175665 08/06/2009 CITY OF CARMEL, INDIANA VENDOR: 093000 Page 1 of 1
ONE CIVIC SQUARE FEDEX
CARMEL, INDIANA 46032 PO BOX 94515 CHECK AMOUNT: $3fi.21
PALATINE IL 60094 -4515 CHECK NUMBER: 175686
CHECK DATE: 81612009
DEPARTMENT AC COUNT PO N UMBE R INVOICE NUMBER AMOU DESCRIPTION�
1202 4342100 T 9- 262 -04297 13.20 POSTAGE
1160 4342100 9- 270 -24812 23.01 POSTAGE
RME Invoice Number Invoice Date
1 of4
FedEx Tax ID: 71- 0427007
Billing Address: Shipping Address:
CITY OF CARMEUMAYOR'S OFC CITY OF CARMEL
JENNY CHASTAIN 1 CIVIC SG
1 CIVIC SG 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 Jul 22.2009 Internet: www.fedex.com
FedEx Express Services
Transportation Charges 20.05
Special Handling Charges 2.96
Total Charges USO $23.01
TOTAL THIS INVOICE USO $23.01
Other discounts may apply.
z Invoice Number Invoice Date Account Number Pa9e
9 -270 -24812 J ul 22, 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. 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 complete all fields in black ink.
Re uestor Name I I I I I I I I I I I J I I I I _1 I I I I I I I I I I I (date W W W
a' Phone I I I WWW I_ l I I I Fax
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E-mail Address DYes, I wantto update account contactwith the above information.
Tracking Number Bill to Account Amount
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ADR Address Correction INW Incorrect Weight OVS Oversize Surcharge For all Service failures or other
a DVC Declared Value INS Incorrect Service RSU Residential Delivery surcharges please use our web
a IAN Invalid Acct OCF Grd Pick -up Fee PND Pwrshp Not Delivered site wvvw.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
I I I I 1 1 1 1 1 1 1 1 1 J I I I I l 1 1 1 1 1 1 1 I I I I I II I I I X I I I I X I I I I
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Invoice �umblr I Invoice Date [:
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FedEx Express Shipment Detail By Reference (Original)
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NO FORMATION X2
ef�
V N .-:-:X:-:-:
4-i.r 2!369
T.I..
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Fuel Surcharge FedEx has applied a fuel surcharge of to this shipment.
Distance Based Pricing, Zone 2
Automation USAB Sender Recipient
Tracking ID 856088846349 KIM KAUFFMAN JIM BLAZER
Service Type FedEx Priority Overnight CITY OF CARMEL 333 EAST NORTH BROADWAY
Package Type FedEx Pak I civic SO COLUMBUS OH 43214 US
Zone 02 CARMELIN 46032-2584 US
Packages 1
Rated Weight 2.0 lbs, 0.9 kgs
Delivered Jul IN, 2009 08 Transportation Charge 20.05
Svc Area A2 Fuel Surcharge 0.56
Signed by B.BLAZER Residential Delivery 2.40
FedEx Use 019517275/0001486L Total Charge USD 523.611
NO REFERENCE INFORMATION Reference Subtotal USD $23.01
Total FedEx Express USD $23.01
Invoice Number Invoice Date Account Number Page
9- 270 -24812 J u 122, 2009 3 of 4
FedEx Express Shipment Summary By Reference
FedEx Express Shipments (Original)
Wtght irapnriatron Handt�ag RetCg�lait
Reference S#��pies Ibs _Charges. Gitares Carts /Other Eiscnutrts; 7ut1 Charges
NO REFERENCE INFORMATION 1 2.0 20.05 2.96 23.01
Total This Invoice USD $23.01
Mtn
01866322
Prescribed by Stale Board of Accounts City Form No. 201 (Rev. 1995)
ACCOUNTS PAYABLE VOUCHER
8/3/09 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.
P. 0. Box 94515 Terms
Palatine IL 60094 -4515 Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
7/22/09 9- 270 -24812 Shipping charges $23.01
Total $23.01
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.
8/3/09
ALLOWED 20
Fed EX IN SUM OF
P. 0. Box 94515
Palatine IL 60094 -4515
23.01
ON ACCOUNT OF APPROPRIATION FOR
1160 Mayor 4342100
Postage
Board Members
PO# or INVOICE NO. ACCT #/TITLE AMOUNT
DEPT. n I hereby certify that the attached invoice(s), or
9- 270 -24812 4342100 $23.01 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
P6 20 07
re
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund
3d E x
Invoice Number Invoice Date
1 of
FedEx Tax ID: 71- 0427007
Billing Address: Shipping Address:
CITY OF CARMEUMAYOR'S OFC CITY OF CARMEL
JENNY CHASTAIN 1 CIVIC SG
1 CIVIC SG 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 Jul 15, 2009 Internet: www.fedex.com
FedEx Ground Services
Transportation Charges 6.19
Other Handling Charges 7.01
Total Charges USD $13.20
TOTAL THIS INVOICE USD $13.20
Other discounts may apply.
l7
1
TITS X FT 1 X I 1 F I I I FTl *I I I I I F
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rTT v r F T 1 v fTf r I I I I i i I I r a::
Invoice Number Invoice Date Account Number Page
9- 262 -04297 Jul 15, 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. 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
G. p l ete a ii 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
A. q
i)
a Phone l l l l I I I I l I I I I Fax I
E -mail Address QYes, I wantto update account contact with the above information.
Tracking Number Bill to Account Amount
>8< IIIIIIIIIIIIIIII IIIIIIIIII IIIIII
IIIIIIIIIIIIIIII IIIIIIIIII IIIIII
I I I I I I I I I I I I I I I L� I I I I I I I I I I I I I I W
`1 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
<s> 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 L_ I I I I I W
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
d IAN Invalid Acct OCF Gird Pick -up Fee PND Pwrshp Not Delivered site www.fedex.com or call
O CS Exp Pick -up Fee SDR Saturday Delivery (800) 622 -1147
Rerate information only (round to nearest inch)
C Tracking Number Code $Amount LBS L W H
T
8 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 WWW I I I 1 I I I X 1 I I I
id
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s Invoice Number Invoice Date
3of4
FedEx Ground Shipment Summary By Reference
TedEx Ground Shipments (Original)
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2 Charges Charges
Wine
re 1 .1 t
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Information Systems 1 10 6A9 7.01 13. 20
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TV MR!*
1: Exr, T w
Total This Invoice USD $13.20
013901 2J2
EInvoice Nu mber Invoice Date
4 of 4
FedEx Ground Shipment Detail By Reference (Original)
IDS
Pi Date NJ .:C:
pformabon vst#ms
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1 1
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Pw P. -t
I I I I I I r'. r q I I
Tracking ID 161629310000106 Sender Recipient Transportation Charge 6.19
Service Type Direct Sign, Ppd CITY OF CARMEL REPAIR DEPARTMENT R0630AH376 Fuel Surcharge 0.21
Zone 03 1 civic so MUNDO CORPORATION Declared Value 5.20
Packages 1 CARMEL IN 46032-2584 955 PINE OR Delivery Area-Comm 1.60
Actual Weight 99 Ihs DANDRIDGE TN 37725-464155 Total Charge USD $13.20
Rated Weight 10lbs
Declared Value USD 800.00
Delivered J ul 06, 2009
Information Systems Reference Subtotal USD $13.20
To tal FedEx Ground USD $13.20
Prescribed by State Board of Accounts City Form No. 201 (Rev. 1995)
ACCOUNTS PAYABLE VOUCHER
CITY OF CARMEL
An invoice or bill to be properly itemized must show: kind of service, where performed, dates service rendered, by
whom, rates per day, number of hours, rate per hour, number of units, price per unit, etc.
Payee
Fed Ex Purchase Order No.
Terms
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
.2— vernight package ___$TT20
05/20/09
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 1C 5- 11- 10 -1.6.
20
Clerk- Treasurer
VOUCHERQ Q[D0- WARRANT NO.
FedEx ALLOWED 20
OX IN SUM OF
Palatine IL 60094 -4515
$13.20
ON Acco GENERAL FUND ION FOR
1202 Informatin Systems
Board Members
DEPT or INVOICE NO. ACCT #/TITLE AMOUNT I hereby certify that the attached invoice(s), or
1202 9-262-04297 421 $13 20 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
'Signat re
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund