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180298 12/08/2009 CITY OF CARMEL, INDIANA VENDOR: 314125 Page 1 of 1 ONE CIVIC SQUARE UPS CARMEL'INDIANA 46032 LOCKBOX 577 CHECK AMOUNT: $86.81 CAROL STREAM IL 60132 -0577 CHECK NUMBER: 180298 <r o c CHECK DATE: 12/8/2009 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 601 5023990 76V77A469 58.58 OTHER EXPENSES 601 5023990 76V77A479 28.23 OTHER EXPENSES fir, r Delivery Service Invoice Invoice date November 14, 2009 Shipped from: Invoice number 000076V77A469 CARMEL UTILITIES DISTRIBUTION Shipper number 76V77A U 0 TM 3450 W 1031ST ST Control ID R269 WESTFIELD, IN 46074 Page 1 of 3 For questions about your invoice, call: #BWNCWNG# (800) 811 -1648 #0249A000076V77A9# 77401200022207 Monday Friday AT 01 029419 72727H 89 A *3DGT 8:00 a.m. 9:00 p.m. E.T. or visit ups.com CARMEL UTILITIES or write: UPS 3450 W 131ST ST P.O. Box 650580 WESTFIELD, IN 46074-8267 Dallas, TX 75265 -0580 Account Status Summary Weekly Payment Plan Thank you for using UPS. Amount Due This Period 58.58 Summary of Charges Amount Outstanding (prior invoices) 39.42 Vage Ma rge Total Amount Outstanding 98.00 Outbound Please include the Return Portion of each outstanding invoice with 3 UPS Internet Shipping 58.58 your payment. See Account Status for details. Amount due this period 58.58 Go electronic! Save money. Save time. Save trees. Choose an electronic UPS payment terms require payment of this invoice by November billing solution as an alternative to receiving a paper bill. You 25, 2009. will be able to view, manage, and pay your UPS bills. Choose Note: This invoice may contain a fuel surcharge as described at one of our electronic bill formats designed to help your ups.com. The published fuel surcharge is 4.090 for UPS Ground company analyze, allocate, and reconcile your UPS bill. For Services and 6.091. for UPS Air Services, UPS 3 Day Select, and more details, visit www.ups.com /billing. International services. For more information, visit ups.com. r Delivery Service Invoice Invoice date November 14, 2009 Invoice number 000076V77A469 Shipper number 76V77A n Page 2 of 3 Account Status Weekly Payment Plan Payments Applied Amount Invoice Number Invoice Date Paid 000076V77A419 10/10/2009 22.31 000076V77A429 10/17/2009 11.21 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 000076V77A239 06/06/2009 1.26 000076V77A439 10/24/2009 12.96 000076V77A459 11/07/2009 25.20 Total 39.42 Outstanding balances reflect any payments received as of 11/1312009. Please ignore this message if a recent payment has been made for any outstanding invoices. Delivery Service Invoice Invoice date November 14, 2009 Invoice number 000076V77A469 Shipper number 76V77A n Page 3 of 3 Outbound UPS Internet Shipping Pickup ZIP Billed Date Tracking Number Service Code Zone Weight Charge 11/09 1Z76V77A0395685038 Ground Commercial Same 46204 2 1 10.67 Day Pickup- Web Request Fuel Surcharge 0.43 Total 11.10 1st ref October MRO UserlD CarmelWater Sender Michelle Breedlove Receiver: Linda Edwards Carmel. Utilities Distributin IDEM/ Drinking Water B ranch 3450 w 131 st 100 N SENATE AVE westfield IN 46074 INDIANAPOLIS IN 46204 11110 1Z76V77A0297663443 2nd Day Air Commercial 14072 204 8 24.80 Customer entered weight 5 Declared Value 800.00 7.20 Fuel Surcharge 1.49 Total 33.49 1st ref kenrhodesreturn111009 UserlD: CarmelWater Sender Michelle Breedlove Receiver: RA #262245 Carmel Utilities Distributin viatran corp 3450 w 131 st 300 industrial dr westfield IN 46074 GRAND ISLAND NY 14072 Message Codes r 1Z76V77A0393122416 Ground Commercial 46204 2 1 6.67 Fuel Surcharge 027 Total 6.94 1st ref 4- log virus inactivation resubmit UserlD CarmelWater Sender Michelle Breedlove Receiver: Marc Hancock Carmel Utilities Distributin IDEM/ Drinking Water B ranch 3450 w 131 st 100 N SENATE AVE MEE westfield IN 46074 INDIANAPOLIS IN 46204 1 Z76V77A0394696206 Ground Commercial 46202 2 2 6.78 Fuel Surcharge 0.27 Total 7.05 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 westfield IN 46074 INDIANAPOLIS IN 46202 Total for Internet -ID: CarmelWater 58.58 Total UPS Internet Shipping 4 Package(s) 58.58 Total Outbound 