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Home My WebLink About199712 07/20/2011 CITY OF CARMEL, INDIANA VENDOR: 314125 Page 1 of 1 ONE CIVIC SQUARE UPS !9 CHECK AMOUNT: $16.98 CARMEL, INDIANA 46032 LOCKBOX577 a mo o` CAROL STREAM IL 60132 -0577 CHECK NUMBER: 199712 CHECK DATE: 7/20/2011 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 601 5023990 76V77A271 16.98 CONT SERVICES OTHER Delivery Service Invoice Invoice date July 2, 2011 Shipped from: Invoice number 000076V77A271 CARMEL UTILITIES DISTRIBUTION Shipper number 76V77A CU W3450 W 1031ST ST Control ID 83R7 WESTFIELD, IN 46074 Page 1 of 3 Sign up for electronic billing today! 0249A000076V77A9 77401100026956 Visit ups.com /billing c AT 01 026100 13166H 89 D *3DGT For questions about your invoice, call: s 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 Thank you for using UPS. Weekly Payment Plan Amount Due This Period $16 Summary of Charges Amount Outstanding (prior invoices) 33.80 Page Charge Total Amount Outstanding 50.78 Outbound Please include the Return Portion of each outstanding invoice with 3 UPS Internet Shipping 16.98 your payment. See Account Status for details. Amount due this period 16.98 UPS payment terms require payment of this invoice by July 13, 2011. Note: This invoice may contain a fuel surcharge as described at ups.com. The published fuel surcharge is 9.5% for UPS Ground Services and 16.0% for UPS Air Services, UPS 3 Day Select, and International services. For more information, visit ups.com. Delivery Service Invoice Invoice date July 2, 2011 Invoice number 000076V77A271 Shipper number 76V77A TM Page 2 of 3 Account Status Weekly Payment Plan Payments Applied Amount Invoice Number Invoice Date Paid 000076V77A211 05/21/2011 17.43 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 000076V77A231 06/04/2011 16.82 000076V77A251 06/18/2011 16.98 Total 33.80 Outstanding balances reflect any payments received as of 07/01/2011. Please ignore this message if a recent payment has been made for any outstanding invoices. Delivery Service Invoice Invoice date July 2, 2011 1 Invoice number 000076V77A271 Shipper number 76V77A Page 3 of 3 Outbound UPS Internet Shipping Pickup ZIP Billed Date Tracking Number Service Code Zone Weight Charge 06124 17 Ground Commercial 46202 2 2 7.75 Fuel Surcharge 0.74 Total 8.49 1st ref Weekly Fluoride Samples 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 06/28 lZ76V77A0397156427 Ground Commercial 46202 2 2 7.75 Fuel Surcharge 0.74 Total 8.49 1st ret Weekly Fluoride Samples 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 Total for Internet -ID: CarmelWater 16.98 Total UPS Internet Shipping 2 Package(s) 16.98 Total Outbound 2 Package(s) 16.98 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 Due Date 7/12/2011 Invoice Invoice Description Date Number (or note attached invoice(s) or bill(s)) Amount 7/12/2011 76V77A271 $16.98 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 Date Officer VOUCHER 111741 WARRANT ALLOWED 314125 IN SUM OF UPS LOCKBOX 577 WATER CAROL STREAM, IL 60132 OPERADONS Carmel Water Utility ON ACCOUNT OF APPROPRIATION FOR Board members PO INV ACCT AMOUNT Audit Trail Code 76V77A271 01- 6360 -03 $16.98 Voucher Total $16.98 Cost distribution ledger classification if claim paid under vehicle highway fund