HomeMy WebLinkAbout172824 05/27/2009 CITY OF CARMEL, INDIANA VENDOR: 093000 Page 1 of 1
ONE CIVIC SQUARE FEDEX CHECK AMOUNT: $5.34
CARMEL, INDIANA 46032 PO BOX 94515
PALATINE IL 60094 -4515 CHECK NUMBER: 172824
CHECK DATE: 5/27/2009
DEP ACCOUNT PO N I NVOICE NUMBER AMOUN D ESCRIPTION
1125 4342100 919491289 5.34 POSTAGE
r*�® Order Form Sender's Copy
Ground Complete and take t0 the FedEx shipping counter for processing.
1 From Pleasepamami esshaN 3 Package Information
,n Sender's FedEx
Date v 'y� Account Number Residential Delivery Address I Nonresidential (Business) Delivery Address
1
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r Declared Value
li.l i Our liability is limited to 3100 per pa kege unless you declare a higher value. See back for details. For multiple packages to
t one delivery address, seethe shipping agent to declare avalue for each package.
4 Delivery Signature Options If you require a signature, check Director Indirect.
o Signature Required Direct Signature Indirect Signature
1 r I Package may be left without obtaining Anyone at thedelivery address Li If no one is avai at delivery address.
•'g ignacare for delivery. may sign for delivery. anyone at a neighboring address may
1- Y i i�� I� ?r✓) r— �VV Foe applies. sig n for delivery. Available for residential
it shipments Only. Fee applies.
2 5 FedEx Home Delivery' Premium Service Upgrades
Residential deliveries for packages up to 70lbs.
l t FedEx Date Certain FedEx Evening FedEx Appointment
El Home Delivery' 11 Home Delivery' Home Delivery'
Delivery ono spec,fic date you select Delivery between 5 and a p.m. on Delivery on a specific date and time
Tuesday through Saturday, provided the the scheduled date of delivery. you select. We attempt to contact the
1 v I date is not before the and a rd delivery Fee applies. recipient in advance. Fee applies.
time and is within two weeks after it.
T
6 Payment sinto:
Enter FedEx Acct. No. below.
X Sender Recipient F] Third Party Credit Card E] Cash /Check
Acce
Weight Base Rate Total Charge
FedEx Use Only
y- a s
Tracking Number
Questions? Go to fedex.com or call 1.8OO.GoFedEx 1.800.463.3339.
Employee Number 11244887
The FedEx Ground Order Form is for FedEx Ground shipments within the U.S. By using this FedEx Ground Order Form,
you agree to the service conditions on the back of the Sender's Copy of this document and in the current FedEx Service Guide,
including terms that limit our liability. Hazardous materials cannot be shipped using this FedEx Ground Order Form. Rev. Date 11/07 Part 156276 01994 -2007 FedEx PRINTED IN U.S.A. OP- 253WSC
Terms and Conditions
Definitions On this FedEx Ground Order Form, "we," "our," "us" and "FedEx" refer to FedEx Ground Package You may call our customer service department at 1.800.GoFedEx 1.800.463.3339 to report;a claim;
System, Inc. (FedEx Ground), its employees and agents. "You" and "your' refer to the sender, its employees however, you must still file a timely written claim.
and agents.
We aren't obligated to act on any claim until you have paid all transportation charges, and you may not
Agreement to Terms By giving us your package to deliver, you agree to all the terms on this FedEx Ground deduct tfie amount of your claim from those charges.
Order Form, in the current FedEx Service Guide and as supplemented in the FedEx Retail Counter Rates Book,
which is available upon request. You also agree to those term's on behalf of any third parry with an interest in If the recipient accepts your package without noting any damage on the delivery record, we will
the package. If there is a conflict between the current FedEx Service Guide and this FedEx Ground Order Form, assume the package was delivered in good condition. For us to process your claim, you must make the
the current FedEx Service Guide will control. No one is authorized to change the terms of our Agreement. original shipping cartons and packing available for inspection.
Responsibility for Packaging and Completing the FedEx Ground Order Form You are responsible for Right to Inspect We may, at our option, open and inspect your packages before or after you give them
adequately packaging your goods and properly completing this FedEx Ground Order Form. If you omit the to us to deliver.
number of packages and /or weight per package, our billing will be based on our best estimate of the number of Right of Rejection We reserve the right to reject a package when such package would be likely to
packages we received and /or an estimated "default" weight per package as determined by us. cause delay r damage to other packages, equipment or personnel; or if the package is prohibited b
Y 9 P 9 P P 9 P Y
Responsibility for Payment Even if you give us different payment instructions, you will always be primarily law; or if the package would violate any terms of our FedEx Ground Order Farm or the current FedEx
responsible for all delivery costs, as well as any cost we incur in either returning your package.to you or Service Guide.
warehousing it pending disposition. C.O.D. Services C.O.D. SERVICE IS NOT AVAILABLE WITH THIS FEDEX GROUND ORDER FORM. If
Limitations on Our Liability and liabilities Not Assumed C.O.D. service is required, please refer to the current FedEx Service Guide.
Our liability in connection with this package is limited to the lesser of your actual damages or $100, unless Packages to AK, HI and PR Packages tendered to Alaska, Hawaii or Puerto Rico are subject to
you declare a higher value, pay an additional charge and document your actual loss in a timely manner. aviation security controls by carriers and, when appropriate, other government regulations. Copies of
You may pay an additional charge for each additional $100 of declared value. The declared value does not all relevant shipping documents showing the package's consignee, consignor, description and other
constitute, nor do we provide, cargo liability insurance. relevant data will be retained on file until the package completes its air transportation.
In any event, we will not be liable for any damage in excess of the declared value of a shipment.
We won't be liable: Residential Deliveries Residential deliveries include deliveries made to: a business with a residence
If you or the recipient violates any of the terms of our Agreement. at the same location and in the same building; a residence where the consignee sells /distributes
For loss of or damage to shipments of prohibited items. products using the home as a base; residents of multiple -unit residences; or a rectory, convent or
For loss, damage or delay caused by events we cannot control, including but not limited to acts of God, parsonage. Residential deliveries that are not delivered by the Home Delivery Division of FedEx Ground
perils of the air, weather conditions, acts of public enemies, war, strikes, civil commotions or acts of are not eligible for the FedEx Ground money -back guarantee.
public authorities with actual or apparent authority.
For any special, incidental or consequential damages, including but not limited to loss of income or Premium Home Delivery Options FedEx offers three premium service upgrade options for shippers using
profits, whether or not FedEx had knowledge that such damages might be incurred. FedEx Home Delivery, and special handling fees apply. See the rates in the current FedEx Service Guide.
Declared Value Limits Delivery Signature Options FedEx,offers delivery signature options for shippers, and special handling
If you declare a higher value and pay an extra charge, the highest declared value allowed is 550,000 fees apply. See the rates in the current FedEx Service Guide. Indirect Signature Riquired is not
unless your package contains items of extraordinary value, in which case the highest declared value available for shipments to nonresidential addresses.
allowed is $100. Money -Back Guarantee In the event of untimely delivery, FedEx will, at your request and with
Items of extraordinary value include shipments containing such items as artwork, jewelry, furs, precious some limitations, refund or credit all transportation charges. See the current FedEx Service Guide for
metals, negotiable instruments and other items listed in the current FedEx Service Guide. more information.
Filing a Claim YOU MUST MAKE ALL CLAIMS IN WRITING and notify us of your claim within strict time limits SHIPPER AGREES NOT TO TENDER HAZARDOUS MATERIALS OR OTHER PROHIf3.ITED- ITEMS.
set out in the current FedEx Service Guide.
Rev. Date 11/07 Part 156276 OP- 253WSC
m I Invoice Number Invoice Date Account Number Page
9- 194 91289 May 15, 2009 1 of
FedEx Tax ID: 71- 0427007
Billing Address: Shipping Address:
CARMEL CLAY PARKS RECREATION CARMEL CLAY PARKS RECREATION
1411 E 116TH ST 1411 E 116TH ST Invoice Questions?
CARMEL IN 46032 -3455 CARMEL IN 46032 -3455 Contact FedEx Revenue Services
Phone: (800) 622 -1147 M -Sa 7 -6 (CST)
Fax: (800) 548 -3020
Invoice Summary May 15, 2009 Internet: www.fedex.com
FedEx Ground Services FedEx News!
Transportation Charges 5.21 Save 25 when you purchase Microsoft® Office
Other Handling Charges 0.13 Standard 2007 with FedEx® QuickShip or download a
Total Charges USD $5.34 FREE 60 -day trial at: www.trymicrosoftoffice.com /fedex
TOTAL THIS INVOICE USD $5,34 FedEx and Microsoft have teamed up to save you time
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of estimated retail prices.
MAY 9 2009
F edEx 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.
Please
C.: complete all fields in black ink.
Re uestor Name l l l l l l l l l l l l l l l l l l l l l l l l l l l l Date[ W/ W
a Phone I I I I WWU I I I I I Fax
E
E -mail Address Yes, I wantto update account contact with the above information.
Tracking Number Bill to Account Amount
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c
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)
0' Tracking Number Code Amount LBS L W H
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1
Invoice Number Invoice Date Account Number Page
9 -194 -91289 May 15, 2009 3 of 4
FedEx Ground Shipment Summary By Payor Type
FedEx Ground Shipments (Original)
Rated
Wsr _Trans ortatron other ftandf� itst a
1 R
Bate: 5hr mhrs ohs Cfra es ::a rgereWOthe _��tlhaes.
Ground -Bill Third Party
05 /01 1 6 5.21 0.13 5.34
Ground -Bill Third Party Subtotal $5.34
Tvta Fert�x Gtaarui......: S 2t SIB [3
Total This Invoice USD $5.34
088279 V2
F edEx, Invoice Number Invoice Date FAccount
4 of 4
FedEx Ground Bill Third Party Detail (Original)
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OR FERE CEINFOR APO,
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Wo ir ..a-:
Y.
Tracking ID 468646510150899 Sender Recipient Tra 6arge
Service Type Bill 3rd Party, Dom KINKO'SIGO NONACCT BRCO/LOC SHURFLO PUMPS Fuel Surcharge 0.13
Zone 02 530 E CARMEL OR TOM Total Charge USD $5,34
Packages I CARMEL IN 46032-2814 52748 PARK SIX CT
Actual Weight 5.2 lbs ELKHART IN 46514-542749
Rated Weight 6lbs
Delivered May 04, 2009
Bill Third Party Subtotal USD $5.34
Total FedEx Ground USD $5.34
ACCOUNTS PAYABLE VOUCHER
CITY OF CARMEL
An invoice of bill-to be properly itemized must show; kind of service, where performed, dates service rendered, by
whom, rates per day, number of hours, rate per hour, number of units, price per unit, etc.
Payee
Purchase Order No.
FedEx Terms
P.o. Box 94515
Palatine, IL 60094 -4515
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) PO Amount
5115109 9- 194 -91289 Shipping for part for repair 5.34
Total 5.34
1 hereby certify that the attached invoice(s), or bill(s) is (are) true and correct and I have audited same in accordance
with IC 5- 11- 10 -1.6
,20_
Clerk- Treasurer
Voucher No. Warrant No.
Fed Ex Allowed 20
R.o. Box 94515
Palatine, IL 60094 -4515
In Sum of$
5.34
ON ACCOUNT OF APPROPRIATION FOR
101 General Fund
PO# or INVOICE NO. ACCT #/TITLE AMOUNT Board Members
Dept
1125 9- 194 -91289 4342100 5.34 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
21 -May 2009
Signature
5.34 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund