168958 02/17/2009 VENDOR. 093000 Of 1
CITY OF GARMEL, INDIANA Page 1
ONE CIVIC SQUARE FEDEX CHECK AMOUNT: $19.67
CARMEL, INDIANA 46032 PO BOX 94515
PALATINE IL 60094 -4515 CHECK NUMBER: 168958
CHECK DATE: 2/17/2009
DEPARTMBYT ACC OUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1205 4342100 906924444 19.67 POSTAGE_.
s.
d
e
I
ltd IInvoice Number N, I Invoice Date Account Number Page
9- 069 -24444 J an 28, 2009 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 SC- Invoice Questions?
1 CIVIC SQ CARMEL IN 46032 -2584 Contact FedEx Revenue Services
CARMEL IN 46032 -2584 Phone: (800) 622 -1147 M -Sa 7 -6 (CST)
Fax: (800)548 -3020
Invoice Summary Jan 28, 2009 Internet: www.fedex.com
FedEx Express Services Important Service Message:
Transportation Charges 11.90 Effective January 5, 2009, FedEx Express package and
Special Handling Charges 7.77 freight rates will increase an average of 6.9% for U.S.
Total Charges USD $19.67 and U.S. export services. The rate increase will be
TOTAL THIS INVOICE USD $19.67 partially offset by adjusting the fuel price atwhich the
fuel surcharge begins, reducing the fuel surcharge by 2
percentage points. FedEx Ground and FedEx Home
Other discounts may apply. Delivery® rates will also increase by an average of
5.9 For detailed information about rate, surcharge, fee
and other important changes, go to
fedex.com /2009rates.
F edE x Invoice Number Invoice Date Account Number rage
9- 069 -24444 Jan 28, 2009 z 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.
Re uestor Name I I I I I I I I I 1 1 1 1 1 1 1 1 1 1 1 L I I I I I I I Date l I I 1 W/ LWI
a Phone I I I WWW I I I I Fax# IWWJ
t< E -mail Address E] Yes, I want to update account contactwith the above information-
Tracking Number Bill to Account Amount
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sa IIIiIILI(IIIIIII IIIIIIIIII IIIII J III
AD 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
IAN Invalid Acct OCF Grd Pick -up Fee PND Pwrshp Not Delivered site www.tedex.com or call
OCS Exp Pick -up Fee SDR Saturday Delivery J800) 622 -1147
Rerate information only (round to nearest inch)
Tracking Number Code Amount LBS W H
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>d' 1 1 1 1 1 1 1 1 1 1 1. 1 I I I{! I I i l l l l l W l l l f �W x l I I i X
I I I I I 1 I I I I I 11 WWW LWWI x LWU x WWI
t li I l l l l l l l l l l l l l 1f WWW 1 1 1 1 1 1 W I 1 1 1 W1—W -I x I I I 1 x I I I I
sr 11 I I I I I I I I I I I I I I I ,_J I I I I I I W WWI �W-L -1 x I I I I x WLWJ
I W x I x WWW
F edEx-, Invoice Number Invoice Date
3of4
FedEx Express Shipment Summary By Reference
FedEx Express Shipments (Original)
k)ted a1
lNe }get Trapnrtafio If andl��ng Ref}ax
�iefere e Sh r errts Ibs Chi es ar s cr its Other O�scn�unts Teta..,Cl arg s:
NO REFERENCE INFORMATION 1 3.0 11.90 7.77 19.67
d c a pr SO $1194' _7 9 ill
Total This Invoice USD $19.67
036667 2/2
F ed 7 I Invoice Number Invoice Date F
4 of 4
FedE Express Shipment Detail By Reference (Original)
P r.
st.�AKMQ; E E-RE -ANFORMATIGN
41'
Pa yer !PPPT e
Fuel Surcharge FedEx has applied a fuel surcharge of 1.50% to this shipment.
The delivery commitmentfor FedExMay to residences (including home offices) is 7 P.M. the second business day forAl, A2,AA,A3,A4,A5, A6, AM, PM, and RIVI service areas.
Distance Based Pricing, Zone 4
Automaton INIT Sender Recipient
Tracking 11) 796274750761 Shelly Lingelbaugh Customer Service
Service Type FedEx 2Day City of Carmel Verizon Teleproducts
Package Type FedEx Box One Civic Square 516 BRANDYWINE PKWY
Zone 04 CARMEL IN 46032 US WEST CH ESTER PA 19380 US
Packages 1
Rated Weight 3.0 lbs, 14 kgs Transportation Charge 11-90
Delivered Jan 26, 2009 13:13 Residential Delivery 2.40
Svc Area A2 Fuel Surcharge 1.37
Signed by DIBROWER Courier Pickup Charge 41.00
FedEx Use 00000000010006024L Total Charge USD $19.67
NO REFERENCE INFORMATION Reference Subtotal USD $19.67
Total FedEx Express USD $19.67
Prescribed by State Board of Accounts City Form No. 201 (Rev. 1995)
s 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
F edEx Purchase Order No.
Terms
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
--')A 444 Overnight Shipping 9.67
Total
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.
02 T1 6 7
ALLOWED 20
FedEx
I IN SUM OF
P.O`. Box 94515
Parl ine, IE 60094-4515
$19.67
ON ACCOUNT OF APPROPRIATION FOR
GENERALFUND
1205 Administration
Board Members
D 4f INVOICE NO. ACCT #/TITLE AMOUNT I hereby certify that the attached invoice(s), or
bill(s) is (are) true and correct and that the
1205 67 materials or services itemized thereon for
which charge is made were ordered and
received except
20
,Signatur
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund