174853 07/22/2009 CITY OF CARMEL, INDIANA VENDOR: 093000 Page 1 of 1
ONE CIVIC SQUARE FEDEX CHECK AMOUNT: $40.27
CARMEL, INDIANA 46032 Po Box 94515
PALATINE IL 600944515 CHECK NUMBER: 174853
CHECK DATE: 712212009
DEPARTMENT ACCOUNT PO NUMBER INVOIC NUMBER T AMOUNT DESCRIPTION
1202 4342100 9- 230 79227 13.00 POSTAGE
1202 4342100 9 -238 -94897 27.27 POSTAGE
y
Invoice Number Invoice Date Account Number Page
9- 238 -94897 J u n 24, 2009 1 of 4
FedEx Tax ID: 71- 0427007
Biding Address: Shipping Address.
CITY OF CARMEL/MAYOR'S OFC CITY OF CARMEL
JENNY CHASTAIN 1 CIVIC SQ
1 CIVIC SO 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 Jun 24, 2009 Internet: www.fedex.com
FedEx Ground Services
Transportation Charges 5.97
Other Handling Charges 21.30
Total Charges USD $27.27
TOTAL THIS INVOICE USD 527.27
Other discounts may apply.
Feldr=', I 'I
Invoice Number Invoice Date Account Number Page
9 -238 -94897 J u n 24, 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 all fields in black ink.
q Re uestor Name I I I 1 i I I I LL I I I I I I I I I I I I I I I I i I Date W W W
t
a; Phone IWWW f l l l WJWJ Fax
E -mail Address ❑Yes, I wantto update account contact with the above information.
R Tracking Number gill to Account Amount
I1lfllllllflllll IIIIIIIIII 111111 -W
>a1 illllllll1111111 IIIIIIIIII IIIIII
Illllllllllllill IIIIIIIIII 111111 -W
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 I I I I
>�I I I I I I I I l l l l l 1 1 _I I I I I I I I I I I I l L__ 11 I W
ADR Address Correction INW Incorrect Weight OVS Oversize Surcharge For all Service failures or other
u 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 wwwJedex.com or call
OCS Exp Pick -up Fee SDR Saturday Delivery (800) 622 -1147
Rerate information only (round to nearest inch)
Tracking Number Code Amount LBS L W H
a
e l i l l l l l l l l l l l l l l l l l l l l l l l l I I I WWI I I X1 I I I I I I
I I I I I I I I I I 1 W I I I Il 1 1 I X I 1 1 1
I J I I I f I I I I I I W I I I II 11 1 l I I I X I I I
1 I I l l I I I I I I -W1 I 11 I x I I
I W I I I II I I l I I l 1 1 1
F edEm. I Invoice Number Invoice Da EAccount Number page
9-238-94897 J u n 24, 2009 3 of 4
FedEx Ground Shipment Summary By Reference
FedEx Ground Shipments (Original)
Tray
olwa 1w er
.01 V
t r.
araL
Jame S.-.::
t6
Sh
Meg
Wormation Systems 1 8 5.97 21.30 27.27
T otald
f
x;
Total This Invoice USD $27.27
018715212
F edEx I Invoice Number I Invoice Hate Account Number Page
9 -238 -94897 Jun 24, 2009 4 of 4
FedEx Ground Shipment Detail By Reference (Original)
Prcku I3aE Jan 1 2t3 Cum Ref Ennrativa SsterlYS P t}#
Payer; Sfllppsr
Ijept
Tracking ID 161 629310000083 Sender Recipient Transportation Charge 5.97
Service Type Direct Sign, Ppd CITY OF CARMEL REPAIR DEPARTMENT B0513RM371 Declared Value 19.50
Zone 03 1 CIVIC SO. MUNDO CORPORATION Defivery Area -Comm 1.60
Packages 1 CARMEL IN 46032 -2584 955 PINE DR Fuel Surcharge 0.20
Actual Weight 7.5 Ibs DANDRIOGE TN 37725- 464155 Total Charge USU 527.21
Rated Weight sibs
Declared Value USO 3,000.00
Delivered Jun 15, 2009
Information Systems Reference Subtotal USD $27.27
Total FedEx Ground USD $27.27
m Invoice Number Invoice Qate
1 of 3
FedEx Tax ID: 71- 0427007
Billing Address: Shipping Address:
CITY OF CARMEUMAYOR'S OFC CITY OF CARMEL
JENNY CHASTAIN 1 CIVICSQ
1 CIVIC SO. 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 Jun 17, 2009 Internet: www.fedex.com
FedEx Ground Services
Other Handling Charges 13.00
Total Charges USO $13.00
TOTAL THIS INVOICE USQ $13.00
The only charges accrued for this period is the Weekly Service Charge.
Other discounts may apply.
wss Invoice Number Invoice Date Account Number page
9- 230 -79227 Jun 17, 2009 z 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
due to other reasons, including service failures, should be submitted by going to wwwJedex.com or calling
800.622.1147. Please use multiple forms for additional requests.
Please complete all fields in black ink.
Re uestor Name 1 1 1 1 1 1 1 I I I l l l l l l I_ I I I I I I I I I I Date I
Phone I I I l WWW LWWJ Fax
E -mail Address 0 Yes, I wantto update accountcontactwith the above information.
R Tracking Number BIII to Account Amount
e' Illlllllllllilll llllllllll illlll
1111111111111111 klllllllll lillll
I I I I I I I I I I I I I I I I l l 1 1 1 1 1 1 1 1 I I I I I I W
>I 111111111111i111 1111111111 llllll
I I I I I I I 1_ I I I_ _I 1 1 1 1 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
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)
Tracking Number Code Amount LBS L W H
is
8 I 11 I I I I! I I I I I I I I I I I I I I I I I I I I LW1J LWWJ x I x IWJ
1 I I I I I I I I I I I l I W_J_J WWW x I I l I x LWW�
t' l l l l l l l l l l l f l l l f l l l l l l l l _I W l 1 1 lI I I 1 1 I I I X
s>. I I I I I I I I I 1 1 1 1 1 1 i I I I I I I I J l W I I! I x I I I 1
1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 W I I I II I I I l! I I I I
Invoice Plumber Invoice Date
3 of 3
FedEx Ground Shipment Summary
FedEx Ground Miscellaneous Charges
t�thec#an11Fi #teE fh ax
9 9�
ate Quarrti#'ir Zip Cade Ctrare GrdislOther :::1 atal Charges;
Weekly Service Chg 612 13.00 13.00
edxraertd $1 -31Q #IQ.
Total This Invoice USD $13.00
MOM
014465 212
FedE-2-x
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
FedEx Purchase Order No.
Terms
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
f
06/17/0 9-230-70M Weekly Senke Charge A.!)
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 93 /20/09 WARRANT NO.
ALLOWED 20
RE). Box 94515 IN SUM OF
Palatine, IL 60094 -4515
$40.27
ON ACCOU61 kff E WXr P U %ABON FOR
1202 Infor Systems
Board Members
PO# or
DEPT. INVOICE NO. ACCT #/TITLE AMOUNT I hereby certify that the attached invoice(s), or
'I ZU2 238 -94897 421 $27.27 bill(s) is (are) true and correct and that the
1202 9-1239 ;Z@22;z— 421 materials or services itemized thereon for
which charge is made were ordered and
received except
20
l
r Signa Jr
Title v
Cost distribution ledger classification if
claim paid motor vehicle highway fund