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204785 12/20/2011
CITY OF CARMEL, INDIANA VENDOR: 093000 Page 1 of 1 ONE CIVIC SQUARE FEDEX- SHIPPING CHARGES CARMEL, INDIANA 46032 PO BOX 94515 CHECK AMOUNT: $183.98 PALATINE IL 600944515 CHECK NUMBER: 204785 CHECK DATE: 12/20/2011 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1160 4342100 599926033 183.98 POSTAGE Fe&- Invoice Number Invoice Date 1 of FedEx Tax ID: 71- 0427007 Billinu Address: CITY OF CARMEUMAYOR'S OFC SHARON KIBBE 1 CIVIC SQ 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 Dec 08, 2011 Internet: www.fedex.com EedEX Express Services Transportation Charges 161.39 Special Handling Charges 22.59 Total Charges USD $183.98 TOTAL THIS INVOICE USD $183.98 Other discounts may apply. Detailed descriptions of surrharoes ran he Inrated at fedex.com 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.iedex.com or calling 800.622.1147. Please use multiple forms for additional requests. C Please complete all fields in black ink. 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 It W t! a Phone WWW uW l I I I I Fax# I I I I I I I I I I I I I Gl t E-mail Address Yes, I want to update account contact the above iaifonnation. Tracking Number Bill to Account Amount I I I 1 1 1 1! I I 1 1 1 1 1 L I I I I 1 1 1 1 1 I► I I I I I -Li b IIIIIIIIIIIIIIII 1111111111 IIII11 j�''! l J 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 W t l111111111111111 Illlllllll llllll SIIIIIIIIIIIIIIlI Illillllll 111111• W c ADR Address Correction INW Incorrect Weight OVS Oversize Surcharge For all Service failures or other n DVC Declared Value INS- Incorrect Service RSU Residential Delivery surcharges please use our web a IAN Invalid Acct OCF Gird 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 (rormd to nearest inch) Tracking Number Code Amount LBS L W H r a' I I I I I I I I I I I I I I I I I 1 1 I I I I W I 1 1 iI I I 1 1 I I 1 X 1 I I I 1 L 1 I I I I I I I I I I I I I 1 l _I I f l I I I W WW�WW X1 I I X 1 I I I t I I I I I I I I I 1 1 1 1 1 f l l l l l l l l l l I W WWJWW�Wx I I 1 1 1 s I I I I I I I I 1 l I I I I 1 1 1 1 1 1 I I I I i I I I WWx 11 X 1 I i! I I I 1 1 1 1 1 1 1 1 1 1 1 1 1 I I I I I I I I i I I WWJWWx1 I I xWWI Invoice Number Inv Date Account Number Page 5- 999 -26033 Dec 08 2011 3 of 4 FedEx Express Shipment Summary By Reference FedEx Express Shipments (Original) Ratetl Special 1Neight Transp ©rtataan Handling RetChglTax Reterenee Shipents Ibs ;Charges;. Charges Credits ©that DISCeU11tS TntalCharges NO REFERENCE INFORMATION 1 9.7 161.39 22.59 183.98 Tota[ Express j 1 91 $1 &139:: $2259 5183.98; Total This Invoice USD $183.98 1342-- 01- 00- W84411- 0001 0212225 Invoice Number Invoice Date of 4 FedEx Express Shipment Detail By Reference (Original) gropp'ed off: Ni3V 30 2Q11 Cust Rest Nd REFERENCE INFORMATiDN; Ref #2 Payor:Shfpper Ret #3 Fuel Surcharge FedEx has applied a fuel surcharge of 14.00% to this shipment. FedEx has audited this airbill for correct pieces, weight, and service. Any changes inade are reflected in the invoice amount. Tracking ID 898779022866 Sender Recipient Service Type FedEx Intl Priority MAYOR JIM BRAINARD EDITA SAWYERS Package Type FedEx Box CITY OF CARMEL IEDC UK Drig. /best. MZZ /NDY ONE CIVIC SQUARE 114 THE PLAZA Zone D CARMEL IN 46032 US 535 KINGS ROAD Packages 1 LONDON SW100 -SZ GB Rated Weight 9.7 Ibs Delivered Dec 02, 2011 10:46 Signed by A.RACHIDE FedEx Use G9524 /USOOIO/_ Transportation Charge 161.39 Customs Fuel Surcharge 22.59 Entry Date Dec 01, 2011 Total Transportation Charges USD S183.98 NO REFERENCE INFORMATION Reference Subtotal USD $183.98 Total FedEx Express USD $183.98 1342 -0 t-00-0084,111-0001-021 VOUCHER NO. WARRANT NO. ALLOWED 20 FedEx IN SUM OF PO Box 94515 Palatine, IL 60094 -4515 $183.98 ON ACCOUNT OF APPROPRIATION FOR Mayor's Office PO# Dept. INVOICE NO. ACCT #£TITLE AMOUNT Board Members 1160 5- 999 -26033 43- 421.00 $183.98 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 Friday, December 16, 2011 M or Title Cost distribution ledger classification if claim paid motor vehicle highway fund 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)) 12/08/11 5- 999 -26033 $183.98 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