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Home My WebLink About205303 01/05/2012 CITY OF CARMEL, INDIANA VENDOR: 314125 Page 1 of 1 ONE CIVIC SQUARE UPS CHECK AMOUNT: $16.82 CARMEL, INDIANA 46032 LOCKBOX 577 CAROL STREAM IL 60132 -0577 CHECK NUMBER: 205303 CHECK DATE: 1/5/2012 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 601 5023990 76V77A511 16.82 CONT SERVICES OTHER Delivery Service Invoice Invoice date December 17, 2011 Shipped from: Invoice number 000076V77A511 CARMEL UTILITIES DISTRIBUTION Shipper number 76V77A 3450 W 1031ST ST Control ID 4Y48 WESTFIELD, IN 46074 Page 1 of 3 Sign up for electronic billing today! 0249A000076V77A9 77401300026402 Visit ups.com /billing AT 01 023894 05275H 75 D *3DGT For questions about your invoice, call: (800) 811 -1648 Monday Friday CARMEL UTILITIES 8:00 a.m.- 9:00 p.m.E.T. 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 O f Charges Amount Outstanding (prior invoices) $122.10 age C h arge Total Amount Outstanding $138.92 Outbound Please include the Return Portion of each outstanding invoice with 3 UPS Internet Shipping 16.82 your payment. See Account Status for details. Amount due this period 782 New Rates Information Effective January 2, 2012, UPS Rates will change as follows: UPS payment terms require payment of this invoice by December UPS Ground, Air, and International services will increase a net 28, 2011' 4.9 To view these new rates, as well as changes to Note: This invoice may contain a fuel surcharge as described at accessorial rates, visit ups.com /rates. ups.com. The published fuel surcharge is 8.51yo for UPS Ground Services and 14.0% for UPS Air Services, UPS 3 Day Select, and International services. For more information, visit ups.com. �Y� Delivery Service Invoice Invoice date December 17, 2011 UCTM Invoice number 000076V77A511 Shipper number 76V77A Page 2 of 3 Account Status Weekly Payment Plan Payments Applied Amount Invoice Number Invoice Date Paid 000076V77A441 10/29/2011 16.82 000076V77A451 11/05/2011 24.20 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 000076V77A481 11/26/2011 25.23 000076V77A491 12/03/2011 96.87 Total $122.10 Outstanding balances reflect any payments received as of 12/16/2011. Please ignore this message if a recent payment has been made for any outstanding invoices. Delivery Service Invoice Invoice date December 17, 2011 Invoice number 000076V77A511 Shipper number 76V77A n Page 3 of 3 Outbound UPS Internet Shipping Pickup ZIP Billed Date Tracking Number Service Code Zone Weight Charge 12/07 1Z76V77A0398850755 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 12/13 1Z76V77AP292034545 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 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 12/29/2011 Invoice Invoice Description Date Number (or note attached invoices) or bill(s)) Amount 12/29/201' 76V77A511 $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 Officer VOUCHER 113370 WARRANT ALLOWED 314125 IN SUM OF UPS LOCKBOX 577 0P WATER S CAROL STREAM, IL 60132 Carmel Water Utility ON ACCOUNT OF ROPRIATION FOR Board members PO INV ACCT AMOUNT Audit Trail Code 76V77A511 01- 6360 -03 $16.82 Voucher Total $16.82 Cost distribution ledger classification if claim paid under vehicle highway fund