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Home My WebLink About203655 11/09/2011 a CITY OF CARMEL, INDIANA VENDOR: 314125 Page 1 of 1 ONE CIVIC SQUARE UPS LOCKBOX 577 CHECK AMOUNT: $16.82 CARMEL, INDIANA 46032 a CAROL STREAM IL 60132 -0577 CHECK NUMBER: 203655 CHECK DATE: 11/9/2011 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 601 5023990 76V77A421 16.82 CONT SERVICES OTHER Delivery Service Invoice Invoice date October 15, 2011 Shipped from: Invoice number 000076V77A421 CARMEL UTILITIES DISTRIBUTION Shipper number 76V77A OTM 3450 W 1031ST ST Control ID 98V8 WESTFIELD, IN 46074 Page 1 of 3 Sign up for electronic billing today! 0249A000076V77A9 77401300026237 Visit ups.com /billing AT 01 025797 71141H 91 D *3DGT For questions about your invoice, call: (800) 811 -1648 Monday Friday 8:00 a.m. 9:00 p.m. E.T. CARMEL UTILITIES 3450 W 131ST ST or write: CARMEL, IN 46074 -8267 UPS P.O. Box 650580 Dallas, TX 75265 -0580 Account Status Summary Thank you for using UPS. Weekly Payment Plan Amount Due This Period 16,82 Summary of Charges Amount Outstanding (prior invoices) 16.82 Page C h arge Total Amount Outstanding 33.64 Outbound Please include the Return Portion of each outstanding invoice with 3 UPS Internet Shipping 16.8 your payment. See Account Status for details. Amount due this period 16.82 Go green and save Choose a UPS electronic billing solution as an alternative to UPS payment terms require payment of this invoice by October receiving a paper bill. You will be able to view, manage and 26, 2011. pay your UPS bills. Choose the electronic bill format that best Note; This invoice may contain a fuel surcharge as described at suits your company's needs. Learn more at ups.com. The published fuel surcharge is 8.59 for UPS Ground www.ups.com /billing Services and 14.0% for UPS Air Services, UPS 3 Day Select, and International services. For more information, visit ups.com. Delivery Service Invoice Invoice date October 15, 2011 Invoice number 000076V77A421 Shipper number 76V77A Page 2 of 3 Account Status Weekly Payment Plan Payments Applied Amount Invoice Number Invoice Date Paid 000076V77A361 09/03/2011 27.14 000076V77A381 09/17/2011 16.82 Account Status Weekly Payment Plan Amount Outstanding (prior invoices): Please include the Return Portion of each outstanding invoice with your payment. Balance Invoice Number Invoice Date Due 000076V77A401 10/01/2011 16.82 Total $16.82 Outstanding balances reflect any payments received as of 10/14/2011. Please ignore this message if a recent payment has been made for any outstanding invoices. i Delivery Service Invoice Invoice date October 15, 2011 Invoice number 000076V77A421 Shipper number 76V77A TM Page 3 of 3 Outbound UPS Internet Shipping Pickup ZIP Billed Date Tracking Number Service Code Zone Weight Charge 10/06 1Z76V77A0390983073 Ground Commercial 46202 2 2 7.75 Fuel Surcharge 0.66 Total 8.41 1st ref :Weekly Fluoride Samples UserlD CarmelWater Sender Michelle Breedlove Receiver: Environmental Sample Carmel Utilities Distributin Indiana State Dept of Health 3450 w 131 st 550 West 16th Street Carmel IN 46074 INDIANAPOLIS IN 46202 10/12 1 Z76V77AP296115709 Ground Commercial 46202 2 2 7.75 Fuel Surcharge 0.66 Total 8.41 1st ref Weekly Fluoride UserlD CarmelWater Sender Michelle Breedlove Receiver: Environmental Sample Carmel Utilities Distributin Indiana State Dept of Health 3450 w 131 st 550 West 16th Street Carmel IN 46074 INDIANAPOLIS IN 46202 Total for Internet -ID: CarmelWater 16.82 Total UPS Internet Shipping 2 Package(s) 16.82 Total Outbound 2 Package(s) 16.82 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 of service rendered, by whom, rates per day, number of units, price per unit, etc. Payee 314125 UPS Purchase Order No. LOCKBOX 577 Terms CAROL STREAM, IL 60132 Due Date 11/1/2011 Invoice Invoice Description Date Number (or note attached ihvoice(s) or bill(s)) Amount 11/1/2011 76V77A421 $16.82 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 Date Of f r VOUCHER 112784 WARRANT ALLOWED 314125 IN SUM OF UPS WAS LOCKBOX 577 'OPERAnONS CAROL STREAM, IL 60132 Carmel Water Utility ON ACCOUNT OF APPROPRIATION FOR Board members PO INV ACCT AMOUNT Audit Trail Code 76V77A421 01- 6360 -03 $16.82 Voucher Total $16.82 Cost distribution ledger classification if claim paid under vehicle highway fund