178435 10/14/2009 ,a CITY OF CARMEL, INDIANA VENDOR: 314125 Page 1 of 1
ONE CIVIC SQUARE UPS
i CHECK AMOUNT: $30.10
CARMEN, INDIANA 46032 LOCKBOX577
CAROL STREAM IL 60132 -0577 CHECK NUMBER: 178435
CHECK DATE: 10/1412009
DEPARTMENT ACCOU PO NUMBER INVOICE NUMBER A MOUNT DESC
601 5023990 76V77A399 11.18 OTHER EXPENSES
601 5023990 76V77A409 18.92 OTHER EXPENSES
i
Delivery Service Invoice
Invoice date September 26, 2009
Invoice number 000076V77A399
Shipper number 76V77A
Page 3 of 3
Outbound
UPS Internet Shipping
Pickup ZIP Billed
Date Tracking Number Service Code Zone Weight Charge
09/22 1 Z76V77A0397540154 Ground Commercial Same 46202 2 2 10.78
Day Pickup- Web Request
Fuel Surcharge 0.40
Total 11.18
1st ref 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 11.18
Total UPS Internet Shipping 1 Package(s) 11.18
Total Outbound 1 Package(s) 11.18
Prescribed by State Board of Accounts City Form No. 201 (Rev 1995)
ACCOUNTS PAYA13LE 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 10/5/2009
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
10/5/2009 76V77A399 $11.18
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
I 1V
Date O fe r
VOUCHER 093164 WARRANT ALLOWED
—z
314125 *�i*- IN SUM OF
UPS
LOCKBOX 577
N CAROL STREAM, IL 60132
Carmel Water Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO INV ACCT AMOUNT Audit Trail Code
76V77A399 01- 6360 -03 $11.18
Voucher Total $11.18
II
host distribution ledger classification if
claim paid under vehicle highway fund
007M Delivery Service Invoice
Invoice date October 3, 2009
Shipped from: Invoice number 000076V77A409
CARMEL UTILITIES DISTRIBUTION Shipper number 76V77A
3450 W 1031ST ST Control ID 52L7
WESTFIELD, IN 46074
Page 1 of 3
For questions about your invoice, call:
#BWNCWNG# (800) 811 -1648
#0249A000076V77A9# 77401100020369 Monday Friday
AT 01 028479 38579H 85 A *3DGT 8:00 a.m. 9:00 p.m. E.T.
IIII' 1111111" I' ll' llllllll 'll'lllllllllll'llllll'lllll "111'1111 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 Thank you for using UPS.
Weekly Payment Plan
Amount Due This Period $18.92 Summary of Charges
Amount Outstanding (prior invoices) $112.06 age Charge
Total Amount Outstanding $130.98 Outbound
Please include the Return Portion of each outstanding invoice with 3 UPS Internet Shipping 11.90
your payment. See Account Status for details. 3 Adjustments Other Charges 7.02
.Online printing from The UPS Store® Amount due this period 18.92
Add convenience to your busy day with new online printing
from The UPS Store. Whether you need to print a flyer, a UPS payment terms require payment of this invoice by October
presentation or something in between, you can easily upload, 14, 2009.
customize, preview and submit your project right from your Note: This invoice may contain a fuel surcharge as described at
desktop. Then, simply stop by to pick the materials up. Get ups.com. The published fuel surcharge is 3.75% for UPS Ground ME
started today at theupsstore.com /print Services and 5.591. for UPS Air Services, UPS 3 Day Select, and
International services. For more information, visit ups.com.
Delivery Service Invoice
Invoice date October 3, 2009
Invoice number 000076V77A409
Shipper number 76V77A
n
Page 2 of 3
Account Status
Weekly Payment Plan
Payments Applied
Amount
Invoice Number Invoice Date Paid
000076V77A359 08/29/2009 30.53
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
Total $112.06
Outstanding balances reflect any payments received as of
10/02/2009. Please ignore this message if a recent payment has
been made for any outstanding invoices.
Delivery Service Invoice
Invoice date October 3, 2009
Invoice number 000076V77A409
Shipper number 76V77A
n
Page 3 of 3
Outbound
UPS Internet Shipping
Pickup ZIP Billed
Date Tracking Number Service Code Zone Weight Charge
09/29 1 Z76V77A4397427363 Ground Commercial Future 46202 2 2 9.78
Date Pickup Web Request
Delivery Confirmation Response 1.75
Fuel Surcharge 0.37
Total 11.90
1st ref Weekly Fluoride Samples UserlD CarmelWater
Sender :Michelle Breedlove 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 11.90
Total UPS Internet Shipping 1 Package(s) 11.90
Total Outbound 1 Package(s) 11.90
Adjustments Other Charges
Packages Delivered but not Previously Billed
Delivery Billed
Date Tracking Number Service Zone Weight Charge
08125 1Z76V77A0392683269 Ground Commercial 2 2 6.78
Fuel Surcharge 0.24
Total 7.02
Receiver: Sender CARMEL UTILITIES DISTRIBUTION
7615 S STATE ROAD 267 3450 W 1031 ST ST
BROWNSBURG IN 46112 WESTFIELD IN 46074
Message Codes m
Total Packages Delivered but not Previously Billed 1 Package(s) 7.02
Total Adjustments Other Charges 7.02
Invoice Messaging
Code Message
M Median weight for service based on last six weeks
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 J
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 10/8/2009
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
10/8/2009 76V77A409 $18.92
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 fficer
VOUCHER 093221 WARRANT ALLOWED
314125 IN SUM OF
UPS
LOCKBOX 577
CAROL STREAM, IL 60132 1p t•
Carmel Water Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO INV ACCT AMOUNT Audit Trail Code
76V77A409 01- 6360 -03 $18.92
1
Voucher Total $18.92
Cost distribution ledger classification if
claim paid under vehicle highway fund