period $16.82 Summary of Charges Amount Outstanding (prior invoices) 34.09 age Charge Total Amount Outstanding 50.91 Outbound Please include the Return Portion of each outstanding invoice with 3 UPS Internet Shipping 16.8 your payment. See Account Status for details. Amount due this period $16.82 .Go green and save Choose a UPS electronic billing solution as an alternative to UPS payment terms require payment of this invoice by June 15, receiving a paper bill. You will be able to view, manage and 2011. pay your UPS bills. Choose the electronic bill format that best Note: This invoice may contain a fuel surcharge as described at suits your company's needs. Learn more at ups.com. The published fuel surcharge is 8.5 for UPS Ground www.ups.com/billing Services and 15.0% for UPS Air Services, UPS 3 Day Select, and International services. For more information, visit ups.com. Delivery Service Invoice Invoice date June 4, 2011 Invoice number 000076V77A231 Shipper number 76V77A 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 000076V77At81 04/30/2011 16.66 000076V77A211 05/21/2011 17.43 Total 34.09 Outstanding balances reflect any payments received as of 06/0312011. Please ignore this message if a recent payment has been made for any outstanding invoices. Delivery Service Invoice Invoice date June 4, 2011 Invoice number 000076V77A231 Shipper number 76V77A n Page 3 of 3 Outbound UPS Internet Shipping Pickup ZIP Billed Date Tracking Number Service Code Zone Weight Charge 06/01 1Z76V77A0392807732 Ground Commercial 46202 2 2 775 Fuel Surcharge 0.66 Total 8.41 1st ref Weekly Fluoride 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 06/02 1Z76V77AP299850605 Ground Commercial 46202 2 2 7.75 Fuel Surcharge 0.66 Total 8.41 1st ret Weekly Fluoride UserID CarmelWater Sender Michelle Breedlove Receiver: Environmental Sample Carmel Utilities Distributin Indiana State Dept of Health 3450 w 131 sf 550 West 16th Street Carmel IN 46074 INDIANAPOLIS IN 46202 Total for Internet -ID: CarmelWater 16.82 Total UPS Internet Shipping 2 Package(s) 16.82 Total Outbound 2 Package(s) 16.82 VOUCHER 111484 WARRANT ALLOWED 314125 IN SUM OF UPS LOCKBOX 577 YVATER CAROL STREAM, IL 60132 OP ER O"S Carmel Water Utility ON ACCOUNT OF APPROPRIATION FOR Board members PO INV ACCT AMOUNT Audit Trail Code 76V77A231 01- 6360 -03 $16.82 Voucher Total $16.82 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 314'125 UPS Purchase Order No. LOCKBOX 577 Terms CAROL STREAM, IL 60132 Due Date 6/13/2011 Invoice Invoice Description Date Number (or note attached invoice(s) or bill(s)) Amount 6/13/2011 76V77A231 $16.82 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 G /7 1 1 )2 c.. Date Officer