207633 03/26/2012 CITY OF CARMEL, INDIANA VENDOR: 314125 Page 1 of 1
0 ONE CIVIC SQUARE UPS CHECK AMOUNT: $15.73
CARMEL, INDIANA 46032 LOCKBOX 577
CAROL STREAM IL 60132 -0577 CHECK NUMBER: 207633
CHECK DATE: 3/26/2012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
651 5023990 6990092 15.73 OTHER EXPENSES
Delivery Service Invoice
Invoice date March 3, 2012
Shipped from: Invoice number OOOORV6990092
CITY OF CARMEL/WASTEWATER Shipper number RV6990
TERESA LEWIS Control ID N941
TM 9609 HAZEL DELL PKWY
INDIANAPOLIS, IN 46280 -2935 Page 1 of 3
Sign up for electronic billing today!
0249A000ORV69900 77401100017603 Visit ups.com /billing
AT 01 022110 48415H 71 A *3DGT For questions about your invoice, call:
(800) 811 -1648
Monday Friday
CITY OF CARMEL 8:OO am. 9:OOp.m.E.T.
UTILITIES or write:
760 3RD AVE SW UPS
CARMEL, IN 46032 -2072 P.O. Box 650580
Dallas, TX 75265 -0580
Account Status Summary
Weekly Payment Plan Thank you for using UPS.
Amount Due This Period $15.73 Summary of Charges
Amount Outstanding (prior invoices) 0.00 P age C arge
Total Amount Outstanding 15.73 Outbound
Financing for UPS customers now easier 3 UPS Internet Shipping 7.23
UPS Capitals now offers financial solutions for small to 3 Adjustments Other Charges 8.50
mid -sized UPS customers that need working capital loans Amount due this period 15.73
between $150,000 and $10,000,000. This new offering
strengthens UPS's solutions for small to middle market, UPS payment terms require payment of this bill by March 14,
U.S. -based businesses with working capital loans starting at 2012•
$150,000 and up. To learn more, visit Note: This invoice may contain a fuel surcharge as described at
www.upscapital.com solutions /global_asset_based lending.htmi ups.com. The published fuel surcharge is 7.59 for UPS Ground
Services and 11.5% for UPS Air Services, UPS 3 Day Select, and
International services. For more information, visit ups.com.
i
Delivery Service Invoice
Invoice date March 3, 2012
Invoice number OOOORV6990092
Shipper number RV6990
Tu
Page 2 of 3
Account Status
Weekly Payment Plan
Payments Applied
Amount
Invoice Number Invoice Date Paid
OOOORV6990022 01/14/2012 6.28
Delivery Service Invoice
Invoice date March 3, 2012
Invoice number OOOORV6990092
Shipper number RV6990
iw
Page 3 of 3
Outbound
UPS Internet Shipping
Pickup ZIP Billed
Date Tracking Number Service Code Zone Weight Charge
02/21 1ZRV69901595294491 Next Day Air Early A.M. 45268 102 11 0.00
Commercial Collect
UserlD TLEWIS9609
Sender :TERESA LEWIS Receiver: LAURA BOCZEK
CITY OF CARMEL WWTP US EPA
9609 HAZEL DELL PARKWAY 26 W. MARTIN LUTHER KI NG DR.
INDIANAPOLIS IN 46280 CINCINNATI OH 45268
1ZRV69901595426302 Next Day Air Early A.M. 17837 104 11 0.00
Commercial Third Party
UserlD TLEWIS9609
Sender TERESA LEWIS Receiver: MATT HIGGINS
CITY OF CARMEL WWTP DEPT. OF CIVIL ENV. ENG.
9609 HAZEL DELL PARKWAY 365 BREAKIRON ENGINEER ING
INDIANAPOLIS IN 46280 LEWISBURG PA 17837
Third Party: KAREN WHITE
USEPA NRMRL WSWRD -MCCB
MARTIN LUTHER KING
CINCINNATI OH 45268 0001
02/28 1ZRV69900393761181 Ground Commercial 45440 2 7 6.73
Fuel Surcharge 0.50
Total 7.23
UserlD TLEWIS9609
Sender TERESA LEWIS Receiver: Karen Mancine
CITY OF CARMEL WWTP TEST AMERICA
9609 HAZEL DELL PARKWAY 4738 GATEWAY CIRCLE
INDIANAPOLIS IN 46280 DAYTON OH 45440
Total for Internet -ID: TLEWIS9609 7.23
Total UPS Internet Shipping 3 Package(s) 7.23
Total Outbound 3 Package(s) 7.23
Adjustments Other Charges
Shipping Charge Corrections Learn how to avoid future shipping charge corrections. Visit www.ups.com/avoidcharges.
Pickup Tracking Original Service/ ZIP Billed Adjustment
Date Number Corrected Service Code Zone Weight Charge Amount
02/28 1ZRV69900393761181 Ground 45440 2
Additional Handling Not encased in cardboard 8.50_
Sender TERESA LEWIS Receiver: Karen Mancine
CITY OF CARMEL/WASTEWATER TEST AMERICA
INDIANAPOLIS IN 46280 DAYTON OH 45440
Total Shipping Charge Corrections 1 Package(s) 8.50
Total Adjustments Other Charges 8.50
022110 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 -0577 Due Date 3/19/2012
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
3/19/2012 6990092 $15.73
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 116972 WARRANT ALLOWED
314125 IN SUM- OF
UPS
LOCKBOX 577
CAROL STREAM, IL 60132 -0577
Carmel Wastewater Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO INV ACCT AMOUNT Audit Trail Code
6990092 01- 7362 -05 $15.73
Voucher Total $15.73
Cost distribution ledger classification if
claim paid under vehicle highway fund