159342 05/14/2008 i
CITY OF CARMEL, INDIANA VENDOR: 093000 Page 1 of 1
0 ONE CIVIC SQUARE FEDEX
1a CARMEL, INDIANA 46032 PO BOX 94515 CHECK AMOUNT: $58.30
PALATINE IL 60094 -4515 CHECK NUMBER: 159342
CHECK DATE: 511412008
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1202 4342100 2- 636 -48287 58.30 POSTAGE
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Fed Invoice Number Invoice Date Account Number Page
2- 636 -48287 Apr 09, 2008 1062- 2307 -6 1 of 4
FedEx TaxlD: 71- 0427007
Billing Address: Shipping Address:
CITY OF CARMEUMAYOR'S OFC CITY OF CARMEL
JENNY CHASTAIN 1 CIVIC SQ
1 CIVIC SQ CARMEL IN 46032 -2584 Invoice Questions?
Contact FedEx Revenue Services
CARMEL IN 46032 -2584 Phone: (800) 622 -1147 M -F 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
TOTAL THIS INVOICE USD $98.70
Other discounts may apply.
F edcx I Invoice Number Invoice Date Account Number Page
2- 636 -48287 Apr 09, 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.
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
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ar Phone I I I I I I I 1 I I I I I Fax#
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E -mail Address W Yes, I wantto update account contact with the above information.
R Tracking Number Bill to Account Amount
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b` IIIIIIIIIIIIIIII IIIIIIIIII IIIIII
t IIIIIIIIIIIIIIII IIIIIIIIII IIIIII
1 IIIIIIIIIIIIIIII IIIIIIIIII IIIIII
IIIIIIIIIIIIIIII IIIIIIIIII Illlll
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 Grd Pick -up Fee PND Pwrshp Not Delivered site www.tedex.com or call
OCS Exp Pick -up Fee SDR Saturday Delivery (8 00) 622 -1147
Rerate information only (round to nearest inch)
Tracking Number Code Amount LBS L W H
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8 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 WWWx 1 I I I x I I I I
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Invoice Number Invoice Date Account Number Page
2- 636 -48287 Apr 09, 2008 1062- 2307 -6 1011
FedEx Express Shipment Summary By Reference
FedEx Express Shipments (Original)
Rtel Sptre�.....
>:s t...Tra�: arts €t�nn:: s:: >s::::�#andli� .:�tei:£#1
.............................lf P::....::...:.:..........__..........:.::.:....1........::::.;...::-:::.::::::::::::::
Eteierette
�h�pmets 1:.:. Char Oes Ghargs retl;Cs /0 €her .�trur3ts .:7nta1 Chargg
NO REFERENCE INFORMATION 1 21.0 22.45 5.95 28.40
Information Systems 1 16.0 45.20 1310 58 3 0
Taal Ir edx ju ens 37 fl.,. FiSr "�1€9A5 .>RQ
FedEx Ground Shipment Summary
FedEx Ground Miscellaneous Charges
t)ther H...... 0 isl ChgtTax
I#ate Quantir Zrp Cede: thargesre dits�Othernta1 Glsargs
Weekly Service Chg 04/04 12.0.0 12.00
tita :f d> :#`srvu�#I:;
Total This Invoice USD $98.70
27829 2/2
r vedlEX, F Number Invoice Date F Num page
I 2-636-48287 Apr 09, 2008 1062- 2307 4 of 4
FedEx Express Shipment Detail By Reference (Original)
00
#A-AKO? ;2
pl'.Aef- NO REFERENCEINP R RM ROM:X:
A
Fuel Surcharge FedEx has applied a fuel surcharge of 18.50% to this s hipment.
Distance Based Pricing, Zone 3
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 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 I civic SO CLARKSVILLE TN 37040 US
Zone 03 CARMEL IN 46032-2584 US
Packages I
Actual Weight 8.0 lbs, 3-6 kgs
Rated Weight 21.0 lbs, 9.5 kgs
Declared Value USD 250.00
Delivered Apr O4,2008 10i11 Transportation Charge 22.45
Svc Area A4 Declared Value Charge 1.80
Signed by KWEIMER Fuel Surcharge 4.15
FedEx Use 009321549/0007169/04 Total Charge USD 528.40
NO REFERENCE INFORMATION Reference Subtotal USD $28.40
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Payolr
Fuel Surcharge FedEx has applied a fuel surcharge of 18.50% t -this shipment.
Distance Based Pricing, Zone 8
Automaton 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 CAMPBELLCA 95008 US
Packages I
Rated Weight 16.0 lbs, 7.3 kgs
Delivered Apr 03, 2008 09:35 ra po shipment
Charge 45.20
Svc Area A2 Fuel Surcharge 9.10
Signed by L.CORTEZ Courier Pickup Charge 4.00
FedEx Use 000000000/0007179L Total Charge USD 558-W
Information Systems Reference Subtotal USD $58.30
Total FedEx Express USD $16110
FedEx Ground Miscellaneous Charges USD $12.00
(see summary section)
Total FedEx Ground USD $12.00
D.
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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))
ht package
Overnig
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/1 2108 WARRANT NO.
FedEx ALLOWED 20
R.O. Box 94515 IN SUM OF
Paist 1L 60094-4515
$58.30
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
1 2 48287— 421 3G 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
Si t e
Cost distribution ledger classification if
Title
claim paid motor vehicle highway fund