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Home My WebLink About205620 01/17/2012 CITY OF CARMEL, INDIANA VENDOR: 314125 Page 1 of 1 ONE CIVIC SQUARE UPS CHECK AMOUNT: $16.82 s CARMEL, INDIANA 46032 LOCKBOX 577 CAROL STREAM IL 60132 -0577 CHECK NUMBER: 205620 CHECK DATE: 1/17/2012 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 601 5023990 76V77A531 16.82 OTHER EXPENSES Delivery Service Invoice Invoice date December 31, 2011 Shipped from: Invoice number 000076V77A531 CARMEL UTILITIES DISTRIBUTION Shipper number 76V77A 3450 W 1031 ST ST Control ID 2S12 WESTFIELD, IN 46074 Page 1 of 3 Sign up for electronic billing today! 0249A000076V77A9 77401500021647 Visit ups.com /billing AT 01 018891 12394H 59 C *3DGT For questions about your invoice, call: IIIII' IIIIIIIIII 'illll'I'lllll'lllliill'I'll "'1111 "IIIII'I'I'll (800) 811 1648 Monday Friday 8.00 am. 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 Weekly Payment Plan Thank you for using UPS. Amount Due This Period $16.82 Summary of Charges Amount Outstanding (prior invoices) $16.82 Page Charge Total Amount Outstanding 33.64 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 16.82 Go green in 2012 and save Choose a UPS electronic biliing.solution -as -an alternative to UPS payment terms require payment of this invoice by January receiving a paper bill. You can view, manage and pay your 11, 2012' UPS bills electronically. Choose the format that best suits your Note: This invoice may contain a fuel surcharge as described at company's needs. Learn more at www.ups.com /billing ups.com. The published fuel surcharge is 8.5% for UPS Ground Services and 14.0% for UPS Air Services, UPS 3 Day Select and International services. For more information, visit ups.com. i Delivery Service In voice Invoice date December 31, 2011 Invoice number 000076V77A531 Shipper number 76V77A ri Page 2 of 3 Account Status Weekly Payment Plan Payments Applied Amount Invoice Number Invoice Date Paid 000076V77A481 11/26/2011 25.23 000076V77A491 12/03/2011 96.87 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 000076V77A511 12/17/2011 16.82 Total 16.82 Outstanding balances reflect any payments received as of 12130/2011. Please ignore this message if a recent payment has been made for any outstanding invoices. Delivery Service In voice Invoice date December 31, 2011 Invoice number 000076V77A531 Shipper number 76V77A n Page 3 of 3 Outbound UPS Internet Shipping Pickup ZIP Billed Date Tracking Number Service Code Zone Weight Charge 12119 1776V77A0399181968 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 12127 iZ76V77A0395818573 Ground Commercial 46202 2 2 7.75 Fuel Surcharge 0.66 Total 8.41 ist 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 VOUCHER 113403 WARRANT ALLOWED 314125 WATER IN SUM OF UPS �►�7OtV� LOCKBOX 577 CAROL STREAM, IL 60132 Carmel Water Utility I ON ACCOUNATOF PR IATION FOR Board members PO INV T AMOUNT Audit Trail Code 76V77A531 01- 6360 -03 $16.82 Voucher Total $16.82 Cost distribution ledger classification if claim paid under 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 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 12/30/2011 Invoice Invoice Description Date Number (or note attached invoice(s) or bill(s)) Amount 12/30/201' 76V77A531 $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