205834 01/31/2012 CITY OF CARMEL, INDIANA VENDOR: 093000 Page 1 of 1
10 ONE CIVIC SQUARE FEDEX- SHIPPING CHARGES CHECK AMOUNT: $34.89
CARMEL, INDIANA 46032 PO BOX 94515
o PALATINE IL 60094 -4515 CHECK NUMBER: 205834
CHECK DATE: 1/31/2012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1115 R4350900 7- 754 -03598 9.47 OTHER CONTRACTED SERV
1202 4342100 7- 762 -52616 25.42 POSTAGE
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Invoice Number Invoice Date Account Number Page
7- 754 -03598 Jan 11 2012 1 3134 0235 -5 1 of 4
FedEx Tax ID: 71- 0427007
Billing Address: Shipping Address:
CARMEL COMMUNICATIONS CARMEL COMMUNICATIONS
31 1 STAVE NW 31 1 STAVE NW Invoice Questions?
CARMEL IN 46032 -1715 CARMEL IN 46032 -1715 Contact FedEx Revenue Services
Phone: (800) 622 -1147 M -Sa 7 -6 (CST)
Fax: (800) 548 -3020
Invoice Summary Jan 11, 2012 Internet: www.fedex.com
FedEx Ground Services
Transportation Charges 5.72
Other Handling Charges 3.75
Total Charges USD $9.47
TOTAL THIS INVOICE USD $9.47
Other discounts may apply.
Detailed descriptions of surcharges can be located atfedex.com
I
Invoice Number Invoice Date Account Number Page
7- 754 -03598 Jan 11 2012 3134 0235 -5 2of4
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.
0
n Requestor Name l l l l l l l l l l l l l l l l l l l l l l l l l l l Date
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a Phone WWW I I I I I I I I I Fax I I I I l l l l I I I I I
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t E -mail Address 0 Yes, I wantto update account contact with the above information.
R Tracking Number Bill to Account Amount
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i 51111: ADR Address Correction INW Incorrect Weight OVS Oversize Surcharge For all Service failures or other
C DVC Declared Value INS Incorrect Service RSU Residential Delivery surcharges please use our web
e IAN Invalid Acct OCF Grd Pick -up Fee PND Pwrshp Not Delivered site www.fedex.com or call
Hill: OCS Exp Pick -up Fee SDR Saturday Delivery (800) 622 -1147
Rerate information only (round to nearest inch)
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Invoice Number Invoice Date Account Number Page
7- 754 -03598 Jan 11 2012 3134 0235 -5 3of4
FedEx Ground Shipment Summary By Payor Type
FedEx Ground Shipments (Original)
Rated'
Werght Transportation Other Ifandltng Ret Chg/Tax
Date Shipments tbs! Charges: Charges CredrtslOther Total Char
Ground Prepaid
12/30 1 2 5.72 3.75 9.47
Ground- Prepaid Subtotal $9.47
Total FedEx G.ound 1 2 $572 $3:15 $99?
Total This Invoice USD $9.47
1010- 01 -00- 0032827- 0001- 0080827
I
Invoice Number Invoice Date Account Number Page
7- 754 -03598 Jan 11, 2012 3134- 0235 -5 4 of 4
FedEx Ground Prepaid Detail (Original)
Ptckup Uate Dec 30,20;11 Cust Ref NO REFERENCE iNFORi�IATfON 1'.1�.
P00 Shipper Dept
Tracking ID 321 003815000005 Sender Recipient Transportation Charge 5.72
Service Type Ppd, Domestic CARMEL COMMUNICATIONS Haines Company Fuel Surcharge 0.75
Zone 03 31 1ST AVE NW Haines Company NDOC P /U- Auto Comm 3.00
Packages 1 CARMEL IN 46032 -1715 8050 FREEDOM AVE NW Total Charge USD 59.47
Actual Weight 1.2 Ibs P.O. BOX 2117
Rated Weight 2 Ibs NORTH CANTON OR 44720
Delivered Jan 03, 2012
Prepaid Subtotal USD $9.47
Total FedEx Ground USD $9.47
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))
01/11/12 7- 754 -03598 $9.47
1 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
$9.47
ON ACCOUNT OF APPROPRIATION FOR
Carmel Clay Communications
PO Dept. INVOICE NO. ACCT #/TITLE AMOUNT Board Members
Encumbered I hereby certify that the attached invoice(s), or
27696 I 7- 754 -03598 I 43- 509.00 $9.47
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
Wednesday, January 25, 2012
Director
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund
q
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Invoice Number Invoice Date Account Number Page
7- 762 -52616 Jan 18 2012 1062 2307 -6 1 of
FedEx TaxID: 71- 0427007
Billing Address: Shipping Address:
CITY OF CARMEUMAYOR'S OFC CITY OF CARMEL
SHARON KIBBE 1 CIVIC SQ
1 CIVIC SO. 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 Jan 18, 2012 Internet: www.fedex.com
FedEx Express Services Important Service Message:
Transportation Charges 15.40 Effective Jan. 2, 2012, FedEx Express, FedEx Ground and
Special Handling Charges 10.02 FedEx Home Delivery rates increased an average of
Total Charges USD $25.42 5.9 Both increases will be partially offset by adjusting
TOTAL THIS INVOICE USD $25.42 the fuel price atwhich the fuel surcharge begins,
reducing the FedEx Express fuel surcharge by 2% and
Other discounts may apply. the FedEx Ground fuel surcharge by 1 FedEx Smart
Y Post rates also changed.
