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207248 03/13/2012 c4RyF CITY OF CARMEL, INDIANA VENDOR: 314125 Page 1 of 1 `p ONE CIVIC SQUARE UPS CHECK AMOUNT: $36.59 CARMEL, INDIANA 46032 LOCKBOX 577 CAROL STREAM IL 60132 -0577 CHECK NUMBER: 207248 CHECK DATE: 311 312 01 2 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 601 5023990 76V77A072 17.22 OTHER EXPENSES 601 5023990 76V77A082 19.37 CONT SERVICES OTHER Delivery Service Invoice Invoice date February 18, 2012 Shipped from: Invoice number 000076V77A072 CARMEL UTILITIES DISTRIBUTION Shipper number 76V77A 03450 W 1031ST ST Control ID 625U WESTFIELD, IN 46074 Page 1 of 3 Sign up for electronic billing today! 0249A000076V77A9 77401300024507 Visit ups.com /billing AT 01 021911 41365H 69 D *3DGT For questions about your invoice, call: (800) 811 -1648 Monday Friday CARMEL UTILITIES s:oo a.m. 9:00 p.m. E.T. 3450 W 131ST ST or write: CARMEL, IN 46074 8267 UPS P.O. Box 650580 Dallas, TX 75265 -0580 Account Status Summary Thank you for using UPS Weekly Pa mY ent Plan Amount Due This Period $17.22 Summary of Charges Amount Outstanding (prior invoices) 92.76 Page Charge Total Amount Outstanding $109.98 Outbound Please include the Return Portion of each outstanding invoice with 3 UPS Internet Shipping 17.22 your payment. See Account Status for details. Amount due this period 17.22 Financing for UPS customers now easier UPS Capital® now offers financial solutions for small to UPS payment terms require payment of this invoice by February mid -sized UPS customers that need working capital loans 29, 2012' between $150,000 and $10,000,000. This new offering Note: This invoice may contain a fuel surcharge as described at strengthens UPS's solutions for small to middle market, ups.com. The published fuel surcharge is 7.5% for UPS Ground U.S_ -based businesses with working capital loans starting at Services and 11.5% for UPS Air Services, UPS 3 Day Select, and $150,000 and up. To learn snore, visit International services. For more information, visit ups.com. www.up scap ital.comisol utionsig I oba I_asset_based_len d i n g htm I i Delivery Service Invoice Invoice date February 18, 2012 OTU Invoice number 000076V77A072 Shipper number 76V77A Page 2 of 3 Account Status Weekly Payment Plan Payments Applied Amount Invoice Number Invoice Date Paid 000076V77A022 01/14/2012 35.11 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 000076V77A042 01/28/2012 24.88 000076V77A052 02/04/2012 67.88 Total 42.76 Outstanding balances reflect any payments received as of 0211712012. Please ignore this message if a recent payment has been made for any outstanding invoices. Delivery Service In voice Invoice date February 18, 2012 Invoice number 000076V77A072 Shipper number 76V77A 0� 0'. Page 3 of 3 Outbound UPS Internet Shipping Pickup ZIP Billed Date Tracking Number Service Code Zone Weight Charge 02107 1 Z76V77A0391 771 21 9 Ground Commercial 46202 2 1 8.01 Fuel Surcharge 0.60 Total 8.61 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 Carmel IN 46074 INDIANAPOLIS IN 46202 02114 1Z76V77A0391204224 Ground Commercial 46202 2 1 8.01 Fuel Surcharge 0.60 Total 8.61 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 Carmel IN 46074 INDIANAPOLIS IN 46202 Total for Internet -ID: CarmelWater 17.22 Total UPS Internet Stripping 2 Package(s) 17.22 Total Outbound 2 Package(s) 17.22 Delivery Service Invoice Invoice date February 25, 2012 Shipped from: Invoice number 000076V77A082 CARMEL UTILITIES DISTRIBUTION Shipper number 76V77A 3450 W 1031ST ST Control ID 6H52 WESTFIELD, IN 46074 Page 1 of 3 Sign up for electronic billing today! 