206837 02/28/2012 CITY OF CARMEL, INDIANA VENDOR: 314125 Page 1 of 1
ONE CIVIC SQUARE UPS
CHECK AMOUNT: $67.88
CARMEL, INDIANA 46032 LOCKBOX 577
CAROL STREAM IL 60132 -0577 CHECK NUMBER: 206837
CHECK DATE: 2/28/2012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
601 5023990 76V77A052 67.88 6350.03
Delivery Service Invoice
Invoice date February 4, 2012
Shipped from: Invoice number 000076V77A052
CARMEL UTILITIES DISTRIBUTION Shipper number 76V77A
3450 W 1031ST ST Control ID OP44
TM WESTFIELD, IN 46074
Page 1 of 3
Sign up for electronic billing today!
0249A000076V77A9 77401 100025234 Visit ups.com /billing
AT 01 022904 32907H 73 D *3DGT For questions about your invoice, call:
Il�' llll�ljllllll�llll' I' I' ll�ll�l�llllll '�'lll "1'�II�IIE�I�II� (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
Weekly Payment Plan Thank you for using UPS.
Amount Due This Period 67.88 Summary of Charges
Amount Outstanding (prior invoices) 59.99 age Charge'
Total Amount Outstanding $127.87 Outbound
Please include the Return Portion of each outstanding invoice with 3 UPS Internet Shipping 66.07
your payment. See Account Status for details. 3 Adjustments Other Charges 1.81
Go green in 2012 and save Amount due this period 67.88
Choose a UPS electronic billing solution as an alternative to
receiving a paper bill. You can view, manage and pay your UPS payment terms require payment of this invoice by February
UPS bills electronically. Choose the format that best suits your 15, 2012.
company's needs. Learn more at www.ups.com/billing Note: This invoice may contain a fuel surcharge as described at
ups.com. The published fuel surcharge is 8.0% for UPS Ground
Services and 12.5% for UPS Air Services, UPS 3 Day Select, and
International services. For more information visit ups.com.
Delivery Service Invoice
Invoice date February 4, 2012
Invoice number 000076V77A052
Shipper number 76V77A
Page 2 of 3
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
000076V77A022 01/14/2012 35.11
000076V77A042 01/28/2012 24.88
Total 59.99
Outstanding balances reflect any payments received as of
02!03/2012. Please ignore this message if a recent payment has
been made for any outstanding invoices.
i
Delivery Service Invoice
Invoice date February 4, 2012
f Invoice number 000076V77A052
Shipper number 76V77A
n
Page 3 of 3
Outbound
UPS Internet Shipping
Pickup ZIP Billed
Date Tracking Number Service Code Zone Weight Charge
01/26 1Z76V77A0392949599 Ground Commercial 79936 6 65 52.66
Customer entered weight 7
Fuel Surcharge 4.21
Total 56.87
UserlD CarmelWater
Sender Michelle Breedlove Receiver: Repairs
Carmel Utilities Distributin Fisher
3450 w 131 st 1465 H Henry Brennan D r
Carmel IN 46074 EL PASO TX 79936
Message Codes r
02/02 iZ76V77A0393681009 Ground Commercial 46202 2 2 8.52
Fuel Surcharge 0.68
Total 9.20
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 66.07
Total UPS Internet Shipping 2 Package(s) 66.07
Total Outbound 2 Package(s) 66.07
Adjustments Other Charges
Shipping Charge Corrections Learn how to avoid future shipping charge corrections. Visit www.ups.com/avoidcharges.
Pickup Tracking Original Service/ ZIP Billed Adjustment
Date Number Corrected Service Code Zone Weight Charge Amount
01/26 1Z76V77A0392949599 Ground 79936 6 65 52.66
Ground 79936 6 70.0 54.33
Dimensions 34 x 19 x 18 in
Fuel Surcharge 0.14 1.81
Sender Receiver: Repairs
CARMEL UTILITIES DISTRIBUTION Fisher
WESTFIELD IN 46074 EL PASO TX 79936
Total Shipping Charge Corrections 1 Package(s)__.. 1.81
Total Adjustments Other Charges 1.81
Invoice Messaging
Code Message
r Dimensional weight applied
022904 2/2
VOUCHER 113836 WARRANT ALLOWED
314125 IN SUM OF
UPS
LOCKBOX 577 WATER
CAROL STREAM, IL 60132 OPERAnONS
Carmel Water Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO INV ACCT AMOUNT Audit Trail Code
76V77A052 01- 6350 -03 $67.88
Voucher Total $67.88
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 2/21/2012
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
2/21/2012 76V77A052 $67.88
hereby certify that the attached invoice(s), or bill(s) is (are) true and
;orrect and I have audited same in accordance with IC 5- 11- 10 -1.6
Date f6Ver