D Q
JAN 3 0 2012
By
Invoice Number Invoice Date Account Number Page
7- 762 -52616 Jan 18, 2012 1062 2307 -6 2of4
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.
Please complete all fields in black ink.
ii. ,n, 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 I/ W/ W
ti
a' Phone WWW I I I I I I I I I Fax I I I I I I I I I I I I I
c'
t_ E mail Address 0 Yes, I wantto update account contactwith the above information.
R' Tracking Number Bill to Account Amount
e' IIIIIIIIIIIIIIII IIIIIIIIII IIIIII
b 1111111111111111 IIIIIIIIII IIIIII
,.j,, I I I I I I I I I I I I I I I I L_ l l l l l l l l l I I I I I I W
I IIIIIIIIIIIIIIII IIIIIIIIII IIIIII
S IIIIIIIIIIIIIIII IIIIIIIIII IIIIII
ADR Address Correction INW Incorrect Weight OVS Oversize Surcharge For all Service failures or other
c DVC Declared Value INS Incorrect Service RSU Residential Delivery surcharges please use our web
e IAN Invalid Acct OCF Grd 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)
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rec L=�m. Invoice Number Invoice Date Account Number Page
7- 762 -52616 11 Jan 18 2012 1062- 2307 -6 3 of 4
FedEx Express Shipment Summary By Reference
FedEx Express Shipments (Original)
Rated Special
Werght' Transportation` Handling Ret ChglTax
Reference Shipments Ibs Charges; Charges Credrts/Other Oiscourrts Total Charges;
NO REFERENCE INFORMA TION 1 2.0 15.40 10.02 25.42
Total FedEx Express t 2 0 $15 40 St0.U2 $25.42
Total This Invoice USD $25.42
1017- 01 -00- 0066193- 0001- 0165214
Invoice Number Invoice Date Account Number Page
7- 762 -52616 Jan 18 2012 1062 2307 -6 4of4
FedEx Express Shipment Detail By Reference (Original)
Picked up Jan 06 2012: Cust Ref NO REFERENCE INFORMATION Ref #2
Payor. Shipper Ref.#3:
Fuel Surcharge FedEx has applied a fuel surcharge of 13.00% to this shipment.
Distance Based Pricing, Zone 7
FedEx has audited this shipment for correct packages, weight, and service. Any changes made are reflected in the invoice amount.
Automation USAB Sender Recipient
Tracking ID 872396119934 JAMES SPELBRING KELLY PRINTING SUPPLIES
Service Type FedEx Express Saver CITY OF CARMEL 2065 E SAHARA
Package Type Customer Packaging 1 CIVIC SO LAS VEGAS NV 89104 US
Zone 07 CARMEL IN 46032 -2584 US
Packages 1
Rated Weight 2.0lbs, 0.9 kgs Transportation Charge 15.40
Delivered Jan 10, 2012 14:21 Fuel Surcharge 2.52
Svc Area Al Courier Pickup Charge 4.00
Signed by T.APPERSON Direct Signature 3.50
FedEx Use 000613353/0007177 Total Charge USD 525.42
NO REFERENCE INFORMATION Reference Subtotal USD $25.42
Total FedEx Express USD $25.42
1017- 01 -00- 0066193- 0001 016521,
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))
01/18/12 7- 762 -52616 $25.42
i
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.
FedEx ALLOWED 20
IN SUM OF
P.O. Box 94515
Palatine, IL 60094 -4515
$25.42
ON ACCOUNT OF APPROPRIATION FOR
IS Department
PO# Dept. INVOICE NO. ACCT /TITLE AMOUNT Board Members
1202 7 762 52616 43 421.00 $25.42 I 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
Monday, January 30, 2012
Direct r IS
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund