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208075 04/10/2012 CITY OF CARMEL, INDIANA VENDOR: 314125 Page 1 of 1 ONE CIVIC SQUARE UPS CHECK AMOUNT: $101.00 CARMEL, INDIANA 46032 LOCKBOX577 CAROL STREAM IL 60132 -0577 CHECK NUMBER: 208075 CHECK DATE: 4/10/2012 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 601 5023990 76V77A112 59.86 OTHER EXPENSES 601 5023990 76V77A132 41.14 OTHER EXPENSES Delivery Service Invoice Invoice date March 17, 2012 Shipped from: Invoice number 000076V77A112 CARMEL UTILITIES DISTRIBUTION Shipper number 76V77A 3450 W 1031ST ST Control ID K930 WESTFIELD, IN 46074 Page 1 of 3 Sign up for electronic billing today! 0249A000076V77A9 77401300024947 Visit ups.com /billing AT 01 021797 56253H 68 D *3DGT For questions about your invoice, call: (800) 811 -1648 Monday Friday CARMEL UTILITIES 8:00 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 Weekly Payment Plan Thank you for using UPS. Amount Due This Period 59.86 Summary of Charges Amount Outstanding (prior invoices) 36.59 age Charge Total Amount Outstanding 96.45 Outbound Please include the Return Portion of each outstanding invoice with 3 UPS Internet Shipping 59.86 your payment. See Account Status for details. Amount due this period 59.86 A slam dunk: Print Madness is back To celebrate. NCAA March Madnesse, The UPS Store® has a UPS payment terms require payment of this invoice by March 28, special promotion Print MadnessTM where color copies are 2012' just 25 cents each at participating locations. Hurry! Special Note: This invoice may contain a fuel surcharge as described at offer ends April 6. For more information, or to find a convenient ups.com. The published fuel surcharge is 7.5% for UPS Ground location, visit theupsstore.com. Services and 13.0% for UPS Air Services, UPS 3 Day Select, and International services. For more information, visit ups.com. Delivery Service Invoice Invoice date March 17, 2012 Invoice number 000076V77A112 Shipper number 76V77A TM Page 2 of 3 Account Status Weekly Payment Plan Payments Applied Amount Invoice Number Invoice Date Paid 000076V77A052 02/04/2012 67.88 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 000076V77A072 02/18/2012 17.22 000076V77A082 02/25/2012 19.37 Total 36.59 Outstanding balances reflect any payments received as of 03/16/2012. Please ignore this message if a recent payment has been made for any outstanding invoices. Delivery Service Invoice Invoice date March 17, 2012 Invoice number 000076V77A112 Shipper number 76V77A Page 3 of 3 Outbound _UPS Internet Shipping Pickup ZIP Billed Date Tracking Number Service Code Zone Weight Charge 02/29 1Z76V77AP291800058 Ground Commercial 46202 2 2 8.52 Fuel Surcharge 0.64 Total 9.16 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 03/08 1Z76V77A0390844268 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 03/09 1Z76V77A0394951279 Ground Commercial 50010 4 5 11.31 Fuel Surcharge 0.85 Total 12.16 1st ref DR 2500 Spectrophotometer Repair UserlD: CarmelWater Sender Michelle Breedlove Receiver: Carmel Utilities Distributin Hach Co 3450 w 131 st 100 Dayton Ave Carmel IN 46074 AMES IA 50010 03/13 1 Z76V77A0391825081 Ground Commercial 47303 2 1 8.01 Fuel Surcharge 0.60 Total 8.61 1st ref Iron Bacti Sample -North Gray /126th UserlD CarmelWater Sender Michelle Breedlove Receiver: Carmel Utilities Distributin HML 3450 w 131 st 912 West McGalliard Carmel IN 46074 MUNCIE IN 47303 iZ76V77A0392889109 Ground Commercial 47250 2 7 9.82 Delivery Area Surcharge Extended 2.00 Fuel Surcharge 0.89 Total 12.71 1st ref Sodium Samples (March) UserlD: CarmelWater Sender Michelle Breedlove Receiver: Jan Carmel Utilities Distributin Environmental Labs 3450 w 131 st 635 Green Rd Carmel IN 46074 MADISON IN 47250 iZ76V77A0392889690 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 59.86 Total UPS Internet Shipping 6 Package(s) 59.86 Total Outbound 6 Package(s) 59.86 021797 2/2 Delivery Service Invoice Invoice date March 31, 2012 Shipped from: Invoice number 000076V77A132 CARMEL UTILITIES DISTRIBUTION Shipper number 76V77A 3450 W 1031ST ST Control ID 959D WESTFIELD, IN 46074 Page 1 of 3 Sign up for electronic billing today! 0249A000076V77A9 77401500024175 Visit ups.com /billing AT 01 020811 63574H 65 D *3DGT For questions about your invoice, call: (800) 811 -1648 Monday Friday 8 :00 a.m. 9:00 p.m. E.T. CARMEL UTILITIES 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 41,14 Summary of Charges Amount Outstanding (prior invoices) 59.86 Page Charge Total Amount Outstanding $101.00 Outbound Please include the Return Portion of each outstanding invoice with 3 UPS Internet Shipping 41.1 your payment. See Account Status for details. Amount due this period 41.14 A slam dunk: Print Madness is back To celebrate NCAA March Madness, The UPS Store ®has a UPS payment terms require payment of this in by April 11, special promotion Print MadneSSTM where color copies are 2012' just 25 cents each at participating locations. Hurry! Special Note: This invoice may contain a fuel surcharge as described at offer ends April 6. For more information, or to find a convenient ups.com. The published fuel surcharge is 7.55vo for UPS Ground location, visit theupsstore.com. Services and 13.0% for UPS Air Services, UPS 3 Day Select, and International services. For more information, visit ups.com. Delivery Service In voice Invoice date March 31, 2012 Invoice number 000076V77A132 Shipper number 76V77A n Page 2 of 3 Account Status Weekly Payment Plan Payments Applied Amount Invoice Number Invoice Date Paid 000076V77A072 02/18/2012 17.22 000076V77A082 02/25/2012 19.37 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 000076V77A112 03/17/2012 59.86 Total 59.86 Outstanding balances reflect any payments received as of 03/30/2012. Please ignore this message if a recent payment has been made for any outstanding invoices. i Delivery Service Invoice Invoice date March 31, 2012 Invoice number 000076V77A132 Shipper number 76V77A PT. Page 3 of 3 Outbound UPS Internet Shipping Pickup ZIP Billed Date Tracking Number Service Code Zone Weight Charge 03/20 1Z76V77A0392487310 Ground Commercial 46202 2 1 8.01 Fuel Surcharge 0.60 Total 8.61 1st ref :weekly fluoride 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 03/27 1 Z76V77A0393868326 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 1Z76V77A0394336130 Ground Commercial 50010 4 33 22.25 Customer entered weight 18 Fuel Surcharge 1.67 Total 23.92 1st ref Fluoride Analyzer Plant 3 UserlD CarmelWater Sender Michelle Breedlove Receiver: ATTN: SR685436 Carmel Utilities Distributin Hach Co Service Center 3450 w 131 st 100 Dayton Ave Carmel IN 46074 AMES IA 50010 Message Codes r Total for Internet -ID: CarmelWater 41.14 Total UPS Internet Shipping 3 Package(s) 41.14 Total Outbound 3 Package(s) 41.14 Invoice Messaging Code Message r Dimensional weight applied 020811 2/2 VOUCHER 114146 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 76V77A112 01- 6360 -03 $59.86 Iq Voucher Total 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 4/3/2012 Invoice Invoice Description Date Number (or note attached invoice(s) or bill(s)) Amount 4/3/2012 76V77A112 $59.86 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 4//-- r Date Officer