180545 12/16/2009 CITY OF CARMEL, INDIANA VENDOR: 314125 Page 1 of 1
F ONE CIVIC SQUARE UPS CHECK AMOUNT: $11.21
CARMEL, INDIANA 46032 LOCKBOX 577
CAROL STREAM IL 60132 -0577 CHECK NUMBER: 180545
CHECK DATE: 12/16/2009
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
601 5023990 76V77A499 11.21 OTHER EXPENSES
Delivery Service Invoice
Invoice date December 5, 2009
Shipped from: Invoice number 000076V77A499
CARMEL UTILITIES DISTRIBUTION Shipper number 76V77A
3450 W 1031ST ST Control ID 2V75
TTM WESTFIELD, IN 46074
Page 1 of 3
For questions about your invoice, call:
#BWNCWNG# (800) 811 -1648
#0249A000076V77A9# 77401100019873 Monday Friday
AT 01 028027 88218H 79 A *3DGT 8:00 a.m. 9:00 p.m. E.T.
I'llll'llllllllllll'lll'll" 1111' I'lllll'llll'I "I'llll'llllllll' or visit ups.com
CARiMEL 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 11.21 Summary of Charges
Amount Outstanding (prior invoices) 88.07 Page Charge
Total Amount Outstanding 99.28 Outbound
Please include the Return Portion of each outstanding invoice with 3 UPS Internet Shipping 11.21
your payment. See Account Status for details. Amount due this period 11.21
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, 16, 2009.
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 6.0 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 December 5, 2009
UOM Invoice number 000076V77A499
Shipper number 76V77A
Page 2 of 3
Account Status
Weekly Payment Plan
Payments Applied
Amount
Invoice Number Invoice Date Paid
000076V77A459 11/07/2009 25.20
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
000076V77A239 06/06/2009 1.26
000076V77A469 11/14/2009 58.58
000076V77A479 11/21/2009 28.23
Total 88.07
Outstanding balances reflect any payments received as of
12/04/2009. Please ignore this message if a recent payment has
been made for any outstanding invoices.
Delivery Service In voice
Invoice date December 5, 2009
Invoice number 000076V77A499
Shipper number 76V77A
n
Page 3 of 3
Outbound
UPS Internet Shipping
Pickup ZIP Billed
Date Tracking Number Service Code Zone Weight Charge
11/25 1Z76V77A0391371428 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
Total for Internet -ID: CarmelWater 11.21
Total UPS Internet Shipping 1 Package(s) 11.21
Total Outbound 1 Package(s) 11.21
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