156163 02/06/2008 CITY OF CARMEL, INDIANA VENDOR: 093000 Page 1 of 1
ONE CIVIC SQUARE FEDEX
CARMEL, INDIANA 46032 PO BOX 94515 CHECK AMOUNT: $19.16
�o
PALATINE IL 60094 -4515 CHECK NUMBER: 156163
CHECK DATE: 216/2008
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
i
1160 4342100 1062 2307 -6 19.16 POSTAGE
i
1
r
�a f
i
,R
Invoice Number Invoice Date Account Number Page
2- 371 -96493 Nov 14, 2007 1062- 2307 -6 1 of 4
FINAL DEMAND FedEx Tax ID: 71- 0427007
Billing Address: Shipping Address:
CITY OF CARMEUMAYOR'S OFC CITY OF CARMEL
MAYOR'S OFC 1 CIVIC SO, Invoice Questions?
1 CIVIC SG CARMEL IN 46032 -2584 Contact FedEx Revenue Services
CARMEL IN 46032 -2584 Phone: (800) 622 -1147 M -F7 -6 (CST)
Fax: (800) 548 -3020
Invoice Summary Nov 14, 2007 Internet: www.fedex.com
FedEx Express Services
Transportation Charges 12.45
Special Handling Charges 6.71
Total Charges USD $19.16
TOTAL THIS INVOICE USD $19.16
Other discounts may apply.
Your Account is Past Due. Date of Notice: Jan 21, 2008. To prevent
further action, please remit your payment immediately. If payment has
been made, please disregard this notice.
I
F e c FE x I Invoice Number Invoice Date Account Number Page
2- 371 -96493 Nov 14, 2007 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 l I I I I I I I I I I I f I I I I I( I I I I I I I I Date W W/ W
4
t
a. Phone I I I I I I I I I I I I I Fax I I I
E -mail Address Yes, I wantto update account contactwith the above information.
Tracking Number Bill to Account Amount
<e< IIIIIIIIIIIIIIII Ilflfllfll IIIII!
IIIIIIIIIIIIIIIJ IIIIIIIIII IIIIII
IIIIIIIIIIIIIIII IIIIIIIIII IIIIII
(IIIIIIIIIIIIIII IIIIIIIIII IIIIII
S IIIIIIIIIIIIIIII IIIIIIIIII IIIIII
C
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.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<
e 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 LWWJ W1WJ x LWU x I
d;
I I I I I I I I I I I W W-1W- 1x I I I xW1WW
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 W WWW I I I xWWWx I I I I
IIIIIIIIIIIIIIIIIIIIIIIIII IIIIIIII X III
LWULWJxI X
Fed Z, x Invoice Number Invoice Date Account Number Page
2- 371 -96493 Nov 14, 2007 1062- 2307 -6 3 of 4
FedEx Express Shipment Summary By Reference
FedEx Express Shipments (Original)
Raters
ertaEron:»:: >:f#aridiin' -..R i.Ch
:Wei t;;:.;;Traris
I P
>::::Ghar a ::<:::redtts
Other. >:�QCaerrts::::: >::nta rs
i merttss:::::: bs:.;: ::.::.::.:::.::Mmes _.f...........................
ltetece f!:::.:::::::::::::::::::: ........................R......
Stop Loss 1 12.45 6.71 19.16
91�a
Total This Invoice USD $19.16
i
16953 2/2
e d' Ek. Invoice Number Invoice D F Pa
2-371-96493 Nov 14, 2007 1062-2307-6 4 of 4
FedEx Express Shipment Detail By Reference (Original)
Distance Based rricmozonez
T amount due shown on the remittance advice reflects the invoice balance due and includes onl those items still outstandin Any payment which could uo applied mospecific
shipment has been credited to the appropriate activit summary enclosed. Payments and/or adjustments that could not be applied to a specific shipment have been credited against the
total amount due on this invoice.
Automation |mET Sen Recipient
Tracking ID 790374909617 Sxonvuoo"movoh 4nopovvm
Service Type FvoEx Standard Overnight City v|Carmel Benefit Administrative Systems
Package Type FvoEx[n,o|vno One Civic Square 17475 Jv,00000,ivo
Zvo, ox cxnMsL|w*omzUx xoMomnoo|Lo043oUn
Pa^xu«"` I
Rated Weight mm
Dmivo,00 Nov o6,zomoo:ol Transportation Charge 12.45
Svc Area »u Fuel Surcharge 2.71
Signed by s.MxYEL Courier Pickup Charge 400
Foosxom 000000000m000200— Total Charge umo omx*
Stop Loss Reference Subtotal USD $19.16
Total FedEx Express USD $19.16
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
�X Purchase Order No.
T.0 )vox C 1L- S VIS 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.
ALLOWED 20
G�X IN SUM OF
a\ a N r-, Q L- 6CC)PA 'f H i 5
ON ACCOUNT OF APPROPRIATION FOR
Board Members
PO# or INVOICE NO. ACCT #!TITLE AMOUNT
DEPT. I hereby certify that the attached invoice(s), or
lOb2-230 -i- 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
Signatur
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund