161814 07/23/2008 CITY OF CARMEL, INDIANA VENDOR: 093000 Page 1 of 1
ONE CIVIC SQUARE FEDEX
10 CARMEL, INDIANA 46032 Po Box 94515 CHECK AMOUNT: $57.82
PALATINE IL 600944515 CHECK NUMBER: 161814
CHECK DATE: 7/23/2008
DE PARTMENT ACCOUNT PO NUMBER IN VOICE NUMB AM DESCRIPTION
1202 4342100 2- 636 -48287 12.00 POSTAGE
1125 4342100 276977043 45.82 POSTAGE
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Invoice Number Invoice Date Account Number Page
2- 769 -77043 Jun 20, 2008 2178- 5678 -7 1 of
REPRINT OF ORIGINAL FedEx Tax ID: 71- 0427007
Billing Address: Shipping Address:
CARMEL CLAY PARKS RECREATION CARMEL CLAY PARKS RECREATION
1411 E 116TH ST 1411 E 116TH ST Invoice Questions?
CARMEL IN 46032 -3455 CARMEL IN 46032 -3455 Contact FedEx Revenue Services
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Phone: (800) 622 -1147 M -Sa 7 -6 (CST)
Fax: (800) 548 -3020
Invoice Summary Jun 20 2008 Internet: www.fedex.com
FedEx Express Services
Transportation Charges 35.80
Special Handling Charges 10.02
Total Charges USD $45.82
TOTAL THIS INVOICE USD $45.82
This notice is a copy of the original bill, with no payments or credits L 1!.� ,77
reflected in the amounts. The amount due may not reflectthe current JUL 1 1 2008
account balance.
Other discounts may apply. Ir y;
FUND i
JUL 0 7 2008
DEPT
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Invoice Number Invoice Date Account Number Page
2- 769 -77043 J u n 20, 2008 11 2178- 5678 -7 1 01 1
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.
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 Date W W/ W
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e IAN Invalid Acct OCF Grd Pick -up Fee PND Pwrshp Not Delivered site www.fedex.com or call
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2- 769 -77043 Jun 20, 2008 2178- 5678 -7 3of4
FedEx Express Shipment Summary By Payor Type
FedEx Express shipments (Original)
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Total This Invoice USD $45.82
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Invoice Number invoice Date FAccount Nu m fi e r Page
1 2-769-77043 Jun 20, 2008 2178-5678-7 4 of 4
FedEx Express Shipment Detail By Payor Type (Original)
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Fuel Surcharge FedEx has applied a fuel surcharge of 28.00% to this shipment.
Distance Based Pricing, Zone 3
Automation USAB Sender Recipient
Tracking 10 866355190398 TERRY MYERS BRIAN SHERBA
Service Type FedEx Way CARMEL CLAY PARKS RECREATION CONTROLLED ACCESS
Package Type Customer Packaging 1411 F 116TH ST 1515 W 130TH ST
Zone 03 CARMEL IN 46032-3455 US HINCKLEY OH 44233 US
Packages I
Rated Weight 35.0 lbs, 15.9 kgs
Declared Value USD 100.00
Delivered Jun 13, 2008 18:40 Transportation Charge 35.80
Svc Area A2 Declared Value Charge 0.00
Signed by R.SHURBA Fuel Surcharge 1 0.02
FedEx Use 016312633/0006002L Total Charge USD 545.82
Shipper Subtotal USD $45.82
Total FedEx Express USD $45.82
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.
FedEx Terms
P.O. Box 94515
Palatine, IL 60094 -4515
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
6/20/08 276977043 Shipping for turnstile top 45.82
Total 45.82
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.
FedEx Allowed 20
P.O. Box 94515
Palatine, IL 60094 -4515
In Sum of
45.82
ON ACCOUNT OF APPROPRIATION FOR
101 -General
PO# or INVOICE NO. ACCT #/TITLE AMOUNT Board Members
Dept
1125 276977043 4342100 45.82 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
17 -Jul 2008
&---A ulm/YYZ�
Signature
45.82 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund
d E Invoice Number Invoice Date Account Number Page
2 -636 -48287 Apr 09, 2008 1062- 2307 -6 1 of 4
FINAL DEMAND FedEx Tax ID: 71- 0427007
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Billing Address: Shipping Address:
CITY OF CARMEUMAYOR'S OFC CITY OF CARMEL
JENNY CHASTAIN 1 CIVIC SQ 46v�nlac e Quest'
1 CIVIC SO. IN 46032 -2584 c e� E x Revenue Services
CARMEL IN 46032 -2584 Phone: (800) 622 -1147 M -Sa 7 -6 (CST)
Fax: (800)548 -3020
Invoice Summary Apr 09, 2008 Internet: vwwv.fedex.com
FedEx Express Services
Transportation Charges 67.65
Special Handling Charges 19.05
Total Charges USD $86.70
FedEx Ground Services
Other Handling Charges 12.00
Total Charges USD $12.00
Payments and Adjustments
Payment- May 08, 2008 Check Ref. 158879 -28.40
Payment May 23, 2008 Check Ref. 159342 -58.30
Total Payments and Adjustments USD $86.70
TOTAL THIS INVOICE USD $12.00
Other discounts may apply.
Your Account is Past Due. Date of Notice: Jun 15, 2008. To prevent
further action, please remit your payment immediately. If payment has ooe
been made, please disregard this notice
Fec F3E I Invoice Number Invoice Date Account Number Page
2- 636 -48287 Apr 09, 2008 1062 2307 -6 2of4
Adjustment Request
Fax to (800) 548 -3020 y
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.
Please complete all fields in black ink.
Re q 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
;tt
a Phone I I I I I I I 1 I I I I I Fax
Aff
E -mail Address E]Yes, I wantto update,accountcontactwith the above information.
Tracking Number Bill to Account Amount
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ADR 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 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)
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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))
k 12.00
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 6 NO.
e x ALLOWED 20
F.O. Box 94515 IN SUM OF
Palatlina, 1L 69094 451
$12.00
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 )-636-48287 Q 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
w1 u
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund