HomeMy WebLinkAbout203438 11/09/2011 CITY OF CARMEL, INDIANA VENDOR: 093000 Page 1 of 1
ONE CIVIC SQUARE FEDEX- SHIPPING CHARGES
CARMEL, INDIANA 46032 PO BOX 94515 CHECK AMOUNT: $20.44
PALATINE IL 60094 -4515
CHECK NUMBER: 203438
CHECK DATE: 11/9/2011
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1160 4342100 767454470 20.44 POSTAGE
Invoice Number Invoice Date
1 of 4
FedEx Tax ID: 71- 0427007
Billing Address: Shipping Address:
CITY OF CARMEUMAYOR'S OFC CITY OF CARMEL
SHARON KIBBE 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 Oct 26, 2011 Internet: www.fedex.com
FedEx Express Services
Transportation Charges 17.85
Special Handling Charges 2.59
Total Charges USD $20.44
TOTAL THIS INVOICE USD $20.44
Other discounts may apply.
Detailed descriptions of surcharges can be located atfedex.com
Invoice Number Invoice Date Account Number Page
7- 674 -54470 Oct 26, 2011 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.
n Requestor 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/ W
t!
a' Phone l l l l WWU I I l I I Fax I 1 1 1 WWW I I I I I
e'I
t E -mail Address ❑Yes, I wantto update account contactwith the above information.
R Tracking Number Bill to Account Amount
e llllllllllllllll IIIIIIIIII IIIIII
b llllllllllllllll IIIIIIIIII IIIIII
Illlllllllllllll IIIIIIIIII IIIIII
t llllllllllllllll IIIIIIIIII 111111 W
S IIIIIIIIIIIIIIII IIIIIIIIII IIIIII
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)
C Tracking Number Code Amount LBS L W H
d' 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 I I I II 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 J I I I I I I I I I I I I I WWWWWWX I I I xWWW
t' 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 WWJWWWx I I I I I I
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 W I I I II 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 XWWWIx I I I
Invoice Number Invoice Date Account Number Pag
7- 674 -54470 Oct 26, 2011 3 of 4
FedEx Express Shipment Summary By Reference
FedEx Express Shipments (Original)
Rated Spec;al
IJlle19 ht Transp,ortat�on Handling Ret Chg/Tax
Reference Shipments Ibs Charges; Charges Cretlits /Other Discourrts :Total Charges;;
NO REFERENCE INFORMATION 1 17.85 2.59 20.44
Total FedEx Express 1 $17 85; 52 59 $20 44;
Total This Invoice USD $20.44
1298- 01 -00- 0025586- 0001 0064814
Invoice Number Invoice Date
4 of 4
FedEx Express Shipment Detail By Reference (Original)
Dropped off. Oft 19,.2011 Dust Ref ND REFERENCE INFORMA710N Re
Payor ;;Shipper; Ref #3
Fuel Surcharge FedEx has applied a fuel surcharge of 14.50 to this shipment.
Distance Based Pricing, Zone 2
Automation USAB Sender Recipient
Tracking ID 898693232977 NANCY HECK LISA NICHOLS
Service Type FedEx Priority Overnight CITY OF CARMEL IN GAMING COMMISSION CHERITY G
Package Type FedEx Envelope 1 Civic SO 101 W WASHINGTON E TOWER 1600
Zone 02 CARMEL IN 46032 -2584 US INDIANAPOLIS IN 46204 US
Packages 1
Rated Weight N/A
Delivered Oct 20,201110:18
Svc Area Al Transportation Charge 17.85
Signed by D.JOHNSON Fuel Surcharge 2.59
FedEx Use 029213482/0000186 Total Charge USD 520.44
NO REFERENCE INFORMATION Reference Subtotal USD $20.44
Total FedEx Express USD $20.44
t z�a -v i- oo- oozssav -000 t- oo�la l a
o 0 0 z
i N N N
ME
w
I y
Q
N 0 W N
im M CIJ CD i v N y r- W U -O
O O C V D ra ri m N 0 C
W Y Y ti C7 l ..n O� 411- v m i Ly C C)
E
ck� Z N_ N_ CTJ O N r0 4-f -XIC U y rro c 4- C:)
U k1"T t0 f- X 4--r 00 o
w o D L u m ¢o N
r O� I S L c m :�W 07
CU Z t t d c m U L
c3a r-
a rn a o a
C I C7]
O
O O N O rr U
t/ O� CU a--+ 1 N -C3 s v� O
Cn
O
at coo
co CL)
�a U> Q rp 1 O� O .v v
as e�
JOWF- I d C� x
Y Sr
NEW Package 4t ,n
F.dEz 8986 9323 29 1 T
Express Ur B wn Q
Nu her y�DNpG� i�
Ex S Aibill r
C P
�1 I 1 From Please #F and new hard 4 Ezpress Package Service T°nseNwud- Packages up toIMlbs.
4 A Senders
xmE s" w order e°"d°o°°d'w`u°c°1°"`°rewry r,'c�¢„+F.r usaaa.
o t I'
IV _O-A v g e[_I( PhoneLI )5 1( FedEx Fir essom O NEW
2D ning.
y bcedoru. Friday shiymo."5 de4wr¢d on SS bu rd.yDa l yNOT g able.
J Mandaymdess SAlUR0AV 0eWeryaselected.
Compan edEx Priority Overnight E] FedEx 2Day
Ned busvressmomhp.'FndaY Ssrhu�ppmnorasvM do Sacondbus'viess '..ay
efiensN,-
da8wrhdonMOndayudossSATUAOAVOolnary v.91 he defiwrod on M¢ndey unfese SATURDAY
is selected. DaMry is selected.
One w L S `sue-
FedEx Standard Overnight FedEx Fx ress Saver rd Address Q' Ne,d husmess ehm
eoon' g
Sa 00 Delive ey
D¢pN1 d9ueyaoom Saturday Qelivery NOT evailahle. Saturday ry NOT aveileNe.
ZIP
�w�� 3a 5 Packaging •ova�ad.�aelndtrm
C_ City Stitt
2 Your Internal Billing Reference T VdE Envelope* FedEx Pak' E: Box Tube Other
N
3 To 6 Special Handling and Delivery Signature Options
p Recipients (O Phone l l SATURDAY Delivery
Name c Cam( Nor evadlahletorFedEx Suad.rd Ownughk FedEx 2DavaM_or F °dEx Express So—
Indirect Si
pe
c. c t No Signature Required Direct Signature Hnoore neved.N..1re nt:
Compan� i (�QC8Y11Ffl ji Y18 f t� rQ v�� na 1anford�nr«�a� 1:1 meameme..neanhwag
y%for de4rerv. Fw
J HOLD Weekday es de Nal d o wiiea orgy. f/ea�
CS B' 1 A) FedD roc." address Does this shipment contain dangerous goods?
I
Address w C t REQUIRED. NOT rvcifeb w
Wo csn�m P.O. Coxes or P.O.ZIP codes.' D FedEx firrt O.eawu pp r l 0. box must 6a chocked.
Ye pupaar HOLD Saturday N Y es ='oached Z p Doclannion [I Dry lce
Frf&bcaom edNas Shrypers Dedaration. rwt re0ured. Dryare.9.UN 1815 x kg
Rl�l�'Are3eo .k., dipped m FedE ck°
Ad !ress ❑F gtend er0-= ddn e dw cemaha pa gmg Cargo ArcraftOnly
Usa lino for the HOLD location address or for condnued°n of your shipping address. FOB 2D.Ym
=and
I L
I• Z p j to
C, 11 1 S State +L 1" ZIP 1 Payment Bill
t Ewer Falb Ace. No. or credit card Nit below.
IF d baed� Recipient Third Parry Credit Card Cash/Check
Acn No
Nit p�
Total �ackages Total Weight Total Dec dValuel
t 1 1 t l 1Y IM. a0
t OwrubdM is krMed m $100 urtlesa wu declare a rdaher vales.. See hack for dnrnds. Rvuefru the Arha vai
LL 1. a�
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
Purchase Order No.
Terms
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
10/26/11 7- 674 -54470 $20.44
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. WA R R ANT NO.
ALLOWED 20
FedEx IN SUM OF
PO Box 94515
Palatine, IL 60094 -4515
$20.44
ON ACCOUNT OF APPROPRIATION FOR
Mayor's Office
PO# Dept. INVOICE NO. ACCT #/TITLE AMOUNT Board Members
1160 7- 674 -54470 43- 421.00 $20.44 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
Monday, November 07, 2011
Mayor
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund