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207446 03/26/2012
CITY OF CARMEL, INDIANA VENDOR: 093000 Page 1 of 1 ONE CIVIC SQUARE FEDEX- SHIPPING CHARGES CHECK AMOUNT: $18.87 CARMEL, INDIANA 46032 PO BOX 94515 PALATINE IL 60094 -4515 CHECK NUMBER: 207446 CHECK DATE: 3/26/2012 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1205 4342100 7- 822 -44917 18.87 POSTAGE Invoice Number Invoice D to Account Number Pa o ce a e g 7- 822 -44917 Mar 14 2012 1062- 2307 -6 1of4 FedEx Tax ID: 71- 0427007 Billing Address: Shipping Address: CITY OF CARMEL/MAYOR'S OFC CITY OF CARMEL SHARON KIBBE 1 CIVIC SQ 1 CIVIC so CARMEL IN 46032 -2584 Invoice Questions? Contact FedEx Revenue Services CARMEL IN 46032 -2584 Phone: (800) 622 -1147 M -Sa 7 -6 (CST) Fax: (800) 548 -3020 Invoice Summary Mar 14, 2012 Internet: www.fedex.com FedEx Express Services Transportation Charges 12.70 Special Handling Charges 6.17 Total Charges USD $18,87 TOTAL THIS INVOICE USD $18.87 Other discounts may apply. Lr=J D MAR 2 6 2012 By Detailed descriptions of surcharges can be located at fedex.com Invoice Number Invoice Date EAccount Number Page 7-822-44917 Mar 14, 2012 1062-2307-6 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.fedox.com or calling 800.622.1147. Please use multiple forms for additional requests. Please complete all fields in black ink. Re uestor Name Date I phone I l l l WWW V I I I Fax E-mail Address 0 Yes, I wantto update aGCOUM G0111aGtW1th the above information. Tracking Number Bill to Account Amount ,.b I L I I I I I I I I I I J y Y AD R -Address Correction INW Incorrect Weight OVS Oversize Surcharge For all Service failures or other 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 OCS Exp Pick-up Fee SDR Saturday Delivery (800► 622-1147 Rerate information only (round to nearest inch) C Number Code Amount LBS L W H X I I IX X 1 I I I X WLWJ X I I IX I I I X I I I Ix L I X I I I IX Invoice Number Ac nt Numb Pa Invaict late cou u ber e 7 -822 -44917 Mar 14 2012 1062- 2307 -6 3of4 fedEx Express Shipment Summary By Reference Feffx Express Shipments Wriginal) Rated is Special Werght Transportation Handling Stet Chg/Tax Reference Shipments lbs Charges Charges Greets /Other [liscaurrts.. Total Charges! NO REFERENCE INFORMATION 1 4.0 12.70 6,17 18.87 Total FetlEx Express t 4 D $t2 7q $617 $18 81 Total This Invoice US© $18.87 1073 -01 -00- 0003455 0001 0009169 Invoice Number Indoice Date Account Number Page 7 -822 -44917 Mar 14 2012 1062 2307 -6 4 of 4 FedEx Express Shipment Detail By Reference (Original` Plck�a up Mar 0� 2012 Cust Ref NCl REPfREN10 INFORMATION Ref #2 P ayor 5111pper Ref #3 Fuel Surcharge FedExhas applied a fuel surcharge of 13.00% to this shipment. Distance Based Pricing, Zone 2 FedEx has audited this shipment for correct packages, weight, and service Any changes made are reflected in the invoice amount. The package weight exceeds the maximum for the packaging type, therefore, FedEx Pak was rated as Customer Packaging, Automation USAB Sender Recipient Tracking ID 871526144239 JIM FELBRING JULIE H Service Type FedEx 2Day CITY OF CARMEL TRAVELESS Package Type Customer Packaging 1 CIVIC SO 707 L 80TH PL STE 100 Zone 02 CARMELIN 46032 -2584 US MERRILLVILLEIN 46410 US Packages 1 Rated Weight 4.0Ilas, 1.8 kgs Delivered Mar 09, 2012 14:05 Transportation Charge 12.70 Svc Area AA Fuel Surcharge 2.17 Signed by F-SZWESSICK Courier Pickup Charge 4.00 FedEx Use 006713168/0005980 Total Charge IM $18.87 NO REFERENCE INFORMATION Reference Subtotal USD $18.87 Total FedEx Express USD $18.87 1073-01-00-0003 45 5 -0001 0009 169 VOUCHER NO. WARRANT NO. FedEx ALLOWED 20 IN SUM OF P.O. Box 94515 Palatine, IL 60094 -4515 $18.87 ON ACCOUNT OF APPROPRIATION FOR Administration Department PO# Dept. INVOICE NO. ACCT# /TITLE AMOUNT Board Members 1205 I 7- 822 -44917 43- 421.00 I $18.87 l hereby certify that the attached invoice(s), or 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 Friday, March 23, 2012 Director, Administration 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)) 03/14/12 7- 822 -44917 $18.87 1 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 2a Clerk- Treasurer