207041 03/13/2012 CITY OF CARMEL, INDIANA VENDOR: 093000 Page 1 of 1
ONE CIVIC SQUARE FEDEX- SHIPPING CHARGES
CARMEL, INDIANA 46032 PO BOX 94515 CHECK AMOUNT: $11.08
PALATINE IL 60094 -4515 CHECK NUMBER: 207041
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CHECK DATE: 3/13/2012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1115 R4350900 7- 799 -31464 11.08 OTHER CONTRACTED SERV
Invoice Number Invoice Date Account Number Page
9
7- 799 -31464 Feb 22 2012 3134- 0235 -5 1 Of
FedEx Tax ID: 71- 0427007
Billing Address: Shipping Address:
CARMEL COMMUNICATIONS CARMEL COMMUNICATIONS
31 1 ST AVE NW 31 1 STAVE NW Invoice Questions?
CARMEL IN 46032 -1715 CARMEL IN 46032 -1715 Contact FedEx Revenue Services
Phone: (800) 622 -1147 M -Sa 7 -6 (CST)
Fax: (800) 548 -3020
Invoice Summary Feb 22, 2012 Internet: www.fedex.com
FedEx Ground Services
Transportation Charges 7.30
Other Handling Charges 3.78
Total Charges USID $11.08
TOTAL THIS INVOICE USD $11.08
Other discounts may apply.
Detailed descriptions of surcharges can be located atfedex.com
Invoice Number Invoice pate EAccount Number Page
7-799-31464 Feb 22, 2012 11 3134-0235-5 2 of 4
Adjustment Request
Fax to (800) 548-3020
Use this form to fax requests for adjustments due to the reasons indicated below. Requests for adjustments
due to other reasons, including service failures, should be submitted by going to www.fedex.com or calling
800.622.1147. Please use multiple forms for additional requests.
.d:. Please complete all fields in black ink.
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Requestor Name I I I I Datel I I I I I It I I I
.6, Phone l l l l WWW I I I I I Fax
.4 E-mail Address YOSr I want to update aCG0U11tG011taGtWit11 the above information.
F
Tracking Number Bill to Account Amount
Y 1
ADR -Address Correction INW -Incorrect Weight OVS Oversize Surcharge For all Service failures or other
o C
DVC Declared Value INS Incorrect Service RSU Residential Delivery surcharges please use our web
d IAN invalid Acct OCF Grd Pick-up Fee PND Pwrshp Not Delivered site www.fedex.com or call
e
OCS Exp Pick-up Fee SDR Saturday Delivery (800) 622-1147
Rerate information only (round to nearest inch►
Tracking Number Code Amount LBS L VV H
r
1 X1 I I lx
X 1 I I I X
I Lij I I I II I I IX I I I X
X 1 1 IX
X I I Ix
Invoice Number j Date Account Number Page
7- 799 -31464 Feb 22 2012 3134 0235 -5 3of4
FedEx Ground Shipment Summary By Payor Type
FedEx Ground Shipments (Original)
Weight' Transportation. other Handling Ret �hgffax
pate Shipments Ibs Charges' Char CreditslOther Total:Char
Ground Prepaid
02/15 1 3 7.30 3.78 11.08
Ground- Prepaid Subtotal $11.08
Total This Invoice USD $11.08
1052- 01 -00- 0033688 -0001- 0085867
Invoice Number Invoice Date Account Number Page
7- 799 -31464 Feb 22 2012 3134- 0235 -5 4of4
FedEx Ground Prepaid Detail (Original)
Pickup Date: Fe 12 Gust Ref 02456.9 Q
PayorSllpper _I Dept#
Tracking ID 321 003815000012 Sender Recipient Transportation Charge 7.30
Service Type Ppd, Domestic Carmel Clay Communications Cen RMA# 024589 Fuel Surcharge 0.78
Zone 05 Carmel Clay Communications Ceti L -3 Mobile- Vision Inc. NDOC P /U- Auto Comm 3.00
Packages 1 31 1 st Ave. N.W. 90 FANNY RD Total Charge USD 511.08
Rated Weight 3lbs Cannel IN 46032 BOONTON NJ 07005
Delivered Feb 17, 2012
Prepaid Subtotal USD $11.08
Total FedEx Ground USD $11.08
1052- 01 -00- 003,688- 0001 0085867
i
V NO. WARRANT NO.
ALLOWED 20
FedEx
IN SUM OF
P.O. Box 94515
Palatine, IL 60094 -4515
$11.08
ON ACCOUNT OF APPROPRIATION FOR
Carmel Clay Communications
PO# Dept. INVOICE NO. I ACCT /TITLE AMOUNT Board Members
Encumbered iq I hereby certify that the attached invoice(s), or
27696 I 7 799 31464 I 43 509.00 I $11.08
bill(s) is (are) true and correct and that the
materials or services itemized thereon for
which charge is made were ordered and
received except
Tuesday, March 06, 2012
y
Director
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund
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 service rendered, by
whom, rates per day, number of hours, rate per hour, number of units, price per unit, etc.
Payee
Purchase Order No.
Terms
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
02/22/12 7- 799 -31464 $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
20
Clerk- Treasurer