172825 05/27/2009 =q CITY OF CARMEL, INDIANA VENDOR: 00351160 Page 1 of 1
i t ONE CIVIC SQUARE FEDEX KINKO'S CHECK AMOUNT: $473.40
CARMEL, INDIANA 46032 Po BOX 672085
DALLAS TX 75267 -2085 CHECK NUMBER: 172825
CHECK DATE: 5/27/2009
DEPAR ACC PO NUMBER INVOICE NUMBE AMOU D ESCRIPTION
902 J 4239099 0704007612 307.50 OTHER MISCELLANOUS
902 4239099 7434 165.90 OTHER MISCELLANOUS
L
z
Page 1 of 1
Your Commercial Account Statement
Account Number: 0000386806
Fed E z Office_
Print Ship Services CITY I CARMEL
ONE CIVIC SO
Customer Administrative Services, P.O. Sox 262682, Plano. TX 75026 -2682 CARMEL, IN 46032 7569
Customer Service: 1 -800- 488 -3705 or
cas.webmaster @fedex.com
Account Representative: Customer Administrative Servic
Send Billing Inquiries to: FedEx Office Statement Date: April 30, 2009
P.O. Box 262682
Plano, TX 75026 -2682
Federal ID Number: 77- 0433330 1
www.fedex.com
Current $335.31 0410612009 $186.85CR'
Important Message 31 -60 Days $186.85 03/2012009 $125.05CR
Previously, we requested your attention to your past due account 61+ Days $826 0312012009 $391.99CR
balance. As of the current date, we have not yet received payment in Total Due $530.42
full on all outstanding invoices. To ensure that your account remains Upon Receipt
in good standing, please mail your payment(s) promptly. If you have
any billing questions please see the reverse side for instructions.
02/13/09 070400007204 Mayor's Office 00003868060040, Sherry Mielke $8.26
03/13/09 070400007333 Mayor's Office Sherry Mielke, CRC $63.85
03113109 070400007332 City Of Carmel 3868060000 Mielke Sherry $123.00
OAaB� 9009;434 ode DraR/Adrienne Keel _$af�9A1
04110109 070400007 Carmel ATN: Sherry Mielke 165.90
SUBTOTALS: 335.31 $186.85 $8.26
Q� TOTAL DUE: $530.42
RECEIVED to
MAY -1 21119
DOGS
�s
It is important that you report your authorized user status and/or changes to us on a regular basis. Visit the Commercial Solutions section of our websde at
www.fedex.ccm to download an Account Update Form or call 1- 800 -468 -3705 to have a copy faxed to you.
Important Information About Your FedEx Office Commercial Account
Terms and Payment Information:
The invoice presented at the point of sale is the official bill of sale.
Payment is due in full 30 days from the date of the statement. Invoices not paid within terms may be subject to a late fee.
A FedEx Office Commercial Account is not a revolving charge account. If you are unable to pay invoices in full, please contact your Customer Service
Representative listed on the front of this statement.
To ensure prompt and accurate payment application, please enclose the remittance stub with your payment in the envelope provided or reference
the full 12 digit invoice numbers) on your check.
Customer Service
For assistance with your account, please contact FedEx Office Customer Administrative Services at the toll -free number listed on the front of this
statement.
If you are unable to reach your representative, you may leave a recorded message on his or her voice mail, or send your request via e -mail to
cas.webmaster (Mfedex.com.
Billing Inquiries
If you have a billing inquiry, please send a written explanation on company letterhead to the address appearing on the front of this statement. Please
include the following: account name, account number, invoice number(s) in question, amount in question, and a detailed explanation of your dispute.
FedEx Office requires notification of a billing error or dispute within 60 days ofthe invoice date. You are expected to paythe remaining invoices per
the terms and conditions of your account, but you do not have to pay any amount in dispute while we are investigating your inquiry. A credit will be
issued for any charge determined to be incorrect. if the charge is determined to be valid, a letter of explanation will be sent to you, and you are
responsible for payment.
If your inquiry involves a tax related issue, please submit a copy of a valid exemption certificate or proof of reseller status to the address appearing
on the front of this statement. We require proof of exemption status in each tax jurisdiction or state where you do business with FedEx Office.
If you have a credit on your account, please write us or e-mail cas,webmaster@fedex.com to request that the credit be applied to any open invoices
or to request a refund. Please reference your account name and 10 -digit account number on your written request.
Did You Know...
Changes in company name must be submitted in writing on company letterhead.
To ensure accurate billing, presentation of your FedEx Office Charge Card is required for all in -store transactions: Air Authorized User on the account
may use a picture 10 in lieu of a FedEx Office Charge Card.k
FedEx office requires immediate written notification from a corporate officer or authorized representative for all additions, charges or deletions of
Authorized Users on your account.;:
In case a FedEx Office Charge Card is lost or stolen, notify us immediately at 1 -800- 488- 3705.:Y difl
If your account reflects a past due invoice and you require a certified copy of the original, pleasercontactyour account representative listed on the
front of this statement or send your request to cas.webmastergfedex.com. B I
You can use your FedEx Office Charge Card to purchase FedEx Office goods and services online. Sust;l'og on to www.fedex.com.
