163193 09/03/2008 CITY OF CARMEL, INDIANA VENDOR: 093000 Page 1 of 1
ONE CIVIC SQUARE FEDEX
?a CARMEL, INDIANA 46032 PO BOX 94515 CHECK AMOUNT: $44.58
s� PALATINE IL 60094 -4515 CHECK NUMBER: 163193
CHECK DATE: 9/3/2008
DEPA ACC OUNT PO N UMBER IN VOICE NU MBE R AMOUNT DESCRIPTION
1202 4342100 2- 862 -03469 6.62 POSTAGE
1205 4342100 2- 874 -48126 37.96 POSTAGE
4
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t
Invoice Number Invoice Date Account Number Page
2- 862 -03469 Aug 13, 2008 1062 2307 -6 1 of 4
FedEx TaxID: 71- 0427007
Billing Address: Shipping Address:
CITY OF CARMEUMAYOR'S 0 F CITY OF CARMEL
JENNY CHASTAIN 1 CIVIC SQ
1 CIVIC SG CARMEL IN 46032 -2584 Invoice Questions?
Contact FedEx Revenue Services
CARMEL IN 46032 -2584 Phone: (800) 622 -1147 M -Sa 7 -6 (CST)
Fax: (800) 548 -3020
Invoice Summary Aug 13,
2008 Internet: www.fbdex.com
FedEx Ground Services
Transportation Charges 6.00
Other Handling Charges 0.62
Total Charges USD $6.62
TOTAL THIS INVOICE USD $6.62
Other discounts may apply.
a�
Fed
Invoice Number Invoice Date Account Number Page
2- 862 -03469 Aug 13, 2008 1062 2307 -6 2 of 4
Adjustment Request
Fax to (800) 548 -3020
Use this form to fax requests for adjustments due to the reasons indicated below. Requests for adjustments
due to other reasons, including service failures, should be submitted by going to www.fedex.com or calling
800.622.1147. Please use multiple forms for additional requests.
complete lete all fields in black ink.
C P
Re uestor Name I I I I I I I I I I I I I I I I I I I I I I I I I I I I Date W W/ W
a Phone I I I I WWU I I I I I Fax WWW I I I I I I I I I
c
E mail Address DYes, Iwantto update account contactwith the above information.
Tracking Number Bill to Account Amount
8::: 1111111111111111 IIIIIIIIII IIIII J III
IIIIIIIIIIIIIIII IIIIIIIIII IIIIII
IIIIIIIIIIIIIIII IIIIIIIIII IIIIII
1:: 1111111111111111 IIIIIIIIII IIIIII
IIIIIIIIIIIIIIII IIIIIIIIII IIIIII
AD Address Correction INW Incorrect Weight OVS Oversize Surcharge For all Service failures or other
u DVC Declared Value INS Incorrect Service RSU Residential Delivery surcharges please use our web
e IAN Invalid Acct OCF Gird Pick -up Fee PND Pwrshp Not Delivered site www.fedex.com or call
OCS Exp Pick -up Fee SDR Saturday Delivery (800) 622 -1147
Rerate information only (round to nearest inch)
G Tracking Number Code Amount LBS L W H
it
I I I I I I I I I I I I I I I I I I I I I I I I I I W I I I II I I I I I I 1 1 1
I I I I I I I I I I I I I I I I I I I I I I I I I I W WWJI I I Jx I I I xWWJ
t I I I I I I I I I I I I I I I I I I I I I I I I I I W I I I I L-1 —I x1 I I xWWW
s I I I I I I I I I I I I I I I J I I I I I I I I 1 1 -1 I I I II I I I I I I I I I
I I I I I I I I I I I I I I I I I I I I I I I I I I W I I I I --I X 1 I I I X1 I I
I
Invoice Number Invoice Date Account Number Page
2- 862 -03469 Aug 13, 2008 1062- 2307 -6 3 of 4
FedEx Ground Shipment Summary By Reference
FedEx Ground Shipments (Original►
Ciaterl.
li'Ileig :Transportation. �f#Tier >1#an llEi�ng 11.
ieerence:.....:
Ctrs es �Tiar ns Credtt$IOlier Total Charyns:i
Information Systems 1 7 6.00 0.62 6.62
Total fedx Grvritttl
Total This Invoice USD $6.62
i
28971 212
F ed"E, x
1 2-862-03469 Aug 13, 2008 1062-2307- 4 of T
FedEx Ground Shipment Detail By Reference (Original)
Trackin
Service Type pnd.nvmomic CITY opcAnmFL nMxOxnmomlomx Fu Surcharge um
zvnv cw 1 civic su Checkpoint Warehouse Total C wao oe.62
mck»om 1 cxnMEL|m wmoz'mm w65*5ouu|xvo,
Actual Weight os|hs C/O nxDonnelley s,00n,iUv
Rated Weight //um Greenville WI 54942
nmiv,mo Aug n4,mox
Information Systems Reference Subtotal USD $6.62
Total FedEx Ground USD $6.62
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 service rendered, by
whom, rates per day, number of hours, rate per hour, number of units, price per unit, etc.
Payee
FedEx Purchase Order No.
Terms
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
08M,31 2-862-037 kovel1light package $6.62
Total
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.
20
Clerk- Treasurer
VOUCHER N@8 $A)8 WARRANT NO.
ALLOWED 20
P.O. Box 94515 IN SUM OF
Palatine, 11 60094_4515
$6.62
ON ACCOUNT OF APPROPRIATION FOR
GENERAL FUND
1202 Informatin Systems
Board Members
PO# or INVOICE NO. ACCT #/TITLE AMOUNT
DEPT. I hereby certify that the attached invoice(s), or
1202 862 03469 2 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
20
f
AInatu
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund
t: Invoice Number Invoice Date Account Number Page
2- 874 -48126 Aug 20, 2008 1062- 2307 -6 1 of 4
FedEx TaxID: 71- 0427007
Billing Address: Shipping Address:
CITY OF CARMEL /MAYOR'S OFC CITY OF CARMEL
JENNY CHASTAIN 1 CIVIC SG Invoice Questions?
1 CIVIC SO. CARMEL IN 46032 -2584 Contact FedEx Revenue Services
CARMEL IN 46032 -2584 Phone: (800) 622 -1147 M -Sa 7 -6 (CST)
Fax: (800) 548-3020
Invoice Summary Aug 20, 2008 Internet: www.fedex.com
FedEx Express Services
Transportation Charges 15.30
Special Handling Charges 10.66
Total Charges USD $25.96
FedEx Ground Services
Other Handling Charges 12.00
Total Charges USD $12.00
TOTAL THIS INVOICE USD $37.96
Other discounts may apply.
1
FedEm Invoice Number Invoice Date Account Number page
2- 874 -48126 Aug 20, 2008 1062 2307 -6 2 of 4
Adjustment Request
Fax to (800) 548 -3020
Use this form to fax requests for adjustments due to the reasons indicated below. Requests for adjustments
due to other reasons, including service failures, should be submitted by going to www.fedex.com or calling
800.622.1147. Please use multiple forms for additional requests.
.tj Please complete all fields in black ink.
Re uestor Name I I I I I I I I I I I I I I I I I I I I I I I I I I I I Date W/ W/ W
fl: 4
a Phone I I I I I I I I I I I I I Fax
t« E -mail Address E] Yes, I wantto update account contactwith the above information.
A Tracking Number Bill to Account Amount
e<: IIIIIIIIIIIIIIII IIIIIIIIII IIIII J III
<6 IIIIIIIIIIIIIIII IIIIIIIIII IIIIII
IIIIIIIIIIIIIIII IIIIIIIIII IIIIII
:;;1:;;: 1111111111111111 IIIIIIIIII
I I I I I I •W
IIIIIIIIIIIIIIII IIIIIIIIII IIIIII
ADR -Address Correction INW Incorrect Weight OVS Oversize Surcharge For all Service failures or other
u DVC Declared Value INS Incorrect Service RSU Residential Delivery surcharges please use our web
e IAN Invalid Acct OCF Grd Pick -up Fee PND Pwrshp Not Delivered site www.fedex.com or call
OCS Exp Pick -up Fee SDR Saturday Delivery (800) 622 -1147
Berate information only (round to nearest inch)
Tracking Number Code Amount LBS L W H
e` I I I I I I I I I I I I I I J I I I I I I I I I I W I I I II I I I I I I I xWWJ
i>:; I I I I I I I I I I I I I I I I I I I I I I I I I W I I I II I I I 1 I I 1 XI I I
t> I I I I I I I I I I I I I I I I I I I I I I I I I I W l 1 1 l I I Ix I I x1 I I
s< I I I I I I I I I I I I I I I I I I I I I I I I I W I I I II I I I 1 I I I X1 I I
I I I I I I I I I I I I I I I I I I I I I I I I I I W l 1 1 lI I I I I I I I X 1 I I I
/rr Page
Invoice Numr Invoice Date Account Number
be
2- 874 -48126 Aug 20, 2008 1062- 2307 -6 3 of 4
FedEx Express Shipment Summary By Reference
FedEx Express Shipments (Original)
....:::::::.ate 6i
es t...... ortatan:> I€andiiti itCi a>:
p H...................
Reference> fits C t
pme Iles harges..:.:::.: Ghargas �drtsfOther II.s t.urrts titl Chars
NO REFERENCE INFORMATION 1 1.0 15.30 10.66 25.96
i
al .�xp... 3 iS.3t1 1€i 66 96;
FedEx Ground Shipment Summary
FedEx Ground Miscellaneous Charges
>Otf? (fain >3e
a ..lien t.Ch ..ax
9.:.
..........91T......:::::::.
ie ua aj+.... ass its i er stags
Weekly Service Chg 08/15 12.00 12.00
......................I........
itaffedEirsnf< 2#IU;;;?;; 2
Total This Invoice USD $37.96
24800 2/2
F ed Ex. F Invoice Number Invoice Date F Account Number Page
1 2-874-48126 Aug 20, 2008 1 1062-2307-6 4 of 4
FedEx Express Shipment Detail By Reference (Original)
X
W I
.E:IN RMATION:
fal,
Pilmdb ::A** tlffi A FERENC FO.
p
F "i.': Sh' Red #3
Fuel Surcharge FedEx has applied a fuel surcharge of 34.50% to this shipment.
Distance Based Pricing, Zone 2
Automation INET Sender Recipient
Tracking 10 791939609637 Shelly Lingelbaugh Judy
Service Type FedEx Standard Overnight City of Carmel Downey Insurance
Package Type FedEx Pak One Civic Square 302 S. Reed Road
Zone 02 CARMEL IN 46032 US KOKOMO IN 46901 US
Packages I
Rated Weight 1.0 lbs, 0.5 kgs
Declared Value USD 100.00 Transportation Charge 15.30
Delivered Aug 14, 2008 08:40 Declared Value Charge 0.00
Svc Area A2 Fuel Surcharge 6.66
Signed by HEWITT Courier Pickup Charge 4.00
FedEx Use 000000000/0001283L Total Charge USD $25.96
NO REFERENCE INFORMATION Reference Subtotal USD $25.96
Total FedEx Express USD $25.96
FedEx Ground Miscellaneous Charges USD $12.00
(see summary section)
Total FedEx Ground USD $12.00
Prescribed by State Board of Accounts City Form No. 201 (Rev. 1995)
4 ACCOUNTS PAYABLE VOUCHER
CITY OF CARMEL
An invoice or 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
FedEx Purchase Order No.
Terms
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
r J(.
Total
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.
08/?9/08
ALLOWED 20
F,edEx
IN SUM OF
P.O. Box 94515
Palatine, IL 60094 -4515
$37.96
ON ACCOUNT OF APPROPRIATION FOR
GENERALFUND
1205 Administration
Board Members
PO# or INVOICE NO. ACCT #/TITLE AMOUNT
DEPT. I hereby certify that the attached invoice(s), or
bill(s) is (are) true and correct and that the
9 -87 4 4 8 1 9 6 .materials or services itemized thereon for
which charge is made were ordered and
received except
20
Sygnatu
Cost distribution ledger classification if
Title
claim paid motor vehicle highway fund