4 Package(s) 58.58 Invoice Messaging Code Message r Dimensional weight applied 029419 2/2 Delivery Service Invoice Invoice date November 21, 2009 Shipped from: Invoice number 000076V77A479 CARMEL UTILITIES DISTRIBUTION Shipper number 76V77A 3450 W 1031 ST ST Control ID P128 TM WESTFIELD, IN 46074 Page 1 of 3 For questions about your invoice, call: #BWNCWNG# (800) 811 -1648 #0249A000076V77A9# 77401300019777 Monday Friday AT 01 027758 77905H 79 E *3DGT 8:00 a.m. 9:00 p.m. E.T. Ili' I' II1111111�' I�' I��I�II�I�II�I�I��IIIII��11�11 'll�lIIII��I�I or visit ups.com CARMEL UTILITIES or write: UPS 3450 W 131ST ST P.O. Box 650580 WESTFIELD, IN 46074-8267 Dallas, TX 75265 -0580 Account Status Summary Weekly Payment Plan Thank you for using UPS. Amount Due This Period 28,23 Summary of Charges Amount Outstanding (prior invoices) 85.04 age Charge Total Amount Outstanding $113.27 Outbound Please include the Return Portion of each outstanding invoice with 3 UPS Internet Shipping 28.23 your payment. See Account Status for details. Amount due this period 28.23 2010 Rates Information After careful evaluation of customers' needs and the rising UPS payment terms require payment of this invoice by December costs that affect all businesses, UPS has set next year's rates, 2, Zoos. effective Jan. 4, 2010. UPS Ground Service rates will increase Note: This invoice may contain a fuel surcharge as described at 4.9 and Air and International Services rates will increase a ups.com. The published fuel surcharge is 4.0% for UPS Ground net of 4.9 through a combination of 6.9% increase in rates Services and 6.OY for UPS Air Services, UPS 3 Day Select, and and a 2% reduction in the fuel surcharge. Learn more at International services. For more information, visit ups.com. ups.com /rates. Delivery Service Invoice Invoice date November 21, 2009 1 Invoice number 000076V77A479 Shipper number 76V77A Page 2 of 3 Account Status Weekly Payment Plan Payments Applied Amount Invoice Number Invoice Date Paid 000076V77A439 10/24/2009 12.96 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 000076V77A239 06/06/2009 1.26 000076V77A459 11/07/2009 25.20 000076V77A469 11/14/2009 58.58 Total 85.04 Outstanding balances reflect any payments received as of 11/20/2009. Please ignore this message if a recent payment has been made for any outstanding invoices. Delivery Service Invoice Invoice date November 21, 2009 1 Invoice number 000076V77A479 Shipper number 76V77A Page 3 of 3 Outbound UPS Internet Shipping Pickup ZIP Billed Date Tracking Number Service Code Zone Weight Charge 11/17 1Z76V77A0397075256 Ground Commercial Same 46202 2 2 10.78 Day Pickup- Web Request Fuel Surcharge 0.43 Total 11.21 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 westfield IN 46074 INDIANAPOLIS IN 46202 iZ76V77A0398036466 Ground Commercial 47250 2 7 7.99 Delivery Area Surcharge Extended 1.60 Fuel Surcharge 038 Total 9.97 1st ref SOC Plant 4 4th qtr UserlD CarmelWater Sender Michelle Breedlove Receiver: Jan Carmel Utilities Distributin Environmental Labs 3450 w 131 st 635 Green Rd westfield IN 46074 MADISON IN 47250 11/18 1Z76V77A0396503071 Ground Commercial 46204 2 2 6.78 Fuel Surcharge 0.27 Total 7.05 1st ref Hoosier Guardian Program UserlD CarmelWater Sender Michelle Breedlove Receiver: Ground Water Section Carmel Utilities Distributin IDEM/ Drinking Water B ranch 3450 w 131 st 100 N SENATE AVE westfield IN 46074 INDIANAPOLIS IN 46204 Total for Internet -ID: CarmelWater 28.23 Total UPS Internet Shipping 3 Package(s) 28.23 Total Outbound 3 Package(s) 28.23 027759 212 ..r 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 11/30/2009 Invoice Invoice Description Date Number (or note attached invoice(s) or bill(s)) Amount 11 /30/2001 76V77A479 $28.23 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 093697 WARRANT ALLOWED 314125 IN SUM OF UPS LOCKBOX 577 1� {Tk CAROL STREAM, IL 60132 l Carmel Water Utility ON ACCOUNT OF APPROPRIATION FOR Board members PO INV ACCT AMOUNT Audit Trail Code 76V77A479 01- 6360 -03 $28.23 1.,29 0 58,58 bt ,�31�� 03 Voucher Total Cost distribution ledger classification if claim paid under vehicle highway fund