160852 06/25/2008 1
CITY OF CARMEL, INDIANA VENDOR: 093000 Page 1 of 1
ONE CIVIC SQUARE FEDEX
CARMEL, INDIANA 46032 PO BOX 94515 CHECK AMOUNT: $53.17
PALATINE IL 60094 -4515
CHECK NUMBER: 160852
CHECK DATE: 6/25/2008
DEPART ACCOUNT P NUMBER INVOICE NUMBER A MOUNT DESCRIPTION
905 4342100 2- 636 -48287 28.40 POSTAGE
,,,1205 4342100 2- 763 -89693 24.77 POSTAGE
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F Invoice Number Invoice Date Account Number Page
2- 763 -89693 Jun 18, 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 Invoice Questions?
1 CIVIC SQ 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 Jun 18, 2008 Internet: www.fedex.com
FedEx Express Services
Transportation Charges 15.35
Special Handling Charges 9.42
Total Charges USO $24.77
TOTAL THIS INVOICE USD $24.77
Other discounts may apply.
YIFT
Fec
a Invoice Number Invoice Date Account Number Page
2- 763 -89693 Jun 18, 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
Please lete all fields in black ink.
P
i Req uestor Name l 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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Phone I I I I I I I I I I I I I Fax I
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E -mail Address
Yes, I want to update account contact with 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
C DVC Declared Value INS Incorrect Service RSU Residential Delivery surcharges please use our web
d 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)
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FecE Invoice Number Invoice Date Account Number page
2- 763 -89693 Jun 18, 2008 1062- 2307 -6 3 of 4
FedEx Express Shipment Summary By Reference
FedEx Express Shipments (Original)
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Stop Loss Check 1 15.35 9.42 24.77
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Total This Invoice USD $24.77
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FedEx Invoice Number Invoice Date Account Number_ Page
2-763-89693 Jun 18, 2008 1062-2307-6 4 of 4
FedEx Express Shipment Detail By Reference (Original)
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Fuel Surcharge Fed Ex has applied a fuel surcharge of 28.00% to this shipment.
Distance Based Pricing, Zone 2
Automation INET Sender Recipient
Tracking ID 798457953224 Shelly Lingelbaugh Lynn Peppier
Service Type FedEx Priority Overnight City of Carmel Benefit Administrative Systems
Package Type FedEx Envelope One Civic Square 17475 Jovanna Drive
Zone 02 CARMEL IN 46032 US HOMEWOOD IL 60430 US
Packages I
Rated Weight N/A
Delivered J un 10, 2008 09:13 Transportation Charge 15.35
Svc Area A2 Courier Pickup Charge 4.00
Signed by D.CURTIS Fuel Surcharge 5.42
FedEx Use 000000000/0000186L -Total Charge USD 524.77
Stop Loss Check Reference Subtotal USD $24.77
Total FedEx Express USD $24.77
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))
06/18/08 2-763-89693 Overnight Shipping
Total $24.77
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.
06/231
F e e d Ex ALLOWED 20
IN SUM OF
P.O. Box 94515
Palatine, IL 60094 -4515
$24.77
ON ACCOUNT OF APPROPRIATION FOR
GENERAL FUND
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
1205 1- 7 63-89693 421 nA 77 materials or services itemized thereon for
which charge is made were ordered and
received except
20
Sign ure
Cost distribution ledger classification if
Title
claim paid motor vehicle highway fund
t.
Invoice Number Invoice Date Account Number Page
2- 636 -48287 Apr 09, 2008 1062- 2307 -6 1of4
PAST DUE FedEx Tax ID: 71- 0427007
Bitting Address: Shipping Address:
CITY OF CARMEL /MAYOR'S OFC CITY OF CARMEL
JENNY CHASTAIN 1 CIVIC SQ Invoice Questions?
1 CIVIC SQ 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 Apr 09 2008 Internet: www.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
Total Payments and Adjustments USD $28.40
TOTAL THIS INVOICE USD $70.30
Other discounts may apply.
Your Account is Past Due. Date of Notice: May 21, 2008. To prevent
further action, please remit your payment immediately. If payment has
been made, please disregard this notice.
To ensure proper credit, please return this portion with your payment to Fed Ex. I nvoice Number Account Number Amount Past Due
Please do not staple or fold. Please make check payable to FedEx.
i For chan of address, check here and complete form an reverse side. 2- 636 -48287 1062-2307-6 USD $70.30
Remittance Advice
Your Account is Past Due. Date of Notice: May 21, 2008
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CITY OF CARMEUMAYOR'S OFC FedEx
JENNY CHASTAIN P.O. Box 94515
1 CIVIC SO PALATINE IL 60094 -4515
CARMEL IN 46032 -2584 IleleLellleJllellellleellleJlJleJllelelleleleLeIIIIIIeJeIlJeelll
0111111111111111111111111111111111111 031111/2 6
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Invoice Number Invoice Date Acco unt Number Page
2- 636 -48287 Apr 09, 2008 1062- 2307 -6 2of4
Adjustment Request
Fax to (800) 540 -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.
C 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 Datel I I/ W/ W
ih q
.a Phone I I I I I I i l I I I I I Fax
E mail Address ❑Yes, I wantto update account contact with the above information.
