178685 10/28/2009 CITY OF CARMEL, INDIANA VENDOR: 093000 Page 1 of 1
ONE CIVIC SQUARE FEDEX
s CHECK AMOUNT: $153.68
CARMEL, INDIANA 46032 PO BOX 94515
PALATINE IL 60094 -4515 CHECK NUMBER: 978685
CHECK DATE: 10/2812009
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1202 4342100 9 -317 -15602 X0.25 POSTAGE
1202 4342100 9 -324 -75585 X5.93 POSTAGE
1202 4342100 9- 340 -64381 X56.66 POSTAGE
1202 4342100 9- 348 -29537 z 27.35 POSTAGE
2200 4342100 9- 364 -15793 X3.49 POSTAGE
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Invoice Number Invoice Date
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Fe d Ex Tax I D: 71- 0427007
Billing Address: Shipping Address:
CITY OF CARMEUMAYOR'S OFC CITY OF CARMEL
JENNY CHASTAIN 1 CIVIC SG
1 CIVIC S0 CARMEL IN 46032 -2584 ContactFedEx Revenue Services
CARMEL IN 46032 -2584 Phone: (800) 622 -1147 M -Sa 7 -6 (CST)
Fax: (800) 548 -3020
Invoice Summary Sep 23, 2009 Internet: www.fedex.com
FedEx Express Services
Transportation Charges 17.30
Special Handling Charges 26.36
Total Charges USD $43.66
FedEx Ground Services
Other Handling Charges 13.00
Total Charges USD $13.00
TOTAL THIS INVOICE USD $56.66
Other discounts may apply.
F edE r x. I Invoice Number Invoice Date
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.
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FedEx Ground Shipment Summary By Reference
FedEx Ground Sh-ipTe�n.ts.(,Olri�g.iln.a.l.)�'...-��
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Invoice Number Invoice Date
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FedEx Ground Shipment Detail By Reference (Original)
f'i0wo Rafe a 18 Cust Ref 11 m 1or1 SyS sr p a 1. Fgr Shipper dept#
Tracking ID 161 629310000137 Sender Recipient Transportation Charge 5.97
Service Type Direct Sign, Ppd CITY OF CARMEL REPAIR DEPARTMENT Delivery Area -Comm 1.60
Zone 03 1 CIVIC So MUNDO CORPORATION Fuel Surcharge 0.28
Packages 1 CARMEL IN 46032 -2584 955 PINE OR Declared Value 6.50
Actual Weight 7.8lbs DANDRIDGE TN 37725 464155 Total Charge USD 51435
Rated Weight 81bs
Declared Value USD 1,000.00
Delivered Sep 22, 2009
Information Systems Reference Subtotal USD $14.35
FedEx Ground Miscellaneous Charges USD $13.00
(see summary section)
Total FedEx Ground USD $27.35
FedEx I Invoice Number Invoice D t
3 of 4
FedEx Express Shipment Summary By Reference
FedEx Express Shipments (Original)
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FedEx Ground Shipment Summary
FedEx Ground Miscellaneous Charges
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Weekly Service Chg 09118 1100 13.00
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Total This Invoice USD $56:66
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FInvoice Number invoice invoice Date
4 of 4
FedEx Express Shipment Detail By Reference (Original)
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Fuel Surcharge FedEx has applied a fuel surcharge of 5.50% to this shipment.
