166000 11/12/2008 CITY OF CARMEL, INDIANA VENDOR: 359237 Page 1 of 1
0
ONE CIVIC SQUARE UPS FREIGHT
i CARMEL, INDIANA 46032 28013 NETWORK PLACE CHECK AMOUNT: $151.09
Mo+ CHICAGO IL 60673 -1280 CHECK NUMBER: 166000
«OM
CHECK DATE: 11/12/2008
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1047 4350900 15149537 151.09 OTHER CONT SERVICES
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CARMEL CLAY PARKS AND 15149537
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Invoice Summary 37600452 10 -14 -2008
Pa. K,itTefsPd .:..11tltk
Customer Copy
Net 15 days 10 -29 -2008
Please retain for your records
The balance of account 37600452 is 151.09 reflecting payments received as of 10/13/08
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otal credits and other 0.00
Balances in bold are past due. Other accounts for which you are responsible are not included and your total balance may be different.
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Page 2 of 2
Q EIGHT LTL GUARANTEED
LRJ EI VPID
UPS Freight" o �C CT 1
CT 7 20087
REMIT TO: L
28013 NETWORK PLACE
CHICAGO, IL 60673-1280 IGINAL FREIGHT BILL
H NIN T.
::::::::::::::.:::::::::::::::I::I:::::
10-08-2008 IND DTR 043207242 151.09 USD
CONSIGNEE: 12940524 P.O. NO. 0
AMERICAN DRYER INC 19423
B/L NO. .1
NONE 10-29-2008
12932 FARMINGTON RD
LIVONIA, MI 48150
SHIPPER: 37600452 BILL TO: 37600452
CARMEL CLAY PARKS AND RECREATI CARMEL CLAY PARKS AND RECREATI
JEREMIAH R. KERR JEREMIAH R. KERR
1235 CENTRAL PARK DRIVE, EAST 1235 CENTRAL PARK DRIVE, EAST
CARMEL, IN 46032 CARMEL, IN 46032
.Rfln HT;:;:;;;;;;: IN L
36 OT ELECTRIC HAND DRYERS 385 119870-00 70 75.24 289.67
60.00% DISCOUNT 60.00 -173.80
WAIVED UPS FREIGHT GUARANTEED
003040 LTL FUEL ADJUSTMENT 30.40 35.22
UPS UIFS SHIPMENT
ATTENTION
RECEIVING DEPARTMENT
RA# 86927 SID#
NONE
86927 RETURN AUTH.
UIFS 6180 0000001
UPGF 560 02/04/08 C N 132709
1 TOTAL 385
AMOUNT DUE 151.09 PPD
If you have questions regarding this invoice, please contact Customer Service at 1-800-333-7400.
Purchase
Description
P
P.O. or
G.L.
Budget
Line Descr
Purchaser Date
3 )s
-Date
7 F"
V 0 5 2008
1000289 000789
I
A
CUSTOMER SERVICE 1400- 333 -7400
STRAIGHT BILL Of LADING SHIPPING ORDER NOT NEGOTIABLE DOMESTIC WEB SITE,—.,P1ftetZM7
UPS Freight (UPGF) PLEASE PRINT OR TYPE F I DATE
UIFS 4802262 10107/2008
CONSIGNEE (ID) SHIPPER (FROM)
AMERICAN DRYER, INC. CARMEL CLAY PARKS AND RECREATION
STREET ADDRESS STREET ADDRESS
12932 FARMINGTON ROAD 1235 CENTRAL PARK DRIVE, EAST
Cry $LATE OP REOU'RED city STATE 2iP (REWIREDI
LIVONIA MI 48150 CARMEL IN 46032
P.O. NUMBER STORE 0 DEPARTMENT 0 BILL OF LADING NUMBER SIORF 1 DEPMIMENI t
19423
CONSIGNEE PHONE 0 CONTACT NAME (ArTN')
73421 -2400 RECEIVING DEPARTMENT FREIGHT CHARGES ARE PREPAID UNLESS OTHERWISE MARKED
CHECK ONE: DJ Prepaid Collect Third Party Prepaid
B1u 10 Received S to be delivered In the prepayment or the charges on the property e
CARMEL CLAY PARKS AND RECREATION described hereon. (AS.., or Ca Min)
ADDRESS WJ GUARANTEED DELIVERY REQUESTED (it box h checked) GRID
1235 CENTRAL PARK DRIVE, EAST By cn ding min lm M Pair, uNcenF UPS freiga, m guanrder derivny.I nh hismem um,Jiw I, Les f relghi c
CITY SLATE ZIP REQUIRED anpt n[MduM nna agree <In pay i51! ($1G mnimun) shave IM cal normally incunec b, I,nia sndcr Pryor
I ngl and de Stale la, reymenl II ehip1nrnl' aft Ise deMer an the uheduled day. S.Iiun 7 agnalure n nor valid
CARMEL IN 46032 on Guaranlen: Seuire. GumanlerJ nnvire n wgea 1u 111 nmadlum ul UPGF 20141 sans rmll.
DESCRIPTION OF ARTICLES, WEIGHT, NMFC f, CLASS ARE SUBJECT TO CORRECTION
110. PRG HM' MYRIPTION Of ARTICLES 5 SPECIAL MARKS WEIGHT (rot.) NMFC NO. CLASS
NO. TY
36 ELECTRIC HAND DRYERS 385 119870 -00 70
Shipped as 1 Pallet(s) tea.
RN RA# 86927 1 385 LEIS
r.Jaranteed Service
Delivery Inst: NONE
361 1 1 TOTAL CUBE: 1 385 1
'Mark wish an X' to deawak hazardous materials as defined in title 49 of the Code of Fed. Req. Hagrdbus material ealergency contact 0
AODIIq UL SFRVICFS: INSIDE DELIVERY REWIRED RESIDENTIAL DUNfRr REMIT C 0.0. CASH CHECK In
(CHANGES WAY APPLY)
UFl GATE HCKUP/DEIIYFRY SORT AND SFCAEWTF
NOTIFICATION BEFORE DELIVERY OTHER
MEFIIOD Of PAY E" HE REQUIRED 10011111,1111111 GOVERNED 11 1111 102 RUIEs 11111 410 If 1,01 CHECKED, BOTH ARE ACCEPIARIE
FEE COLIECI UNLESS OiHl0.WISE LARKED
COD FEE ACCEPTABLE ❑COLLECT COD AMT 0 L CIIF['K IF O OR C CASH R (HECK
ACCEASH
UPS FAnght LIABILITY: Caul+ stability lo, tau w damage —I be the Inner et 11) Ulr actual rnvo,ce value of the did m alhLle(s) lust. danaged or dnlroyed; ul '(2) the nuinnl cl, enalined Arum applicable
f l
lieblllly provisrans u1111 NMFC, a (31 Ise Smiled Wtuht, as stated m the appl—ble governing 1-1%, -1— *'1,,,,, Declared Value Carnage d IPe1.f—IIY ,,quested along svub the amount of ......he
ceded in wrlting Ate Ise bdl al lading at the Time of sh,pmenl "a applicable cha[gec are Data. Me-- ranrer IiahadY u lunuen Ib S2S, 00 per paund per par k.ve ant 5100,000 per shipn,rnt. trabillly for cunmaddi,s
tides once Than new in IimI;M In 5.10 p., Pound p. package (and up ,o a nsaalmum S2.50 per pound per package when Iecnv Overa,eat Va W, (nonage. Is Aequesled). Ilnbdny to, specihc c —ndnin
a a
litre, deX abed in lac OPGF 11-11 02 lure, I11 rl 1 166 a n 5 is Im$d nled to SD per —,.a p packagr1111, e. tll11, rd mmda„ Act n een —hi In ceMinn lalmg (FAK) if IimHM an d—HYYd In It;,
E ariH. Ced.m :lens may be j", In a IlmHed 111111ed value, w�ln a chcice of rain under the tarill. you are as vised I......w the aPpin,tdle ranft A.... s brlme slaling a value. Reln In IM Kin Ia„ 11
KE 102 penes Iw aompfele detaM.'whne ,ate ,s vii —en, an a released, dnlared o, actual value i I the NMFC, Ne release,, declared m arlual value at the propnly i, hereby speri,dally slated by all
sbrypn [a be nut —e[ov, Per Stupptn requests Ea.cess DKLldvd Value Covelaye iu the uu.m., of S
RECEIVED, sub' ct to kldividually delemined rates or conbads that have been agreed upon in wini between the tank, S..1dj—e Seam.7T— and Cdndaions.n,hinehipmemislo M rl —M
