161117 06/25/2008 d- CITY OF CARMEL, INDIANA VENDOR: 314125 Page 1 of 1
j. ONE CIVIC SQUARE UPS
CARMEL, INDIANA 46032 LOCKBOX 577 CHECK AMOUNT: $23.44
CAROL STREAM IL 60132 -0577
o CHECK NUMBER: 161117
CHECK DATE: 6/25/2008
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
651 5023990 6990248 23.44 7362.05DPENSES
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Delivery Service Invoice
Shipped from Invoice date June 14, 2008
CITY OF CARMEL/WASTEWATER Invoice number OOOORV6990248
TERESA LEWIS Shipper number RV6990
n 9609 HAZEL DELL PKWY
INDIANAPOLIS, IN 46280 -2935 Page 1 of 3
For questions about your invoice, call:
#BWNCWNG# (800) 811 -1648
#0249A000ORV69900# 77401200020596 Monday Friday
AT 01 037390 1805OH124 A *3DGT 8:00 a.m. 9:00 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
Weekly Payment Plan Thank you for using UPS.
Amount Due This Period 23.44 Summary of Charges
Amount Outstanding (prior invoices) 0.00 Page Charge
Total Amount Outstanding 23.44 Outbound
Class action suit settled 3 UPS Internet Shipping 23.44
UPS has settled a class action about its residential charges. Amount due this period 23.44
Class members may claim credits or vouchers, or may opt out.
The Orange County Superior Court will hold a fairness hearing UPS payment terms require payment of this bill by June 25, 2008.
on Sept. 10, 2008, at 1:30 p.m., Dept. CX101, 751 W. Santa
Ana Blvd., Santa Ana, CA. Go to Note: This invoice may contain a fuel surcharge as described at
www .noticeclass.com /upssettlement for more information. ups.com. The published fuel surcharge is 8.50% for UPS Ground
Class members who do not opt out will be bound b the Services and 28.0% for UPS Air Services, UPS 3 Day Select, and
y International services. For more information, visit ups.com.
settlement.
Delivery Service Invoice
Invoice date June 14, 2008
Invoice number OOOORV6990248
Shipper number RV6990
Page 2 of 3
t
Account Status I
Weekly Payment Plan
Payments Applied
Amount
Invoice Number Invoice Date Paid
OOOORV6990068 02/09/2008 133.21
OOOORV6990118 03/15/2008 8.00
Delivery Service Invoice
I Invoice date June 14, 2008
Invoice number OOOORV6990248
Shipper number RV6990
n Page 3 of 3
Outbound
UPS Internet Shipping
Pickup ZIP Billed
Date Tracking Number Service Code Zone Weight Charge
05/08 1ZRV69900395600949 Ground Commercial 28134 4 2 7.28
Fuel Surcharge 0.56
Total 7.84
UserlD TLEWIS9609
Sender :TERESA LEWIS Receiver: LAURA LINDBERG
CITY OF CARMEL WWTP ITT FLYGT
9609 HAZEL DELL PARKWAY 511 EAGLETON DOWNS DR
INDIANAPOLIS IN 46280 PINEVILLE NC 28134
06/04 1ZRV69900393314360 Ground Commercial 60004 2 1 6.13
Fuel Surcharge 0.52
Total 6.65
UserlD TLEWIS9609
Sender :TERESA LEWIS Receiver:
CITY OF CARMEL WWTP JACKIE LEMMENS
9609 HAZEL DELL PARKWAY 724 E KENSINGTON ROAD
INDIANAPOLIS IN 46280 ARLINGTON HEIGHTS IL 60004
06/11 1 ZRV69900399925752 Ground Residential 61615 3 1 6.30
Residential Surcharge 1.95
Fuel Surcharge 0.70
Total 8.95
UserlD TLEWIS9609
Sender :TERESALEWIS Receiver:
CITY OF CARMEL WWTP DAILY LABORATORIES
9609 HAZEL DELL PARKWAY 5120 BIG HOLLOW ROAD
.INDIANAPOLIS IN 46280 PEORIA IL 61615
Total for Internet -ID: TLEWIS9609 23.44
Total UPS Internet Shipping 3 Package(s) 23.44
Total Outbound 3 Package(s) 23.44 e
a
20596 212
Prescribed by State Board of Accounts ACCOUNTS PAYABLE VOUCHER
Form No. 301- S.(Rev. 1995)
TO
ADDRESS
Invoice Date Invoice Number Item Amount
I 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
19
Signature Title
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.
b ht, 0 2 1-9
Officer Title
l
Voucher No. Warrant No.
ACCOUNTS PAYABLE DETAILED ACCOUNTS
SANITATION DEPARTMENT A
CARMEL, INDIANA
F PS Favor Of
oc%bb ,c 577
CAW 5/4 CA ,Z l- 0 /3Z
Total Amount of Voucher
Deductions
o Y
Amount of Warrant
Month of 19
Acct.
VOUCHER RECORD No.
Collection System
Operation
Plant
Commercial
General
Undistributed
Construction
Depreciation Reserve
Stock Accounts Merchandise
Total
Allowed
Board Members
Filed
BOYCE FORMS SYSTEMS 1- 800 -382 -8702 325