178896 10/28/2009 CITY OF CARMEL, INDIANA VENDOR: 314125 Page 1 of 1
ONE CIVIC SQUARE UPS CHECK AMOUNT: $42.54
CARMEL, INDIANA 46032 LOCKBOX 577
CAROL STREAM IL 60132 -0577 CHECK NUMBER: 178896
CHECK DATE: 10128/2009
DEPARTMENT ACCOU PO NUMBER INVOICE NUMBER AMOUNT DE
601 5023990 7000429 9.02 OTHER EXPENSES
-601 5023990 76V77A419 22.31 OTHER EXPENSES
601 5023990 76V77A429 11.21 OTHER EXPENSES
Delivery Service Invoice
Invoice date October 10, 2009
Shipped from: Invoice number 000076V77A419
CARMEL UTILITIES DISTRIBUTION Shipper number 76V77A
3450 W 1031ST ST Control ID U997
TM WESTFIELD, IN 46074
Page 1 of 3
For questions about your invoice, call:
#BWNCWNG# (800) 811 -1648
#0249A000076V77A9# 77401200022585 Monday Friday
AT 01 030000 44517H 90 A *3DGT 8:00 am. 9:00 p.m. E.T.
I' II' I" �I' �IIIII�I�I�II�I��IIII�I�IIIII '�II�'llllll��ll�lll�lll� 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 22,31 Summary of Charges
Amount Outstanding (prior invoices) $130.98 Page Charge
Total Amount Outstanding $153.29 Outbound
Please include the Return Portion of each outstanding invoice with 3 UPS Internet Shipping 22.31
your payment. See Account Status for details. Amount due this period 22.31
Online printing from The UPS Store®
Add convenience to your busy new-online UPS payment terms require payment of this invoice by October
from The UPS Store. Whether you need to print a flyer, a 21, 2009'
presentation or something in between, you can easily upload, Note: This invoice may contain a fuel surcharge as described at
customize, preview and submit your project right from your ups.com. The published fuel surcharge is 4.1791. for UPS Ground
desktop. Then, simply stop by to pick the materials up. Get Services and 7.59 for UPS Air Services, UPS 3 Day Select, and
started today at theupsstore.com /print International services. For more information, visit ups.com.
Delivery Service Invoice
Invoice date October 10, 2009
Invoice number 000076V77A419
Shipper number 76V77A
TM
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
000076V77A239 06/06/2009 1.26
000076V77A369 09/05/2009 11.43
000076V77A379 09/12/2009 77.01
000076V77A389 09/19/2009 11.18
000076V77A399 09/26/2009 11.18
000076V77A409 10/03/2009 18.92
Total $130.98
Outstanding balances reflect any payments received as of
10/09/2009. Please ignore this message if a recent payment has
been made for any outstanding invoices.
Delivery Service Invoice
Invoice date October 10, 2009
Invoice number 000076V77A419
Shipper number 76V77A
n
Page 3 of 3
Outbound
UPS Internet Shipping
Pickup ZIP Billed
Date Tracking Number Service Code Zone Weight Charge
10/07 1Z76V77A0395433989 Ground Commercial Same 46202 2 2 10.78
Day Pickup- Web Request
Fuel Surcharge 0.43
Total 11.21
1st ref Weekly Fluoride UserlD CarmelWater
Sender Jaimie Foreman Receiver: Environmental Sample
Carmel Drinking Water Plant Indiana State Dept of Health
5484 E. 126th St 550 West 16th Street
CARMEL IN 46033 INDIANAPOLIS IN 46202
1Z76V77A0396059972 Ground Commercial Same 46204 2 1 10.67
Day Pickup- Web Request
Fuel Surcharge 0.43
Total 11.10
1st ref MRO for September UserlD CarmelWater
Sender Jaimie Foreman Receiver: Linda Edwards
Carmel Drinking Water Plant IDEM/ Drinking Water B ranch
5484 E. 126th St 100 N SENATE AVE
CARMEL IN 46033 INDIANAPOLIS IN 46204
Total for Internet -ID: CarmelWater 22.31
Total UPS Internet Shipping 2 Package(s) 22.31
Total Outbound 2 Package(s) 22.31
Delivery Service Invoice
Invoice date October 17, 2009
Shipped from: Invoice number 000076V77A429
CARMEL UTILITIES DISTRIBUTION Shipper number 76V77A
3450 W 1031ST ST Control ID M786
TM WESTFIELD, IN 46074
Page 1 of 3
For questions about your invoice, call:
#BWNCWNG# (800) 811 -1648
#0249A000076V77A9# 77401300020157 Monday Friday
AT 01 028436 50039H 85 A *3DGT 8:00 a.m. 9:00 p.m. E.T.
lll' 111111' 1111' I' lll' lllllllllllllllllllll ,lll'llllll'll'lll'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 11,21 Summary of Charges
Amount Outstanding (prior invoices) 53.67 P age C 17arge
Total Amount Outstanding 64.88 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
Go electronic!
Save money. Save time. Save.trees. Choose an electronic UPS payment terms require payment of this invoice by October
billing solution as an alternative to receiving a paper bill. You 28, 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 4.09 for UPS Ground
company analyze, allocate, and reconcile your UPS bill. For Services and 7.5% for UPS Air Services, UPS 3 Day Select, and
more details, visit www.ups.com /billing. International services. For more information, visit ups.com.
Delivery Service Invoice
Invoice date October 17, 2009
q �Tm Invoice number 000076V77A429
Shipper number 76V77A
Page 2 of 3
Account Status
Weekly Payment Plan
Payments Applied
Amount
Invoice Number Invoice Date Paid
000076V77A369 09/05/2009 11.43
000076V77A379 09/12/2009 77.01
000076V77A389 09/19/2009 11.18
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
000076V77A399 09/26/2009 11.18
000076V77A409 10/03/2009 18.92
000076V77A419 10/10/2009 22.31
Total 53.67
Outstanding balances reflect any payments received as of
10/16/2009. Please ignore this message if a recent payment has
been made for any outstanding invoices.
Delivery Service Invoice
Invoice date October 17, 2009
Invoice number 000076V77A429
Shipper number 76V77A
TM
Page 3 of 3
Outbound
UPS Internet Shipping
Pickup ZIP Billed
Date Tracking Number Service Code Zone Weight Charge
10/14 1Z76V77A0391296180 Ground Commercial Same 46202 2 2 10.78
Day Pickup- Web Request
Fuel Surcharge 0.43
Total 11.21
1st ret weekly fluoride samples UserlD CarmelWater
Sender Jaimie Foreman Receiver: Environmental Sample
Carmel Drinking Water Plant Indiana State Dept of Health
5484 E. 126th St 550 West 16th Street
CARMEL IN 46033 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
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 10/20/2009
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
10/20/200 76V77A419 $22.31
I hereby certify that the attached invoice(s), or bill(s) is (are) true and p
correct and I have audited same in accordance with IC 5- 11- 10 -1.6
L lM�
Date Officer
VOUCHER 093360 WARRANT. ALLOWED
31:1125 IN SUM OF
Y'S
L(MCKBOX 577
C ROL STREAM, IL 60132 01
ry
R
Carmel Water Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO INV ACCT AMOUNT Audit Trail Code
76V77A419 01- 6360 -03 $22.31
7( \rn pqZ
01 631&
Voucher Total 35 57
Cost distribution ledger classification if
claim paid under vehicle highway fund
Delivery Service Invoice
Invoice date October 17, 2009
Shipped from: Invoice number OOOORV7000429
CITY OF CARMEL /UTILITIES Shipper number RV7000
LISA KEMPA Control ID 0241
ONE CIVIC SQUARE
CARMEL, IN 46032 -2584 Page 1 of 3
For questions about your invoice, call:
#BWNCWNG# (800) 811 -1648
#0249A000ORV70007# 77401300015427 Monday Friday
AT 01 028163 50039H 85 A *3DGT 8:00 a.m. 9:00 p.m. E.T.
