157921 04/01/2008 CITY OF CARMEL, INDIANA VENDOR: 093000 Page 1 of 1
ONE CIVIC SQUARE FEDEX
CARMEL, INDIANA 46032 Po Box 94515 CHECK AMOUNT: $22.93
PALATINE IL 60094 -4515 CHECK NUMBER: 157921
CHECK DATE: 411/2008
DEPARTMEN ACCOU PO N I N UMBE R AMOUNT DES
1205 4342100 2 -610 -84926 22.93 POSTAGE
I
f
Invoice Number Invoice Date
1 of
FedEx TaxID: 71- 0427007
Billing Address: Shipping Address:
CITY OF CARMEUMAYOR'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 -F7 -6 (CST)
Fax: (800) 548 -3020
Invoice Summary Mar 26, 2008 Internet: www.fedex.com
FedEx Express Services
Transportation Charges 15.35
Special Handling Charges 7.58
Total Charges USD $22.93
TOTAL THIS INVOICE USD $22.93
Other discounts may apply.
ti
Invoice Number Invoice D E Account Number Page
2- 610 -84926 M a r 26, 2008 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
it q
<a Phone WWW I I I I I I I I I Fax I
V
E -mail Address Yes, I wantto update a c count contact with the above information.
Tracking Number Bill to Account Amount
IIIIIIIIIIIIIIII IIIIIIIIII IIIIII
1111111111111111 IIIIIIIIII IIIIII
IIIIIIIIIIIIIIII IIIIIIIIII IIIIII
I
1 IIIIIIIIIIIIIIII IIIIIIIIII IIIIII
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 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
IIIIIIIIIIIIIIIIIIIIIIIIII •W IIII WWWXI X IIII
<i<
IIIIIIIIIIIIIIIIIIIIIIIIII IIIIIIII X IIII
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 W I I I I WWWX I I I I I I I
IIIIIIIIIIIIIIIIIIIIIIIIII •W IIII
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 II I I I I I I X
m
11 Invoice Number Invoice Da te
4of4
FedEx Express Shipment Detail By Reference (Original)
R €cked irp Mar 1Q48; Cost: R1f# N( fi�RE4 �tFf)]3111fA f�i Ref2
Payer ;h1Pp.eT.;;;::.
Re€ #3
Fuel Surcharge FedEx has applied a fuel surcharge of 18.50% to this shipment.
Distance Based Pricing, Zone 2
Automation INET Sender Recipient
Tracking ID 799820896176 Shelly Lingelbaugh Lynn Peppler
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 1
Rated Weight N/A
Delivered Mar 19, 2008 09:57 Transportation Charge 15.35
Svc Area A2 Fuel Surcharge 3.58
Signed by S.MAYOL Courier Pickup Charge 4.00
FedEx Use 000000000 /0000186/_ Total Charge USD $22.93
NO REFERENCE INFORMATION Reference Subtotal USD $22.93
Total FedEx Express USD $22.93
F 1 1
Invoice Number Invoice Date
3 of 4
FedEx Express Shipment Summary By Reference
FedEx Express Shipments_ (Original)
RitC
>d.::
W.6ight Transpvrtat�on Fan l in ie hglTai�
liel r k e St i me s.: ::....:Ibs Charges:;....:: f harg�s r� [ftslOther isca rats ;7�t I C1►arg�s
NO REFERENCE INFORMATION 1 15.35 7.58 22.93
ota� EC dEx rQSS 1.::.:;: $7 8 $22:93:
Total This Invoice USD $22.93
19980 2/2
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
Fed Ex Purchase Order No.
Terms
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
0 3 2Z_ 6 10% el f--U 1 U-01*7'26 %elvernigi it check to BAS 522.93
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.
03/31 /08
FedEx ALLOWED 20
IN SUM OF
P.Q. Box 94515
Palatine, IL 60094 -4515
$22.93
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
9 1310-849265- 4:21 !Z f2 0 93 materials or services itemized thereon for
which charge is made were ordered and
received except
20
U
�Y� cam✓ 1 l r �LYt2s
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund
I