Distance Based Pricing, Zone 3
Automation INET Sender Recipient
Tracking ID 796941512339 Pamela Griffiths RMA#0903SR3871
Service Type FedEx 2Day CITY OF CARMEL Mundo Corporation
Package Type Customer Packaging One Civic Square Repair Department
Zone 03 CARMEL IN 46032 US DANDRIDGE TN 37725 US
Packages I
Rated Weight 11.0 lbs, 5.0 kgs Transportation Charge 17.30
Declared Value USD 3,000.00 Delivery Area Surcharge-Commercial 160
Delivered Sep 17, 2009 Direct Signature 0.00
Svc Area PM Declared Value Charge 19.50
Signed by M_KFLLY Fuel Surcharge 1.26
FedEx Use 000000000/0006002L Courier Pickup Charge 4.00
Total Charge USD SUM
Information Systems Reference Subtotal USD $43.66
Total FedEx Express USD $43.66
FedEx Ground Miscellaneous Charges USD $13.00
(see summary section)
Total FedEx Ground USD $13.00
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F ecEx- Invoice Number Invoice Date
1 of 4
FedEx Tax ID: 71- 0427007
Billing Address: Shipping Address:
CITY OF CARMEUMAYOR'S OFC CITY,DF CARMEL
JENNY CHASTAIN 1 CIVIC SO.
1 CIVIC SQ CARMEL IN 46032 -2584 Invoice Questions?
Contact FedEx Revenue Services
CARMEL IN 46032 -2584 Phone: (800) 622 -1147 M -Sa 7 -6 (CST)
Fax: {800) 548 -3020
Invoice Summary Sep 30, 2009 Internet: www.fedex.com
FedEx Ground Services
Transportation Charges 5.97
Other Handling Charges 21.38
Total Charges LISO $27.35
TOTAL THIS INVOICE USD $27.35
Other discounts may apply.
F ed Ex. Invoice Number Invoice Date Account Number Page
9- 348 -29637 Sep 30, 2009 2 of4
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 1 1 I I I I I I I 1 l I I I I I I I Date W/ W W
A
a Phone I I I I I I I I I I I I I Fax I I l l -1 1 1 1 1 1 1 1
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ADR Address Correction INW Incorrect Weight OVS Oversize Surcharge For all Service failures or other
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e IAN Invalid Acct OCF Gird Pick -up Fee PND Pwrshp Not Delivered site www.fedex.com or call
OCS Exp Pick -up Fee SDR Sa turday Delivery (800) 622 -1147
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1 of 4
FedEx Tax ID: 71- 0427007
Billing Address: Shipping Address:
CITY OF CARMEL/MAYOR'S OFC CITY OF CARMEL
JENNY CHASTAIN 1 CIVIC SQ Invoice Questions?
1 CIVIC SG CARMEL IN 46032 -2584 Contact FedEx Revenue Services
CARMEL IN 46032 -2584 Phone: 1800► 622 -1147 M -Sa 7 -6 (CST)
Fax: (800) 548 -3020
Invoice Summary Sep 02, 2009 Internet: www.fedex.com
FedEx Ground Services
Other Handling Charges 13.25
Return Surcharges 7.00
Total Charges USD 25
TOTAL THIS INVOICE USD $20.
Other discounts may apply.
�BdEc Invoice Number invoice Date Account Number Page
9 -317 -15602 Sep 02, 2009 2of4
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 l l l l l f l l l l l l l l l l l l l l l l l l l l l Date W/ W WW
4
Phone I I I_( I I I WWW Fax
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a IAN Invalid Acct OCF Gird Pick -up Fee PND Pwrshp Not Delivered site wwwJedex.com or call
OCS Exp Pick -up Fee SDR Saturday Delivery (800) 622 -1147
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<G Tracking Number Code Amount LBS L W H
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 WLWI LWWJ x LWW x LWJW
I I I I I I I I V I I I I_ I I I I _I I I I I I I I W I -WWJ L1 --L-1 x I I I I x I
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F edEx. Invoice Number Invoice Date
3of4
FedEx Ground Shipment Summary
FedEx Ground Miscellaneous Charges
E outer dandling Ref E;€rglTax
[3aEe. 1 uaitfity .1........ P Code.......::.#urges othe Tatal.0 a es.',
Manual Call Tag 08j27 1 7.00 7.00
Fuel Surcharge 08127 0.25 0.25
Weekly Service Chg 08/28 13.00 13.00
Tot;feExGrvatrd €35...:. $3, $Zfl5
Total This Invoice USD $20.25
013683 212
FedE I Invoice Number Invoice Date
4 of 4
FedEx Ground Miscellaneous Charges USD $20.25
(see summary section)
Total FedEx Ground USD $20.25
Fed x. 2
Invoice Number Invoice Date
1 of 4
FedEx Tax ID: 71- 0427007
Billing Address: Shipping Address:
CITY OF CARMEUMAYOR'S OFC CITY OF CARMEL
JENNY CHASTAIN 1 CIVIC SQ
1 CIVIC SO CARMEL IN 46032 -2584 Contact Questions)
Contact FedEx Revenue Services
CARMEL IN 46032 -2584 Phone: (800) 622 -1147 M -Sa 7 -6 (CST)
Fax: (800) 548 -3020
Invoice Summary Sep 09 2009 Internet: www.fedox.com
FedEx Ground Services
Transportation Charges 5.97
Other Handling Charges 9.96
Total Charges USD $15.93
TOTAL THIS INVOICE USD $15.93
Other discounts may apply.
9- g-y -n 9
F eclEx I Invoice Number Invoice Date F Account Number page
9-324-75585 Sep 09, 2009 2 of 4
Adjustment Request
Fax to (800) 548-3020
Use this form to fax requests for adjustments due to the reasons indicated below. Bequests 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.
4..
Requestor Name I I I Bate l I I I 1 1/1 1 1
Phone Fax# i
E
-mail Address
OYes, lwantto update account contactwith the above information.
Tracking Number Bill to Account Amount
X.
J_ I I I
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DR l Service failures or other
C
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DVC Declared Value INS Incorrect Service RSU Residential Delivery surcharges please use our web
d IAN Invalid Acct OCF Grd Pick-up Fee PND Pwrshp Not Delivered site www.fedex.com or call
e
Exp Pick-up Fee SDR Sa turday Delivery
OCS
(800) 622 -1147
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G. Tracking Number Code Amount LBS L W H
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FedEx Ground Shipment Detail By Reference fOriginal)
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Replacement barcode package number assigned to your account.
Tracking 10 997 037900303563 Sende Recipient Transportation Charge 5-91
Zone 03 CITY OF CARMEL I civic SO Declared Value 9.75
Packages 1 1 civic SO CARMEL IN 46032-258401 Fuel Surcharge 0.21
Actual Weight 7.6 lbs CARMEL IN 46032-2594 Call Tag 0-00
Rated Weight 8 lbs Total Charge USD $15.93
Declared Value USD 1,500.00
Delivered Sep 01, 2009
NO REFERENCE INFORMATION Reference Subtotal USD $15.93
Total,.FedEx Ground USD $15.93
F e c E x I Invoice Number Invoice Date Account Number Page
1 9-324-75585 Sep 09, 2009 3 of 4
FedEx Ground Shipment Summary By Reference
FedEx Ground Shipments (Original)
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NO REFERENCE INFORMATION 1 8 5.97 9.96 15.93
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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
fio c\c Purchase Order No.
Terms
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
-3 z4 )S.
v
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 NO. 0 2I WARRANT NO.
ALLOWED 20
IN SUM OF
ON ACCOUNT OF APPROPRIATION FOR
Board Members
Po# or INVOICE NO. ACCT #/TITLE AMOUNT
DEPT. I hereby certify that the attached invoice(s), or
Z' 2 6 L 2,L 4Z SI A bill(s) is (are) true and correct and that the
1Zoa, 3� sc�s� qZi 2?- 3S materials or services itemized thereon for
77 DZ -317- r5? 2 �Zl 2� Z5 which charge is made were ordered and
qZi IS-53 received except
20
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Cost distribution ledger classification if Title
claim paid motor vehicle highway fund
I
F edEx Invoice Number Invoice Date Account Number Page
9- 364 -15793 Oct 14, 2009 1 1 of
FedEx Tax 10: 71- 0427007
Billing Address: Shipping Address:
CARMEL CITY- ENGINEERING DPT CARMEL CITY- ENGINEERING DPT
JUDY STOHLER 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 -Sa 7 -6 (CST)
Fax: (800) 548 -3020
Invoice Summary Oct 14, 2009 Internet: www.fedex.com
FedEx Express Services FedEx News!
Transportation Charges 31.15 FedEx International Wine Shipping to Canada THE
Special Handling Charges 2.34 WORLD IS YOUR VINEYARD Now licensed entities can
Total Charges USD $33.49 ship wine to businesses and consumers in Canada, with
TOTAL THIS INVOICE US0 x,49 the FedEx@ international wine shipping program. FedEx
has been handling the wine industry's
business -to- business and business -to- consumer U.S.
Other discounts may apply. delivery needs for nearly 20 years. Now, you can get
that same time definite service, reliability and expertise
for shipping wine directly to international consumers in
Alberta, British Columbia and Ontario, Canada. Visit
fedex.com /wineshipping to learn more.
Invoice Number Invoice Date
1 01 1
Adjustment Request
Fax to (800) 5 -302
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.
U Requestor Name I I III L111 IlDateIll/ W
a Phone 1 1 1 1 1 1 1 1 1 1 1 1 1 Fax I 11 I 1 1 1 1 1 1 1 1 1
<>€i E -mail Address Dyes, I wantto update account contactwith the above information.
Tracking Number Bill to Account Amount
e l 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 I I I I I I I I I I I_ l l I I W
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ADR Address Correction INW Incorrect Weight OVS Oversize Surcharge For all Service failures or other
C DVC Declared Valve INS Incorrect Service RSU Residential Delivery surcharges please use our web
a IAN Invalid Acct OCF Ord Pick -up Fee PND Pwrshp Not Delivered site www.fedex.com or call
OCS Exp Pick -up Fee SDR Saturday Delivery 1800) 622 -1147
Rerate information only (round to nearest inch)
C' Tracking Number Code Amount LBS L W H
I I I k I I I I I I I I I I! I I I I 1 l I I I I I I I I IWWlWWxI x I 1 I I
s rs: I__1. I _1 I I I I I I I I I I I 1 I I I I I I I I I I W WWWWWW I I I 1 1 1
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Fedgl I Invoice Number Invoice ba�te F Num=ber Page
1 9-364-15793 Oct 14, 2009 3 of 3
FedEx Express Shipment B (Original)
Fuel Surcharge Fed Exh as applied a fuel surch a rge of 7.50 to this shipment.
Distance Based Pricing, nmoo
xommmmn uxxo Sen Recipient
l,ocuoo/V mmmomomo DEPT VFLAW xATn|Nunx*ARV/mm
Service Type [oom Priority Overnight CAHM[LC!TY Emn|mceNmGVpT LAWGERS TITLE INSURANCE cncnm
Package Type Fed u'Box l civic SO. 1mo WILSHIRE oKsTcx/o
7nov m C«RM[L|wvom/'mn4VS TROY M|4omw ox
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Declared Value USD 100.00
ooU,vmo Oct oo'zmmoo:*« Transportation Charge 31-15
Svc Area 42 Fuel Surcharge zm
Signed by T.omwnS Declared Value Charge o
poumum 0281 14191/0001508L Total Charge uan S33.49
Shipper Subtotal USD $33.49
Total FedEx Express USD $33.49
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.
FedEx Kinko's Payee
Customer Administrative Services
Purchase Order No.
PO Box 672085 Terms
Dallas, TX 75267 -2085 Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
936415793
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 NO. WARRANT NO.
_FedEz. Kinko's r
ALLOWED 20
Customer Administrative Services IN SUM OF
P O Box 672085
Dallas, TX 75267 -2085
$33.49
ON ACCOUNT OF APPROPRIATION FOR
Department of Engineering
Board Members
PO# or INVOICE NO. ACCT #/TITLE AMOUNT
DEPT. N I hereby certify that the attached invoice(s), or
n a bill(s) is (are) true and correct and that the
I nv.
materials or services itemized thereon for
which charge is made were ordered and
received except
yak'za 20
Signature
C� F r• o:
Title
Cost distribution ledger classification it
claim paid motor vehicle highway fund