or visit ups.com
CITY OF CARMEL /UTILITIES or write:
UPS
LISA KEMPA P.O. Box 650580
760 3RD AVE SW STE 110 Dallas, TX 75265 -0580
CARMEL, IN 46032 -2070
Account Status Summary
Weekly Payment Plan Thank you for using UPS.
Amount Due This Period 9,02 Summary of Charges
Amount Outstanding (prior invoices) 0.00 P age Charge
Total Amount Outstanding 9.02 Outbound
Go electronic! 3 UPS Internet Shipping 4.87
Save money. Save time. Save trees. Choose an electronic 3 Adjustments Other Charges 4.15
billing solution as an alternative to receiving a paper bill. You Amount due this period 9.02
will be able to view, manage, and pay your UPS bills. Choose
one of our electronic bill formats designed to help your UPS payment terms require payment of this bill by October 28,
company analyze, allocate, and reconcile your UPS bill. For 2009.
more details, visit www.ups.com /billing. Note: This invoice may contain a fuel surcharge as described at
ups.com. The published fuel surcharge is 4.09. for UPS Ground
Services and 7.59. for UPS Air Services, UPS 3 Day Select, and
International services. For more information, visit ups.com.
Please, end with .our ay
i
Delivery Service In voice
Invoice date October 17, 2009
Invoice number OOOORV7000429
Shipper number RV7000
TM
Page 2 of 3
Account Status
Weekly Payment Plan
Payments Applied
Amount
Invoice Number Invoice Date Paid
OOOORV7000299 07/18/2009 284.44
x 11 r
r
ti Delivery Service Invoice
Invoice date October 17, 2009
Invoice number OOOORV7000429
Shipper number RV7000
n
Page 3 of 3
Outbound
UPS Internet Shipping
Pickup ZIP Billed
Date Tracking Number Service Code Zone Weight Charge
09/11 1ZRV70000392377667 Ground Commercial 46204 2 3 4.69
Fuel Surcharge 0.18
Total 4.87
UserlD UTILITIES
Sender City of Carmel Utili Receiver: Mr- Bryan Collins
Carmel Utilities Bingham McHale
760 Third Avenue SW 2700 Market Tower
Carmel IN 46032 INDIANAPOLIS IN 46204
Total for Internet -ID: UTILITIES 4.87
Total UPS Internet Shipping 1 Package(s) 4.87
Total Outbound 1 Package(s) 4.87
Adjustments Other Charges
On -Call Pickup Requests
Pickup Date of Pickup Billed
Date Request Record Entry Tracking Number Service Charge
09/11 09/11 1ZRV70000392377667 Same Day Pickup- Web Request 4.00
Fuel Surcharge 0.15
Total 4.15
Total On -Call Pickup Requests 1 Request(s) 4.15
Total Adjustments Other Charges 4.15
028163 2/2
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 Q
CAROL STREAM, IL 60132 Due Date 10/22/2009
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
10/22/2004 7000429 $9.02
Q
hereby certify that the attached invoice(s), or bill(s) is (are) true and
:orrect and I have audited same in accordance with p IC 5- 11- 10 -1.6
Date Officer
VOUCHER 093411 WARRANT ALLOWED
314,125 IN SUM OF
UPS
LOCKBOX 577
CAROL STREAM, IL 60132
Carmel Water Utility
S ON ACCOUNT OF APPROPRIATION FOR
Board members
PO INV ACCT AMOUNT Audit Trail Code
7000429 01- 6360 -08 $9.02
Voucher Total $9.02
Cost distribution ledger classification if
claim paid under vehicle highway fund