Tracking Number Bill to Account Amount
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IIIIIIIIIIIIIIII IIIIIIIIII IIIIII
`l: llllllllllllllll IIIIIIIIII IIIIII
s< IIIIIIIIIIIIIIII IIIIIIIIII IIIIII
ADR Address Correction INW Incorrect Weight OVS Oversize Surcharge For all Service failures or other
C 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
Berate information only (round to nearest inch)
Tracking Number Code Amount LBS L W H
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Check all that apply Effective Date I I I I LJ I I I
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A. Shipping Address (Physical Address) Billing Address Only Billing Same As Shipping Address
Compan L I I I I I I I I I I I I I I I I I Compan I I I I I I I I I I I I I I I I I J
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Dept L I I I I I I I I I I I I I I I I I Dept L I I I I I I I I I I I I I I I I I
Floor 1 1 1 1 1 1 Apt/Suite I I I I I I Floor L I I I I I Apt/Suite I I I I I I
city L I 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 city L I I I I I I I I I I I I I I I I I
State I I I Zip Code 1 1 1 1 1 1 I I I I I State I I I Zip Code
Phone I I I I I I I I I I I I W Phone
Fax# L I I I I I I I I I I I I Fax#
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Invoice Dumber Invoice Date F Account Number Page
2- 636 -48287 Apr 09, 2008 1062- 2307 -6 4 of 4
FedEx Express Shipment Detail By Reference (Original)
Orvp. IN ed ai€ filet .1 L# RE REII±NC1 (IRM T.1 N.. Ref
Fuel Surcharge FedEx has applied a fuel surcharge of 18.50% to this shipment
Distance Based Pricing, Zone 3
The amountdue shown on the remittance advice reflects the invoice balance due and includes only those items still outstanding. Any paymentwhich could be applied to a specific
shipmenthas been credited to the appropriate activity summary enclosed. Payments and /or adjustments thatcould notbe applied to a specific shipmenthave been credited againstthe
total amount due on this invoice.
FedEx has audited this shipment for correct packages, weight, and service. Any changes made are reflected in the invoice amount.
We calculated your charges based on a dimensional weight of 21.0 lbs., 24"x 15' x 11', divided by 194.
Shipment delivered to address other than recipient's.
Automation USAB Sender L' Recipient
Tracking 10 863838917984 PAUL BLOCKOUS PREMIUM WEAR RETURN GOODS DEPT
Service Type FedEx Express Saver CITY OF CARMEL 975 INTERNATIONAL BLVD
Package Type Customer Packaging 1 CIVIC SQ CLARKSVILLE TN 37040 US
Zone 03 CARMEL IN 46032 -2584 US
Packages 1
Actual Weight 8.0 Ibs, 3.6 kgs
Rated Weight 21.0 Ibs, 9.5 kgs
Declared Value USD 250.00
Delivered Apr 04, 2008 10:11 Transportation Charge 22.45
Svc Area A4 Declared Value Charge 1.80
Signed by K.WEIMER Fuel Surcharge 4.15
FedEx Use 009321549/0007169 /04 Total Charge USD 528.40
NO REFERENCE INFORMATION Reference Subtotal USD $28.40
1? €cat d ►P f#e 1�1,t#p$ Cost ftl„ (Ilfnr..lnatmlf Ref2
Wa r: a#llpper Ret
Fuel Surcharge FedEx has applied a fuel surcharge of 18.50% to this shipment.
Distance Based Pricing, Zone 8
The amount due shown on the remittance advice reflects the invoice balance due and includes only those items still outstanding. Any paymentwhich could be applied to a specific
shipment has been credited to the appropriate activity summary enclosed. Payments and /or adjustments that could not be applied to a specific shipment have been credited againstthe
total amount due on this invoice.
Automation INET Sender Recipient
Tracking ID 798408835268 TERRY N. CROCKETT RMA 27950
Service Type FedEx Express Saver CITY OF CARMEL Barracuda Networks
Package Type Customer Packaging THREE CIVIC SQUARE 3175 Winchester Blvd
Zone 08 CARMEL IN 46032 US CAMPBELL CA 95008 US
Packages 1
Rated Weight 16.0 Ibs, 7.3 kgs
Delivered Apr 03, 2008 09:35 Transportation Charge 45.20
Svc Area A2 Fuel Surcharge 9.10
Signed by LCORTEZ Courier Pickup Charge 4.00
FedEx Use 000000000/0007179 Total Charge USD 55830
Information Systems Reference Subtotal USD $58.30
Total FedEx Express USD $86.70
FedEx Ground Miscellaneous Charges USD $12.00
(see summary section)
Total FedEx Ground USD $12.00
i
I
Invoice Number Invoice Date Account Number Page
2- 636 -48287 Apr 09, 2008 1062- 2307 -6 3of4
FedEx Express Shipment Summary By Reference
FedEx Express Shipments (Original)
Dated Speed
aNsr t `:fraO orfau. n Nan lin RstCh ax
P.. 11
�eferetce Shipments ills':` Charges.: 1�hargs Creditsl0>lier TntaECltarg
NO REFERENCE INFORMATION 1 21.0 22.45 5.95 28.40
Information Systems 1 16.0 45.20 13.10 58.30
Total 1edExlrxpress
$G1;5
$t9A5
TlL
FedEx Ground Shipment Summary
FedEx Ground Miscellaneous Charges
Fri
ft. ar Bing [tet Chgfl a
[ate QuGantitq... Zip Cu�fe Gnarges Cre fits/Other TetaI Char,
Weekly Service Chg 04/04 12.00 12.00
Totaldx GtvundtZAOT OQi
Total (excludes Payments and Adjustments) USD $98.70
1,
03111 212
Prescribed by State Board of Accounts ACCOUNTS PAYABLE VOUCHER City Form No. 201 (Rev. 1995)
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
Purchase Order No.
Terms
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
�o X36- a
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 NO. WARRANT NO.
ALLOWED 20
IN SUM OF
ON ACCOUNT OF APPROPRIATION FOR
g D�
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
materials or services itemized thereon for
which charge is made were ordered and
received except
20 c
/*hat
Cost distribution ledger classification if
Title
claim paid motor vehicle highway fund