0249A000076V77A9 77401400025559 Visit ups.com /billing AT 01 025405 44824H 79 D *3DGT For questions about your invoice, call: IIIIII�IIIIIIIII�IIII�I�III�III11��111�111111111111�1111�111�1" (800) $11 1648 Monday Friday CARMEL UTILITIES 8:OO am. 9:OOp.m.E.T. 3450 W 131ST ST or write: CARMEL, IN 46074 -8267 UPS P.O. Box 650580 Dallas, TX 75265 -0580 Account Status Summary Thank you for using UPS. Weekly Payment Plan Amount Due This Period 19.37 Summary of Charges Amount Outstanding (prior invoices) 85.10 P age Charge Total Amount Outstanding $104.47 Outbound Please include the Return Portion of each outstanding invoice with 3 UPS Internet Shipping 19.37 your payment. See Account Status for details. Amount due this period 19.37 Financing for UPS customers now easier UPS Capital® now offers financial solutions for small to UPS payment terms require payment of this invoice by March 7, mid -sized UPS customers that need working capital loans 2012. between $150,000 and $10,000,000. This new offering Note: This invoice may contain a fuel surcharge as described at strengthens UPS's solutions for small to middle market ups.com. The published fuel surcharge is 7.5% for UPS Ground U.S. -based businesses with working capital loans starting at Services and 11.5% for UPS Air Services, UPS 3 Day Select, and $150,000 and up. To learn more, visit International services. For more information, visit ups.com. www.upscapital.com/solutiona/global Delivery Service Invoice Invoice date February 25, 2012 Invoice number 000076V77A082 Shipper number 76V77A n Page 2 of 3 Account Status Weekly Payment Plan Payments Applied Amount Invoice Number Invoice Date Paid 000076V77A042 01/28/2012 24.88 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 000076V77A052 02/04/2012 67.88 000076V77A072 02/18/2012 17.22 Total 85.10 Outstanding balances reflect any payments received as of 02/24/2012. Please ignore this message if a recent payment has been made for any outstanding invoices. I Delivery Service Invoice Idgm Invoice date February 25, 2012 Invoice number 000076V77A082 Shipper number 76V77A TM Page 3 of 3 Outbound UPS Internet Shipping Pickup ZIP Billed Date Tracking Number Service Cade Zone Weight Charge 02/21 iZ76V77A0390084035 Ground Commercial 47250 2 1 8.01 Delivery Area Surcharge Extended 2.00 Fuel Surcharge 0.75 Total 10.76 1st ref Iron Bacteria Sample UserID CarmelWater Sender Michelle Breedlove Receiver: Jan Carmel Utilities Distributin Environmental Labs 3450 w 131 st 635 Green Rd Carmel IN 46074 MADISON IN 47250 02122 1 Z76V77AP292234641 Ground Commercial 46202 2 1 8.01 Fuel Surcharge 0.60 Total 8.61 1st ref Weekly Fluoride Samples UserlD CarmelWater Sender Michelle Breedlove Receiver: Environmental Sample Carrel Utilities Distributin Indiana State Dept of Health 3450 w 131 st 550 West 16th Street Carmel IN 46074 INDIANAPOLIS IN 46202 Total for Internet -ID: CarmelWater 19.37 Total UPS Internet Shipping 2 Package(s) 19.37 Total Outbound 2 Package(s) 19.37 VOUCHER 113911 WARRANT ALLOWED 314125 IN SUM OF UPS LOCKBOX 577 CAROL STREAM, IL 60132 Carmel Water Utility ON ACCOUNT OF APPROPRIATION FOR Board members PO INV ACCT AMOUNT Audit Trail Code 76V77A082 01- 6360 -03 $19.37 JU '77AC)7 D �t 17 2'1 Voucher Total r37 Cost distribution ledger classification if claim paid under 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 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 3/5/2012 Invoice Invoice Description Date Number (or note attached invoice(s) or bill(s)) Amount 3/5/2012 76V77A082 $19.37 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 d:,/) Date Officer