C': 2008 FedEx Office Print Ship Services. All rights reserved. Products, services and hours vary by location.
o
0
INVOICE INVOICE
Official Bill of Sale Official Bill of Sale
Term' Net 30 Days Terms Net 30 Days
Please Reference Invoice Below Please Reference Invoice Below
INVOICE 070400007. INVOICE 070400007451
Please remit payment to: Please remit payment to:
Receipt 0704004 Reg: Im83 Page:1 Receipt 0704003 Reg: dm15 Page: 1.
FEDEX OFFICE
Account 000038680/ Card M 0044 FEDEX OFFICE Account 0000386806 Card 0000
Customer City Of Carinel Customer City Of Carmel
CUSTOMER ADMINISTRATIVE AuthUser: Community Services CUSTOMER ADMINISTRATIVE AuthUser: City Of Carmel
SERVICES Reference: Smart Code Draft/Adrienne Keel SERVICES Reference: ATN: Sherry Mielke
DALLAS, TX 75267 -2085 DALLAS, TX 75267 -2085
P.O. BOX 672085 Tax Exempt P.O. BOX 672085 Tax Exempt#
Date: 04/07/09 01:18 PM Co- Worker Date: 04110/09 01:20 PM Co- Worker:
Otyll-ist Disc. Price Amount OtylList Disc. Price Amount
Questions? Please call: Questions? Please call:
103.00 FS Color SIS 11x17 10.00 FS B &W S/S White Standard
1- 800 -488 -3705 1.78 61.800 2.3800 121.540 1- 800 -488 -3705 0.10 -0.700 0.1700 0.300
1.00 Premium Cover Coil 1770.00 FS B &W DIS 8.5x11 DIS Standard
5.99 0.000 5.9900 5.990 020 247.800 0.3400 106.200
38.00 FS Color D1S 8.5x11 8.5x14 990.00 FS B &W D1S 8.5x11 DIS Standard
1.18 0.000 1.1800 44.840 0.20 138.600 0.3400 59.400
1.00 Premium Cover Coil
5.49 0.000 5.4900 5.490
1.00 Invoice Discount
0.00 -8.450 0.0000 -8.450
User /Requestor Information User /Requestor Information
Signee: Adrienne Keeling Signee: Sherry Mielke
Signee Phone: (317) 571 -2417 Signee Phone: (317) 345 -4440
SUBTOTAL 177.86 SUBTOTAL 165.90
TOTAL DISCOUNT -8.45 TOTAL DISCOUNT 0.00
TAX 0.00 TAX 0.00
Electronically Reproduced TOrAL 169.41 Electronically Reproduced TOTAL 165.90
Copy of Original Copy of Original
Thank you for choosing FedEx Office Thank you for choosing FedEx Office
Carmel IN Carmel Dr (3171818-1600 Carmel IN Carmel Dr (317) 818 -1500
530 E Carmel Dr 530 E Carmel Dr
Visit our website at Carmel, IN 46032 -2814 Visit our website at Carmel, IN 46032 -2814
http: /www.fedex.com http: /www.fedex.com
2N512H6Z8:2.2 E
2663-34616 SN 51 O W C9 MOO4638
,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
L 11
Purchase Order No.
70, i_�Ux Z� �S Terms
[as, �sG r �S Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
0 1 t/,7 r CIZC A 3 67. 5TD
Total 3 67. 5
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.
ALLOWED 20
r {a�e `tn1Gbs
IN SUM OF
6 '�ac��
J6N7- s
ON ACCOUNT OF APPROPRIATION FOR
io,y 7�W3 l u� q
Board. Members
PO# or INVOICE NO. ACCT #/TITLE AMOUNT
DEPT. I hereby certify that the attached invoice(s), or
U Z 0 oU 390jq 3 6'7. 50 bill(s) is (are) true and correct and that the
X62 materials or services itemized thereon for
which charge is made were ordered and
received except
p7 200 9
Direc of 616brations
Cost distribution ledger classification if
Title
claim paid motor vehicle highway fund
erescribed 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
c Purchase Order No.
Terms
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
�JQ- -d 0104UU 3 60A' 21 q
4
Total j �Q
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.
ALLOWED 20
Se���r PS IN SUM OF
C) t3o �7Z�B5 I II S, TX NZ ,C 7 1 0 6 S
0
ON ACCOUNT OF APPROPRIATION FOR
1oz
Board Members
Po# or INVOICE NO. ACCT #/TITLE AMOUNT
DEPT. I hereby certify that the attached invoice(s), or
qOU Z &51 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 O9
Sign
nirp&nr of prat
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund