176478 08/19/2009 CITY OF CARMEL, INDIANA VENDOR, 314125 Page 1 of 1
ONE CIVIC SQUARE UPS
CARMEL, INDIANA 46032 LOCKBOX 577 CHECK AMOUNT: $22.16
CAROL STREAM IL 60132 -0577
CHECK NUMBER: 176478
CHECK DATE: 8/19/2009
D EPA RTM ENT ACCOUNT PO NUMBER INVO NUMBER AMO UNT DESC
601 5023990 00076V77A309 11.08 OTHER EXPENSES
601 5023990 00076V77A319 11.08 OTHER EXPENSES
�I
Delivery Service Invoice
Invoice date August 1, 2009
Invoice number 000076V77A319
TM Shipper number 76V77A
Page 1 of 3
For questions about your invoice, call:
#BWNCWNG# (800) 811-1648
#0249A000076V77A9# 774051 00001 91 4 Monday Friday
FP 01 003758 83963 H 14 A 8:00 a m. 9:00 p.m. E.T.
or visit ups.com
CARMEL UTILITIES or write:
3450 W 1031ST ST UPS
WESTFIELD, IN 46074 P.O. Box 650580
Dallas, TX 75265 -0580
Account Status Summary
Weekly Payment Plan Thank you for using UPS.
Amount Due This Period 11.74 Summary of Charges
Amount Outstanding (prior invoices) 43.29 age Charge
Total Amount Outstanding 55.03 Outbound
Please include the Return Portion of each outstanding invoice with 3 UPS Internet Shipping 11.08
your payment. See Account Status for details. 3 Fees 0.66
View demos for UPS solutions Amount due this period
Because yoursfiipping needs are so varied, the UPS portfolio
of services is diverse. From package delivery to global freight UPS payment terms require payment of this invoice by August 12,
to service parts logistics, no matter what your need, we almost 2009.
certainly have a solution for you. One of the easiest ways to
learn more about one of our solutions is to view a video demo Payments not received by August 26, 2009 are subject to a late
online. Choose from more than a dozen at fee of 6% of the Amount Due This Period. (Details in UPS Tariff,
compass.ups.com /demos. available at ups.com)
Note: This invoice may contain a fuel surcharge as described at
ups.com. The published fuel surcharge is 2.75% for UPS Ground
Services and 2.591. for UPS Air Services, UPS 3 Day Select, and
International services. For more information, visit ups.com.
Delivery Service Invoice
Invoice date August 1, 2009
Invoice number 000076V77A319
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
000076V77A239 06/06/2009 1.26
000076V77A279 07/04/2009 10.96
000076V77A299 07/18/2009 19.99
000076V77A309 07/25/2009 11.08
Total 43.29
Outstanding balances reflect any payments received as of
07/31/2009. Please ignore this message if a recent payment has
been made for any outstanding invoices.
Delivery Service Invoice
Invoice date August 1, 2009
Invoice number 000076V77A319
OTM Shipper number 76V77A
Page 3 of 3
Outbound
UPS Internet Shipping
Pickup ZIP Billed
Date Tracking Number Service Code Zone Weight Charge
07/28 1 Z76V77A0390408104 Ground Commercial Same 46202 2 2 10.78
Day Pickup- Web Request
Fuel Surcharge 0.30
Total 11.08
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 11.08
Total UPS Internet Shipping 1 Package(s) 11.08
Total Outbound 1 Package(s) 11.08
Fees
WeekEnding Unpaid Billed
Date Balance Rate Charge
07/04 Late Payment Fee 10.96 6.00% 0.66
Pursuant to the UPS Tariff,
a late payment fee has been assessed.
Total Fees 0.
003758 2/2
Delivery Service Invoice
Invoice date July 25, 2009
Invoice number 000076V77A309
n Shipper number 76V77A
Page 1 of 3
J
For questions about your invoice, call:
#BWNCWNG# (800) 811 -1648
#0249A000076V77A9# 77405400001829 Monday Friday
FP 01 003835 79007 H 15 A
8:00 a.m. 9:00 p.m. E.T.
I. 11111�1�11�1111��11�1�1�1111�11�111� 'I'Illlll'II��IIIIIIII�' or visit ups.com
CARMEL UTILITIES or write:
3450 W 1031ST ST UPS
WESTFIELD, IN 46074 P.O. Box 650580
Dallas, TX 75265 -0580
Account Status Summary Thank you for using UPS.
Weekly Payment Plan
Amount Due This Period $11,08 Summary of Charges
Amount Outstanding (prior invoices) 32.21 Page Charge
Total Amount Outstanding 43.29 Outbound
Please include the Return Portion of each outstanding invoice with 3 UPS Internet Shipping 11.08
your payment. See Account Status for details. Amount due this period 11.08
View demos for UPS solutions
Because your shipping needs are so varied, the UPS portfolio UPS payment terms require payment of this invoice by August 5,
of services is diverse. From package delivery to global freight 2009.
to service parts logistics, no matter what your need, we almost
certainly have a solution for you. One of the easiest ways to Payments not received by August 19, 2009 are subject to a late
learn more about one of our solutions is to view a video demo fee of 6% of the Amount Due This Period. (Details in UPS Tariff,
online. Choose from more than a dozen at available at ups.com)
compass.ups.com /demos. Note: This invoice may contain a fuel surcharge as described at
ups.com. The published fuel surcharge is 2.75% for UPS Ground
Services and 2.5% for UPS Air Services, UPS 3 Day Select, and
International services. For more information, visit ups.com.
Delivery Service In voice
Invoice date July 25, 2009
Invoice number 000076V77A309
UC 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
000076V77A239 06/06/2009 1.26
000076V77A279 07/04/2009 10.96
000076V77A299 07/18/2009 19.99
Total 32.21
Outstanding balances reflect any payments received as of
07/24/2009. Please ignore this message if a recent payment has
been made for any outstanding invoices.
4
A T "hwj Delivery Service Invoice
Invoice date July 25, 2009
Invoice number 000076V77A309
Shipper number 76V77A
Page 3 of 3
Outbound
UPS Internet Shipping
Pickup ZIP Billed
Date Tracking Number Service Code Zone Weight Charge
07/23 1 Z76V77A0399736887 Ground Commercial Same 46202 2 2 10.78
Day Pickup- Web Request
Fuel Surcharge 0.30
Total 11.08
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 11.08
Total UPS Internet Shipping 1 Package(s) 11.08
Total Outbound 1 Package(s) 11.08
Mm
003835 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
CAROL STREAM, IL 60132 Due Date 8/11/2009
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
8/11/2009 000076V77A $11.08
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 092630 WARRANT ALLOWED
314125 IL V589r IN SUM OF
UPS c!)
L.00KBOX 577
5 C� ROL STREAM, IL 60132 'a RP"�'
Carmel Water Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO INV ACCT AMOUNT Audit Trail Code
000076V77A; 01- 6360 -03 $11.08
'3 i.
dOCb '61., 03
3 a`3
l Voucher Total
Clst distribution ledger classification if
Aim paid under vehicle highway fund