208497 04/25/2012 CITY OF CARMEL, INDIANA VENDOR: 314125 Page 1 of 1
Q� ONE CIVIC SQUARE UPS CHECK AMOUNT: $16.03
CARMEL, INDIANA 46032 LOCKBOX 577
CAROL STREAM IL 60132 -0577 CHECK NUMBER: 208497
CHECK DATE: 4/25/2012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
651 5023990 6990152 16.03 CONT SVS -OTHER
i
Delivery Service Invoice
Invoice date April 14, 2012
Shipped from: Invoice number OOOORV6990152
CITY OF CARMEL/WASTEWATER Shipper number RV6990
TERESA LEWIS OTM Control ID 248P
9609 HAZEL DELL PKWY
INDIANAPOLIS, IN 46280 -2935 Page 1 of 3
Sign up for electronic billing today!
0249A0000RV69900 77401200020269
Visit ups.com /billing
AT 01 024463 73079H 79 A *3DGT For questions about your invoice, call:
(800) 811 -1648
Monday Friday
CITY OF CARMEL
8:00 a.m. 9:00 p.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 Thank you for using UPS.
Weekly Payment Plan y 9
Amount Due This Period 16.03 Summary of Charges
Amount Outstanding (prior invoices) 0.00 Page
arge
Total Amount Outstanding $16.03 Outbound
A paper alternative 3 UPS Internet Shipping 16.03
Choose a UPS electronic billing solution as an alternative to Amount due this period 16.03
receiving a paper bill. You can view, manage and pay your
UPS bills electronically. Choose the format that best suits your UPS payment terms require payment of this bill by April 25, 2012.
company's needs. Learn more at www.ups.com /billing
Note: This invoice may contain a fuel surcharge as described at
ups.com. The published fuel surcharge is 8.09 for UPS Ground
Services and 14.0% for UPS Air Services, UPS 3 Day Select, and
International services. For more information, visit ups.com.
MrU INTERNATIONAL, INC.
TLEWIS96
"NUIA NAPOLIS IN 46280 715 ALMOND S.W. SUITE C
DEMOTTE IN 46310
Total for Internet -ID:
Total UPS Internet Shipping
Total Outbound 2 Package(s) 16.03
2 Package 16.03
Package(s)
16.03
DIY
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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 4/19/2012
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
4/19/2012 6990152 $16.03
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
l
Date cer
VOUCHER 117184 WARRANT ALLOWED
314125 IN SUM OF
UPS
LOCKBOX 577
CAROL STREAM, IL 60132 -0577
Carmel Wastewater Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
Pb INV ACCT AMOUNT Audit Trail Code
6990152 01- 7362 -05 $16.03
Voucher Total $16.03
Cost distribution ledger classification if
claim paid under vehicle highway fund