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HomeMy WebLinkAbout158879 04/30/2008 CITY OF CARMEL, INDIANA VENDOR: 093000 Page 1 of 1 ONE CIVIC SQUARE FEDEX CHECK AMOUNT: $73.64 CARMEL, INDIANA 46032 PO BOX 94515 PALATINE IL 60094 -4515 CHECK NUMBER: 158879 CHECK DATE: 4/30/2008 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1205 4342100 2 -619 -82398 45.24 POSTAGE 905 4342100 2- 636 -48287 28.40 POSTAGE i I I Fec kE t b ic. Invoice Number Invoice Date Account Number Page 2- 649 -82398 Apr 16, 2008 1062- 2307 -6 1of4 FedEx Tax ID: 71- 0427007 Billing Address: Shipping Address: CITY OF CARMEUMAYOR'S 0 F CITY OF CARMEL JENNY CHASTAIN 1 CIVIC SQ 1 CIVIC Sa CARMEL IN 46032 -2584 Invoice Questions? Contact FedEx Revenue Services CARMEL IN 46032 -2584 Phone: (800) 622 -1147 M -F7 -6 (CST) Fax: (800) 548 -3020 Invoice Summary Apr 16, 2008 Internet: www.fedex.com FedEx Express Services Transportation Charges 33.70 Special Handling Charges 11.54 Total Charges USO $45.24 TOTAL THIS INVOICE USD $45.24 Other discounts may apply. inn i ME FecLE'Ex. I Invoice Number Invoice Date Account Number Page 2- 649 -82398 Apr 16, 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 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 q a Phone I I I I I I I I L I I I I Fax I I IJ I I I I I I I I I c< E -mail Address OYes, I wantto update account contact with the above information. R Tracking Number Bill to Account Amount IIIIIIIIIIIIIIII IIIIIIIIII IIIIII II11111111111111 Il11lIlIII IIIIII Illlllllllllllll IIILIIIIII IIIIII 1` :::1:;: 1111111111111111 LIIIIIIIII IIIIII llllllllllllllll llllllllll 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 Grd Pick -up Fee PND Pwrshp Not Delivered site www.fedex.com or call OCS Exp Pick -up Fee SDR Saturday Delivery (800) 62 2 -1147 Rerate information only (round to nearest inch) Tracking Number Code $Amount LBS L W H r 1 1 1 1 1 1 1 1 1 1 1 W I I I II I I 1 1 I I 1 X1 I I I I I I I I I I 1 I I I I I I I I I I I I I I I I I I I I I I—LWJ LWJ X1 I I x IWLJ 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 I I I LWW W—U X, x, I I I I I I I I I I I I I I I 1 1 1 1 1 1 1 1 1 1 I W LW1JWWx 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 IIW—I 1 I I 1 X 1 I I I I� y Invoice Number Invoice Date Account Number Page 2- 649 -82398 Apr 16, 2008 1062- 2307 -6 3of4 FedEx Express Shipment Summary By Reference FedEx Express shipments (original) Ratedc�a( mar ant fi 4th hrt�::::::: ::bs:: >:Cha P_...::_ ttsLQ>her::<: me s :<:Bise� ttts;:.;:7vt i char s: fJ NO REFERENCE INFORMATION 2 33.70 11.54 45.24 t dxprhs::. �3 71k. ..I, Total This Invoice USD $45.24 I 23059 2/2 Fed Invoice Number Invoice Date Account Number Page 2 -649 -82398 Apr 16, 2008 1062- 2307 -6 4 of 4 FedEx Express Shipment Detail By Reference (Original) d: fig:;:: E <::.:.OR PWP ..J# r.. .2€!€i8:::::::: Gust:> i l: C ::f3 F t t f.l f Alt tITI D R.. t <s Pagt r IP o Fuel Surcharge FedEx has applied a fuel surcharge of 20.00% to this shipment. Distance Based Pricing,Zone 4 Automation INET Sender Recipient Tracking ID 791881249977 Shelly Lingelbaugh Hardship Withdrawal Dept Service Type FedEx Standard Overnight City of Carmel Merrill Lynch Package Type FedEx Envelope One Civic Square 1400 MERRILL LYNCH DR Zone 04 CARMEL IN 46032 US PENNINGTON NJ 08534 US Packages 1 Rated Weight N/A Delivered Apr 10, 2008 09:14 Transportation Charge 18.35 Svc Area AA Courier Pickup Charge 4.00 Signed by J.LEILI Fuel Surcharge 4.47 FedEx Use 00000000010000222 Total Charge USD 52622 arappd Apr "1Z,2tS NO RFEEiE[G�E�f3VEAI�i Rgf# Fuel Surcharge FedEx has applied a fuel surcharge of 20.00% to this shipment Distance Based Pricing, Zone 2 Automation USAB Sender Recipient Tracking ID 863838917973 CITY OF CARMEL NATIONAL CITY GOLF FINANCE Service Type FedEx Priority Overnight 1 CIVIC SO 995 DALTON AVE Package Type FedEx Envelope CARMEL IN 46032 -2584 US CINCINNATI OH 45203 US Zone 02 Packages 1 Rated Weight N/A Declared Value USD 100.00 Delivered Apr 14, 2008 08:48 Transportation Charge 4* 15.35 Svc Area Al Fuel Surcharge 3.07 Signed by K.WILLIAMS Declared Value Charge 0.00 FedEx Use 010304188/0000186L Total Charge USD $18.42 NO REFERENCE INFORMATION Reference Subtotal USD $45.24 Total FedEx Express USD $45.24 _I Prescribed by,`;tate 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)) 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. 