205173 01/05/2012 *f CITY OF CARMEL, INDIANA VENDOR: 093000 Page 1 of 1
ONE CIVIC SQUARE FEDEX- SHIPPING CHARGES
CARMEL, INDIANA 46032 PO BOX 94515 CHECK AMOUNT: $235.86
s PALATINE IL 60094 -4515 CHECK NUMBER: 205173
CHECK DATE: 1/5/2012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1202 4342100 772630388 235.86 POSTAGE
Invoice Number Invoice Date Account Number Pag
7- 726 -30388 Dec 14 2011 11 1062 2307 -6 1 of
FedEx TaxID: 71- 0427007
Billing Address: Shipping Address:
CITY OF CARMEL /MAYOR'S OFC CITY OF CARMEL
SHARON KIBBE 1 CIVIC SG
1 CIVIC SG 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 Dec 14, 2011 Internet: www.fedex.com
FedEx Express Services
Transportation Charges 187.15
Special Handling Charges 48.71
Total Charges USD $235.86
TOTAL THIS INVOICE USD $235.86
Other discounts may apply.
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Invoice Number Invoice Date Account Number Page
7- 726 -30388 Dec 14 2011 1062 2307 -6 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.
Requestor Name l I I I I I I I I I I I I I I I I I l I I I l I I I I I Date W/ I/ W
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a Phone WWW WWW I I I I I Fax WWW I I I I I I I I I
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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 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 (round to nearest inch)
Tracking Number Code Amount LBS L W H
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Invoice Number Invoice Date Account Number Page
7- 726 -30388 Dec 14, 2011 11 1062- 2307 -6 4of4
FedEx Express Shipment Detail By Reference (Original)
Dropped off E)ec U5 2011 Cust. Ref.; Information Systems Ref #2 23831
Payor. S111pper Ref #3
Fuel Surcharge FedEx has applied a fuel surcharge of 1400% to this shipment.
Distance Based Pricing, Zone 8
FedEx has audited this shipment for correct packages, weight, and service. Any changes made are reflected in the invoice amount.
Automation ]NET Sender Recipient
Tracking ID 797805223826 Terry Crockett RMA# RRlCO5007
Service Type FedEx Standard Overnight CITY OF CARMEL Gamma Tech Computer Corporatio
Package Type Customer Packaging 3 CIVIC SO 48303 FREMONT BLVD
Zone 08 CARMEL IN 46032 US FREMONT CA 94538 US
Packages 1
Rated Weight 10.0 Ibs, 4.5 kgs
Declared Value USD 1,000.00 Transportation Charge 84.25
Delivered Dec 06, 2011 10:40 Declared Value Charge 7.50
Svc Area A2 Direct Signature Ho
Signed by C.TAI Fuel Surcharge 11.80
FedEx Use 000000000/0001415 Total Charge USD 5103.55
Dropped off: Dec 09,2 Cust. Ref.: information Systems Ref #2
Payor. Sfllpper Ref. #3.
Fuel Surcharge FedEx has applied a fuel surcharge of 14.00% to this shipment.
Distance Based Pricing, Zone 8
FedEx has audited this shipment for correct packages, weight, and service. Any changes made are reflected in the invoice amount.
We calculated your charges based on a dimensional weight of 14.0 Ibs, 17'x 17'x 8', divided by 166.
Automation INET Sender Recipient
Tracking ID 795494817207 Terry Crockett RMA# RRX1C09003
Service Type FedEx Standard Overnight CITY OF CARMEL Gamma Tech Computer Corporatio
Package Type Customer Packaging 3 CIVIC SO 48303 FREMONT BLVD
Zone 08 CARMEL IN 46032 US FREMONT CA 94538 US
Packages 1
Actual Weight 6.0 Ibs, 2.7 kgs
Rated Weight 14.0 Ibs, 6.4 kgs
Declared Value USD 2,000.00 Transportation Charge 102.90
Delivered Dec 12,201111:04 Direct Signature 0.00
Svc Area A2 Fuel Surcharge 14.41
Signed by C.THAI Declared Value Charge 15.00
FedEx Use 000000000/0001415 Total Charge USD $13231
Information Systems Reference Subtotal USD $235.86
Total FedEx Express USD $235.86
1347-01-00-0066476-0001-0165390
Fedl Invoice Number Invoice Date Account Number Page
7- 726 -30388 Dec 14, 2011 1062 2307 -6 3 of 4
FedEx Express Shipment Summary By Reference
FedEx Express Shipments (Original)
Rated Special
VMleight Transportation Handling Ret Chg/Tax
Reference Shipments tbs Charges Charges CreditsfOther Discoun 'TotaLC......
Information Systems 2 24.0 187.15 48.71 235.86
TotaE FedEx Express 2 24 0 $18� 15 $48J. $235.86
Total This Invoice USD $235.86
25
1347- 01 -00- 0066476 0001- 0165390
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))
12/14/11 772630388 $235.86
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
FedEx
IN SUM OF
P.O. Box 94515
Palatine, IL 60094 -4515
$235.86
ON ACCOUNT OF APPROPRIATION FOR
IS Department
PO# Dept. INVOICE NO. ACCT /TITLE AMOUNT Board Members
Prior Year I hereby certify that the attached invoice(s), or
1202 772630388 43 421.00 $235.86
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
Wedne� day, January 04, 2012
Director IS
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund