162726 08/20/2008 i
CITY OF CARMEL, INDIANA VENDOR: 093000 Page 1 of 1
ONE CIVIC SQUARE FEDEX
i 0 CHECK AMOUNT: $28.22
CARMEL, INDIANA 46032 PO BOX 94515
>o? PALATINE IL 600944515 CHECK NUMBER: 162726
CHECK DATE: 8/20/2008
DEPARTMENT ACCOUNT PO NUMB INVOICE NUMBER AMOUNT DESCRIPTION
1202 4342100 2- 800 -50486 28.22 POSTAGE
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Invoice Number Invoice Date Account Number Page
2- 800 -50486 Jul 09, 2008 1062- 2307 -6 1 of
FedEx Tax ID: 71- 0427007
Billing Address: Shipping Address:
CITY OF CARMEL /MAYOR'S OFC CITY OF CARMEL
JENNY CHASTAIN 1 CIVIC SG
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 Jul 09, 2008 Internet: vwwu.fedex.com
FedEx Express Services
Transportation Charges 19.70
Special Handling Charges 8.52
Total Charges USD $28.22
TOTAL THIS INVOICE USD $28.22
Other discounts may apply.
ME
FecEx I Invoice Number Invoice Date Account Number Page
2- 800 -50486 J u 109, 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.tedex.com or calling
800.622.1147. Please use multiple forms for additional requests.
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 Date W/ W/ W
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as Phone WWU I I I I I I I I I Fax I
Z
E -mail Address Dyes, I wantto update account contact with the above information.
If> Tracking Number Bill to Account Amount
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AD Address Correction INW Incorrect Weight OVS Oversize Surcharge For all Service failures or other
o 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
Rerate information only (round to nearest inch)
Tracking Number Code Amount LBS L W H
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I J I I I I I I I I 1 1 -1 I I I I1 1 1 1 1 I I 1 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 1 1 .1 I I I I 1--1xl I I x1 I I
t: I I I I I I I I I I J I I I J I I I I I I I I 1 1 -1 1 1 1 1 1x 1 I I I xWI I
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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 WWI WI X 1 I I I X1
F adEx Invoice Number Invoice Date") F Number page
2-800-50486 Ju 1 09, 2008 1062-2307-6 3 of 4
FedEx Express Shipment Summary By Reference
FedEx Express Shipments (Original)
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Total This Invoice USD E$27J8.22
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FedEx- F In Number Invoice Da�te Number Page
FedEx Express Shipment Detail By Reference (Original)
Distance Based Pricin Zone 5
FedExhas audited this shipment for correct packages, weight, and service.Any changes made are reflected in the invoice amount.
wm calculated your charges based "nudim,omma/ wei of] om��o,x/5*x�divided by 194.
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Tracking 10 /oon/oznoms TERRYm- Cnncxcrr xMxmzmml
Service Type FooEx Express Saver CITY npcxnMsL Global Wireless Son000nsmT
Package Type Customer Packaging THREE CIVIC SQUARE lol mvo,ovoto|,o
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Rated Weight 10.0 ms ko,
Declared Value oxo 500x0 Trans [uomo mJn
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Svc Area xz Declared Value Charge 3.00
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mu[xox^ 000000000/0007173L Total Charge uoo mmzo
Information Systems Reference Subtotal LISO $28.22
Total FedEx Express LISD $28.22
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))
%jV Overnight package "P40.4
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 _WARRANT NO.
FedEx ALLOWED 20
P.O. Box 94515 IN SUM OF
Palatine IL 60.094-451 5
$28.22
ON ACCOUNT OF APPROPRIATION FOR
GENERALFUND
1202 Informatin Systems
Board Members
PO# or INVOICE NO. ACCT #/TITLE AMOUNT
DEPT. I hereby certify that the attached invoice(s), or
1202 800 -50486 421 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
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Sig 1U re
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund