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166420 11/24/2008 CITY OF CARMEL, INDIANA VENDOR: 314125 Page 1 of 1 ONE CIVIC SQUARE UPS CARMEL, INDIANA 46032 LOCKBOX 577 CHECK AMOUNT: $41.13 'i r CAROL STREAM IL 60132 -0577 CHECK NUMBER: 166420 CHECK DATE: 11/24/2008 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 651 5023990 RV6990458 41.13 OTHER EXPENSES i Delivery Service Invoice Shipped from: Invoice date November 8, 2008 CITY OF CARMEL/WASTEWATER Invoice number OOOORV6990458 0T. TERESA LEWIS Shipper number RV6990 9609 HAZEL DELL PKWY INDIANAPOLIS, IN 46280 -2935 Page 1 of 3 t For questions about your invoice, call: #BWNCWNG# (800) 811 -1648 #0249A000ORV69900# 77401200019256 Monday Friday AT 01 035006 508861-1 8:00 a.m. 9:00 113 A *3DGT P.m. E.T. or visit ups.com CITY OF CARMEL or write: 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 41.13 Summary of Charges Amount Outstanding (prior invoices) 36.89 Page Charge Total Amount Outstanding 78.02 Outbound Please include the Return Portion of each outstanding invoice with 3 UPS Internet Shipping 41.13 your payment. See Account Status for details. Amount due this period 41.13 UPS Wireless has a brand new look Maintain access to your shipping activities while you're away UPS payment terms require payment of this invoice by November from the office anywhere, anytime. From your mobile device, 19, 2008. visit MyUPS.com to experience the new UPS Wireless. You'll Note: This invoice may contain a fuel surcharge as described at find simplified navigation; access to select MyUPS features ups.com. The published fuel surcharge is 8.25% for UPS Ground such as your saved tracking numbers list; and the ability to Services and 28.5% for UPS Air Services, UPS 3 Day Select, and track both freight and small package shipments. International services. For more information, visit ups.com. Delivery Service Invoice Invoice date November 8, 2008 Invoice number OOOORV6990458 OT.M Shipper number RV6990 Page 2 of 3 Account Status Weekly Payment Plan a r Payments Applied Amount Invoice Number Invoice Date Paid OOOORV6990408 10/04/2008 15.57 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 OOOORV6990428 10/18/2008 36.89 Total 36.89 Outstanding balances reflect any payments received as of 11/07/2008. Please ignore this message if a recent payment has been made for any outstanding invoices. 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 11/17/2008 Invoice Invoice Description Date Number (or note attached invoice(s) or bill(s)) Amount 11/17/2001 6990458 $41.13 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 1 5 Date Officer VOUCHER 086677 WARRANT ALLOWED Y 3,14125 IN SUM OF UPS LOCKBOX 577 CAROL STREAM, IL 60132 -0577 Carmel Wastewater Utility .r -ON ACCOUNT OF APPROPRIATION FOR Board members. PO INV ACCT AMOUNT Audit Trail Code 6990458 01- 7362 -05 $41.13 Voucher Total $41:13 Cost distribution ledger classification if claim paid under vehicle highway fund