and shipper, itappliicable, otherwise to the rates, classifications and mks that have been established by the unkr and are so the La,r;�r,fe w;waa r,Lw,nr air we aa,lkiyoal, Ihr [on „gna soon sirs
aral[able to the shipper, on request; a” the property described above in apparent good order, except as noted (contents and
condition of contents of packages unknown) marked, consigned, and destined as shown below, Which said carrier agree to tM (MI ino nalrment. UPS F*Shl nay eerlvae 10 make aalivny of Ise
any to destinatiml, it ion its route, of otherwise to deliver to advather carrier on the route In desli nation. Every service to be stupm wdhout pavmnu of helglll and aU at lawful dingm
performed hereunder Shan be sub)ect to all the conditions not prohibited by Mw, whether printed or wdlterl, Mein contained
Including the conditions on,Ux,back_heleot, which are hereby agreed to by the shipper and accepted for himself and his
assigns. Where a third party bill to at biokei ealst%'orTler' holds- both- the shippes.ard.consignees liable fa freight charges (5- ju
'-1T:e 0
TRAILER of SHIPMENT
NUMBER" 01 1111F1ENT:
I f�� I a I a ^•a-- SEAL 0 APPLIED.
ODOMETER ARAIW "OEFART DESTINATION
BEYOND CROSS RFF 1101:
SCAC.
N D 0432072 ^QSHIPPCR LOAD, CONSIGNEE UNLOAD
e/ III 111III111EEr n"r-'6
Now available at WW W.UDSIreight,com UPGF 102 Series Rules Tariff Pectronir Bill of Lading
i Um i m rise of i �liiii�f nin�i'riai UPS Freight shall have no liability at responsibility. whatsoever in.connection with this bit[ of lading
min n to renry tmt the arena names ma t,113 are W^DrdY (lasa0,rd, dr—1 ed, H the shipper did not tender the shipment to UPS Freight or Its agent.
packaged, snared, and 111 and are in p,ape, c rs— Iw Iranspurtatiun
accordng to Ow applicable repletiwo at the Depml v,m ad 7rantpmWlon.
Firm name: CARMEL CLAY PARKS AND REC Carrier: UPS FFreight Driver:
Signed By: Date received: is UPS Frei hl resp. piece c nt:
OTC -199 (Rev 04 106) UPS Freight COPY
1000289 000769
ACCOUNTS PAYABLE VOUCHER
CITY OF CARMEL
An invoice of 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. 19423 F
UPS Freight Terms
28013 Network Place
Chicago, IL 60673 -1280
1
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
10/14/08 15149537 Shipping freight 151.09
Total 151.09
1 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
Voucher No. Warrant No,
UPS Freight Allowed 20
28013 Network Place
Chicago, IL 60673 -1280
In Sum of
151.09
ON ACCOUNT OF APPROPRIATION FOR
104 Program Fund
PO# or INVOICE NO. ACCT #/TITLE AMOUNT Board Members
Dept
1047 15149537 4350900 151.09 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
5 -Nov 2008
Signature
151.09 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund