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ONE CIVIC SQUARE FEDEX- SHIPPING CHARGES CHECK AMOUNT: $29.84
CARMEL, INDIANA 46032 PO BOX 94515
PALATINE IL 600944515 CHECK NUMBER: 200849
CHECK DATE: 8/30/2011
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1110 4342100 7- 597 -81911 29.84 POSTAGE
20 F
Invoice Number Invoice Date
Billing Address: Shipping Address:
CARMEL COMMUNICATIONS CARMEL COMMUNICATIONS
31 1 STAVE NW 31 1 STAVE NW Invoice Questions?
CARMEL IN 46032 -1715 CARMEL IN 46032 -1715 Contact FedEx Revenue Services
Phone: (800) 622 -1147 M -Sa 7 -6 (CST)
Fax: (800) 548 -3D20
Invoice Summary Aug 17, 2011 Internet: www.fedex.com
FedEx Express Services Important Service Message:
Transportation Charges 21.95 Choose FedEx Billing Online Plus to receive and pay
Special Handling Charges 7.89 your invoices online. Register by Sept. 15, 2011, and be
Total Charges USO $29.84 entered for a chance to win a trip for two to the Costa
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Invoice Number Invoice Date Account Number Page
7- 597 -81911 Aug 17 2011 2 of 3
Adjustment Request
Fax to (800) 548 -3020
Use this form to fax requests for adjustments due to the reasons indicated below. Requests for adjustments
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Requestor Name I I I I I I I___ 1 1 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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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)
C. Tracking Number Code S Amount LBS L W R
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Invoice Number Invoice Date Account Number Page
7- 597 -81911 Aug 17 2011 3 of 3
FedEx Express Shipment Detail By Payor Type (Original)
Plckedup Aug11 2111 Gust Ref. N0 RE.F�RENC'E I1�FORkUTATIQN Ref #Z
Payor: Recfplerlt Ref #3:
Fuel Surcharge FedEx has applied a fuel surcharge of 15.00% to this shipment
Distance Based Pricing, Zane 2
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 of4.01bs, 12'x 9'x 6', divided by 166.
Automation USAB Sender Recipient
Tracking ID 854106575830 CHICAGO POLICE DEPT UNITED ER OF MICHAEL PITMAN
Service Type FedEx Standard Overnight 3510 S MICHIGAN AVE CARMEL POLICE DEPT
Package Type Customer Packaging CHICAGO IL 60653 US 3 CIVIC SO
Zone 02 CARMEL IN 46032 US
Packages 1
Actual Weight 3.0Ibs, 1.4 kgs
Hated Weight 4 -0lbs, 1.8 kgs
Delivered Aug 12, 2011 13.54 Transportation Charge 21.95
Svc Area A2 Courier Pickup Charge 4.00
Signed by M.DDAN Fuel Surcharge 3.89
FedEx Use 022417163/0001283 Total Charge USD 529.84
Recipient Subtotal USD $29.84
Total FedEx Express USD $29.84
1228- 01 -00- 0025608 0001 006293E
VOUCHER NO. WARRANT NO.
ALLOWED 20
FedEx
IN SUM OF
P.O. Box 94515
Palatine, IL 60094 -4515
$29.84
ON ACCOUNT OF APPROPRIATION FOR
Carmel Police Department
PO# Dept. INVOICE NO. ACCT /TITLE AMOUNT Board Members
1110 I 7- 597 -81911 I 43-421-00 I $29.84 1 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
Thursday, August 25, 2011
Chief of Police
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund
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
Purchase Order No.
Terms
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
08/17/11 7- 597 -81911 payment for shipping charges $29.84
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