04/28/08 ALLOWED 20 Fed Ex 1 IN SUM OF P.O. Box 94515 Palatine, IL 60094 -4515 $45.24 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 2 materials or services itemized thereon for which charge is made were ordered and received except 20 Srgna ur Cost distribution ledger classification if Title claim paid motor vehicle highway fund FedElE I Invoice Number Invoice D EAccount Number Page 2- 636 -48287 Apr 09, 2008 1062- 2307 -6 1of4 FedEx Tax ID: 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 -F7 -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. To ensure proper credit, please return this portion with your payment to FedEx. Invoice Number Account Number Amount Due Please do not staple or fold. Please make check payable to FedEx. 11 For change of address, check here and complete form on reverse side- 2 636 48287 1062-2307-6 USD $98.70 Remittance Advice Your payment is due by Apr 24, 2008 106223072636482875400000987073 AT 01 039764 6906011160 A "3DGT LIrJJLILIIrJIIIILIrrL�I��IILr�r�ll ,I,I,I IIIuII�IInIIonInIInIIInnIIIIIIIIllnl CITY OF CARMEUMAYOR'S OFC FedEx JENNY CHASTAIN P.O. Box 94515 1 civic SO PALATINE IL 60094 -4515 CARMEL IN.aso3z -2584 II�IJ��III��IIIJLIII��IIL�IIJI�I�II��I�IIILLIJ�IIJL�I�III�II eI IIIIII 27829 1/2 6 99325990077726 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. C Please co 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 I/ W/ W q f a Phone I I I I I I I I I I I Fax I c 1« E -mail Address [:]Yes, I want to update account contact with the above information. Tracking Number Bill to Account Amount flllllllllllllll IIIIIIIIII IIIIII IIIIIIIIIIIIIIII IIIIIIIIII IIIIII 4 1111111111111111 IIIIIIIIII IIIIII WI_I I I I I I I I I I I I I I I I I I I I I I I l l l l l l W IIIIIIIIIIIIIIII llllllllll llllll 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 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) G Tracking Number Code Amount LBS L W H r> 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 I I I WWWI IX 1 I I 1 X1 I IW A 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 WWI I IxWWx1 I I I l l l 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 1 1 I I 1 X1 I I S I I I Ll 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 1 I I 1 1 I I I I I I I I I I I I I I I I I I I I I I �l I I I I W WWI I I 1 1 I I I X1 I Check all that apply Effective Date I I I I I I I I I A ❑Shipping Address (Physical Address) Billing Address Only Billing Same As Shipping Address Compan I I I I I I I I I I I I I I I I I I Compan l l l l l l l l l l l l l l l l l l T. Address I I I I I I I I I I I I I I I I I I Address Address I I I I I I I I I I I I I I I I I I Address I I I I I I I I I I I I I I I I I I C Dept L_1 I I I I I I I I I I I I I I I I Dept I 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 I I I I I Apt/Suite I I I I I I H M City City State W Zip Code I I I I I I I I I State II Zip Code 1 11 1 1 1 1 1 1 1 1 Phone I I I I I I I L I I I I Phone Fax WWU I I I I I I I I Fax I Feck invoice �§�r I Invoice D_a_te__'1) F Account Number Page 1 2-636-48287 Apr 09, 2008 1062-2307-6 1011 FedEm Express Shipment Detail By Reference (Original) Distan Based pricinoz=ox FedEx has audited this shipment for correct packages, weight and service. Any changes made are reflected in the invoice amount. We calc your charges based on a dimension weigh m 210 m Shipment delivered to address other than recipient's. Automaton uxxu 8au*iea* Tracking 10 863838917984 PREMIUM WEAR RETURN GOODS DEPT Service Type mom Express Saver CITY OF CARMEL m5 INTERNATIONAL BLVD Package Type Customer Packaging I civic so c|xnxnVuETm 37040 un Zone m CARMEL IN 46032-2584 US rxmu000 l maivvmom numo �oxoo Rated Weight 21.0 lbs, 9.5 kgs Declared Value USD 250.00 Delivered AprG4,2008 10:11 Transportation Charge 22.45 Svc Area A4 Declared Value Charge 1 Signed by K.WEIMER Fuel Surcharge :4.1 FedEx Use 009321549/0007169/G4 Total Charge USD $28.40 NO REFERENCE INFORMATION Reference Subtotal USO $28.0 POO FumlSurcharge FedEx has applied a fuel surcharge of 18.50% to this shipment. Distance Based Pricing, Zone 8 Automation ]NET Sender Recipient Tracking 10 798408835268 TERRY N.:xncusTT nMx*n000 Service Type muEx Express Saver CITY nrCAnMsL Barracuda Networks Package Type Customer Packaging THREE CIVIC SQUARE xl/5 Winchester Blvd Zvoo ox uAxM8|woom2 on CAMPBELL cxoomm ou Packages 1 Rated Weight 16.0 mx.7.3 xox Do|ivomo Apr m'z00000y5 Transportation Charge mxo Svc Area vu Fuel Surcharge o.m Signed by L.ConTcz Courier Pickup Ch arge 4.00 mxumm 000000000/0007179L Total Charge USD %830 Information Systems Reference Subtotal USD $58.30 Total FedEx Express USD $86.70 FedEm Ground Miscellaneous Charges USD $12'00 (see summary section) Total FedEx Ground USD $12.00 F e d fi Invoice Number Invoice Date Account Number Page 2- 636 -48287 Apr 09, 2008 1062 2307 -6 3 of 4 FedEx Express Shipment Summary By Reference FedEx Express Shipments (Original) Retell Sp eeitat V11si t> t rar ar#af i Etatiiiti Rsf £ItRI a 3e1€ererme Shipments l Ch�irgeshaiges _irellits }0tlir >�scuunts 7�tatsGttarxs NO REFERENCE INFORMATION 1 21.0 22.45 5.95 28.40 Information Systems 1 16.0 45.20 1310 58.30 T�ttplEedc;pres 37 '>965 FedEx Ground Shipment Summary FedEx Ground miscellaneous Charges dtmp Ast ex E1Eher Elan Ch tote u :pee t+ r� o tier Weekly Service Chg 04/04 12.00 12.00 ta#allredE >i'ititlld Total This Invoice USD $98.70 27829 212 I Kin kda^° Office and Print Center 530 E Carmel D[ CARNEL, IN 46032 Location: NI7K D8YiCu ID: NIZK-PD3l Employee: 1799633 Transaction: 450088317278 EXPRESS SAVER 863838917984 7.75 lb (3) Q15.29 1 13h1pN8nt 8UhtOtdl: $15.28 Total Due: $15.29 F8dEX Account: $15.29 ****4:307O U Height antemd mumul)v S koioht read from xcu|o l |oxablo item 'Subject to additional charges, See FedEx 3owice Guide at fedex.can fur det i|x. AU merchandise oa|es [inai YiS1t US Or call |.BOO.GOFRd[x 1.800.483.3358 April 2 2008 2:16:17 PM I SCH11 FadEm, USAirbill 8638 3891 7984 0 21 5 tt Express Number ID No. h/ 1 From Reesepretidpresshard. 4a Express Package Service Packages up to 150 lbs. Sender'sFedEx 1062 2307 -6 FedEx!noriry F-1 FedEx Standard Overnight FedEx First Overnight Date 0 bL -0 C/ Account Number Next bus nose mornng.• Friday Nedbusineasaflemoon.• Eadiest neds business mommg shipments Wil be delivered on Monday Saturday Delivery NOT available. delivery ms elect locations.• unless SATURDAY Defy is selected. Saturday Delivery NOT available. Sender's FedEx FedEx2Day kf Exp ress Saver Name g v Phone( I E:] Second 2 x day.'Thu Thursday J Thidbus neasday. shipmems will he delivered on Monday Saturday Delivery NOT available. t_ uNass SATURDAY Delivery is selected. CITY OF CARMEL �Cj Fed& Envelope rate net available. Minimumcharge:One- poundrete. __j •Tomwtlocadms. Company ]r/' V'C. &6(, Q Express Freight Service Packages over 15olbs. FedEx1 ay Freight* FedEx2DayFre ht FedEx May Freight N ties, shipmems willb delive on Monday E] shipmems vdll be delrverdo Monday Seturday0elivery NOTavail.W. Address 1 CIVIC SQ Call or unles SATURD Delivery is selected. unless SATURDAY Delivery is selected. »To amat laceewn De".r/Sube/Rmm 5 Packaging i City CARMEL State IN zip 46032 -2584 E] FeclEx E] FedExPak* FedEx E] FeaEx Other Envelope* ncludesFed &SmallPek Box Tube Fed& large Pak and Fed& Sturdy Pak Declared value limhff0o. 2 Your Internal Billing Reference O P T I O N A L Frst24 characters, will appear on onvaice. tl Special Handling F Include FeclEx address in Section 3. 3 SATURDAY Delivery HOLD Weekday HOLD SaWrday 9 NOf Available for El at FedEx Location El at FedEx Location Recipients Fed Ex Standardovemighl. NOTAvailablefor Available ONLY for Name t/ 41 �QOr ds Phone I FedExFm wemi gght,FedEx &press Fed &First Overnight Fed& Privity Ovemigto and Sever, or Fed& 30ay Freight Fed&2Daytu selectkcadom ter Does this shipmem comain datlgemm gtwds7 Company s V V� 40 No [I D y D Ice y 0.s e per nached SIUDPefs Declardon r 9, UN 1845 x kg shippers Declaretion. .otregmred. ❑Cargo Aircraft Only Recipients ii44 L A ID oange du goodslincludi ba sh ppd nFad &packagi g. Address P' 7 Payment Bul to: r FedEx MG No. w Credit Card No. heroes. We cannot deliver to P.O. boxes or P.O. ZIP codes. DeptOOr /SurWRoom /R Sender L] Recipient Third Parry ❑Credit Card E] Cash/ eck Acct N o m Section Address Iwalhebined. To request a package be held at a specific Fed& location, prim Fad& address here. t Fed &Acct No Exp. Credit Card No. Data city I' G State ZIP 3� I Total Pares Total fight Total Declared Valuet $__02 0374679956 tour BabOihyagmbadw SIODunlessyoudeclareehighervalue. See back for details. By using disAirallyousgree mthe service conditions on the back of this Airbill and in the cunem Fed& Service Guide, including ternesdmt Nni[our liability. 8 Residential Delivery Signature Options Ifyou require a signature, check Direct or Indirect Find drop- I ®�'0�1�0�n$ SILL 11�1P:x.Qo� Re N Tie ui9ed�re OirectSignature IndirectSi�natuw Someoneture; penis fno onerseve bleat Sim li our shi 8flna a our account. Access all the tools ou need. PacNQagemeyblen ddreaamayvgnmr atcpamsaddreaasomeana 519 PfYY P9• 9 Y Y wmamabmmmga delivery haepp lea aM ghhonng eddmssmay signaturefor daliverv. sign fdrdelrvery. fseeyplies Rev. Date 1orp6•Part 1158779 -ZIIM -2006 FedEx•PRINTED IN U.SA.•SRS i s And Conditionsa' ns On this Airbill, "we," "our," "us," and "FedEx" We won't be liable: Filing A Claim YOU MUST MAKE ALL CLAIMS IN deral Express Corporation, its employees, and agents. for your acts or omissions; including but not limited to WRITING and notify us of your claim within strict time limits "your" refer to the sender, its employees, and agents. improper or insufficient packing, securing, marking, or set out in the current FedEx Service Guide. gr ntTo Terms By giving us your package to deliver, addressing, or those of the recipient or anyone else with You may call our Customer Service department at 9 0 to all the terms on this Airbill and in the current an interest in the package. 1.800.GoFedEx 1.800.463.3339 to report a claim; however, n ivice Guide, which is available upon request. You if you or the recipient violates any of the terms of you must still file a timely written claim. We aren't obligated Z e to those terms on behalf of any third party with an our Agreement. to act on any claim.dntilly'do have paid all.transportation ce h the package. If there is a conflict between the charges, and you may not deduct the amount of your claim t+ry edEx Service Guide and this Airbill, the current FedEx for loss of or damage to shipments of prohibited items. from those charges. Z uide will control. No one is authorized to change for loss, damage, or delay caused by events we cannot If the recipient accepts your without noting any `of our Agreement. control, including but not limited to acts of God, perils of damage on the delivery record, we will assume the package ibili Co the conditions, acts of public enemies, ty For Pac 9� 9 And P letin 9 Airbill e air, weather w was delivered in good condition. For us to process.�your,claim, c sponsible for adequately packaging your goods and strikes, civil commotioips; pt acts of prtlilid•authoritiesn you must make the original shipping cartons and packing 9 Ilin outthis Airbill. If you omitthe number of with actual or apparent authority. g y available for inspection. a° and /or weight per package, our billing will be based Declared Value Limits Right To Inspect We may, at our option, open and inspect A estimate of the number of packages we received The hi g hest declared value allowed for a FedEx Envelo p or your packages before or after you give them to us to deliver. 'dh estimated "default" weight per package as FedEx Pak shipment is $500. Rig ht reject a by T d by us. 9 ht Ot Rej ection We reserve the right to re 1 u For Payment Even'rfyou give us different For other shipments, the highest declared value allowed is shipment when such shipment would be likely to pause X $50,000 unless your package contains items of extraordinary delay or damage to other shipments, equipment, 6 sVuctions, you will always be primarily responsible for value, in which case the highest declared value allowed personnel; or if the shipment is prohibited by law; or if the lde y costs, as well as any cost we incur in either return ing is $500. i` shipment would violate any terms of our Airbill orthe current o ge to you orwarehousing it pending disposition. Items of extraordinary value include shipments containing FedEx Service Guide. m ins On Our Liability And Liabilities such items as artwork, jewelry, furs, precious-metals, nego- C.O.D. Services -C.O.D. SERVICE IS NOT AVAILABLE WITH a imed tiable instruments, and other items listed in the current FedEx THIS AIRBILL. If C.O.D. Service is required, please use a FedEx Qu lity in connection with this shipment is limited to the Service Guide. C.O.D. Airbill. your actual damages or$100, unless you declare a c, pay an additional charge, and document your °You may send more than one package on this Airbill and fill Air Transportation Tax Included A federal excise lue o lu a timely manner. You may pay o additional in the total declared value for all packages, not to exceed tax when required by the Internal Revenue Code on the air i the $100, $500, or $50,000 per package limit described above., transportation portion of this service, if any, is paid by us. ha or each additional $100 of declared value. The c value does not constitute, nor do we provide, cargo (Example: 5 packages can have a total declared value of up Money -Back Guarantee In the event of untimely delivery, to $250,000.) In that case, our liability is limited to the actual x surance. FedEx will, at your request and with some limitations, refund Z value of the package(s) lost or,damaggd „�ut.may not exceed or credit all transportation charges. See the current FedEx m ent, we will not be liable for any damage, whether the maximum allowabletleclared valbelsleFtHetotal declared Service Guide for more information. ire o idental, special, or conseq uential, in excess of the value, whichever is less. You are responsible for proving the o value of a shipment, whether or not FedEx had actual loss or damage. e that such damages mightbe incurred, including ited to loss of income or profits. Pan „19,Re, Prescribed by State Board of Accopnts 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 Purchase Order No. Terms Date Due Invoice Invoice Description Amount Date Number (or note attached invoice(s) or bill(s)) 9 -08 -�3b -yea Total d S" Vo 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. o 93o o0 ALLOWED 20 1-b EX IN SUM OF p oi c)y PAPA i /NJ 6009y- ys 15 Va ON ACCOUNT OF APPROPRIATION FOR Board Members PO# or INVOICE NO. ACCT #/TITLE AMOUNT DEPT. 0 I hereby certify that the attached invoice(s), or f�5 �l0 3C� Y�o� 7 7 0�0, Vo 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 y 20 63 .Sig ure Cost distribution ledger classification if Title claim paid motor vehicle highway fund