167189 12/17/2008 CITY OF CARMEL, INDIANA VENDOR: 314125 Page 1 of 1
ONE CIVIC SQUARE UPS
0 j CHECK AMOUNT: $10.17
CARMEL, INDIANA 46032 LOCKBOX 577
CAROL STREAM IL 60132 -0577 CHECK NUMBER: 167189
CHECK DATE: 12/17/2008
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOU DESCRIPTION
651 5023990 6990498 10.17 OTHER EXPENSES
Delivery Service Invoice
Shipped from: Invoice date December 6, 2008
CITY OF CARMEL/WASTEWATER Invoice number OOOORV6990498
TERESA LEWIS Shipper number RV6990
OTM 9609 HAZEL DELL PKWY
INDIANAPOLIS, IN 46280 -2935 Page 1 of 3
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For questions about your invoice, call:
#BWNCWNG# (80 0) 811 "1648
#0249A000ORV69900# 77401100017906 Monday Friday
8:00 a.m. 9:00 p.m. E.T.
AT 01 033486 761761-1107 A *3DGT
or visit ups.com
or write:
CITY OF CARMEL UPS
UTILITIES P.O. Box 650580
760 3RD AVE S W Dallas, TX 75265 -0580
CARMEL, IN 46032 -2072
Account Status Summary
Thank you for using UPS.
Weekly Payment Plan
Amount Due This Period $10.17 Summary of Cha
Amount Outstanding (prior invoices) 0.00 Page Charge
Total Amount Outstanding 10.17 Outbound
UPS Mobile has a brand new look! 3 UPS Internet Shipping 10.17
Access UPS anytime, anywhere from your wireless device at Amount due this period 10.17
m.ups.com. Features include simplified navigation, the ability
to log in using your MyUPS ID, access to your saved tracking UPS payment terms require payment of this bill by December 17,
numbers, the ability to track; find locations and obtain time in 2008.
transit. Visit m.ups.com. Note: This invoice may contain a fuel surcharge as described at
ups.com. The published fuel surcharge is 6.75% for UPS Ground
Services and 15.0% for UPS Air Services, UPS 3 Day Select, and
International services. For more information, visit ups.com.
Please tear
Return Port fi
Delivery Service Invoice
Invoice date December 6, 2008
Invoice number OOOORV6990498
TM Shipper number RV6990
Page 2 of 3
1
Account Status r�
Weekly Payment Plan
Payments Applied
Amount
Invoice Number Invoice Date Paid
OOOORV699O428 10/18/2008 36.89
DOOORV699O458 11/08/2008 41.13
M`�s� x
Delivery Service Invoice
Invoice date December 6, 2008
Invoice number OOOORV6990498
TM Shipper number RV6990
Page 3 of 3
Outbound
UPS Internet Shipping
Pickup ZIP Billed
i Date Tracking Number Service Code Zone Weight Charge
0 12/02 1ZRV69900396155063 Ground Commercial 46310 2 5 4.65
Delivery Area Surcharge 1.50
Declared Value 549.00 3.60
Fuel Surcharge 0.42
Total 10.17
UserlD TLEWIS9609
Sender :TERESALEWIS Receiver:
CITY OF CARMEL WWTP AFC INTERNATIONAL, INC.
9609 HAZEL DELL PARKWAY 715 ALMOND S.W. SUITE C
INDIANAPOLIS IN 46280 DEMOTTE IN 46310
Total for Internet -ID: TLEWIS9609 10.17
Total UPS Internet Shipping 1 Package(s) 10.17
Total Outbound 1 Package(s) 10.17
I
0017906 2/2
(QUCHER 086911 WARRANT ALLOWED
1f4125 IN SUM OF
JPS
.00KBOX 577
;AROL STREAM, IL 60132 -0577
Carmel Wastewater Utility
bN ACCOUNT OF APPROPRIATION FOR
Board members
'O INV ACCT# AMOUNT Audit Trail Code
6990498 01- 7362 -05 $10.17
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J
Voucher Total $10.17
,ost distribution ledger classification if
;laim paid under vehicle highway fund
Irescribed by State Board of Accounts ty f Vfl 1 1 .4u. Zu I ��W„
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
Y
UPS Purchase Order No.
LOCKBOX 577 Terms
CAROL STREAM, IL 60132 -0577 Due Date 12/13/2008
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
12/13/200! 6990498 $10.17
hereby certify that the attached invoice(s), or bill(s) is (are) true and
orrect and I have audited same in accordance with IC 5- 11- 10 -1.6
Date ffi