208678 05/10/2012 CITY OF CARMEL, INDIANA VENDOR: 093000 Page 1 of 1
ONE CIVIC SQUARE FEDEX- SHIPPING CHARGES CHECK AMOUNT: $15.69
CARMEL, INDIANA 46032 PO BOX 94515
PALATINE IL 60094 -4515 CHECK NUMBER: 208678
CHECK DATE: 5/10/2012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1091 4342100 785886469 15.69 POSTAGE
P Invoice Number Invoice Date Account Number Page
7- 858 -86469 Apr 18 2012 2178- 5678 -7 1 of 4
FedEx Tax ID: 71- 0427007
Billing Address: Shipping Address:
CARMEL CLAY PARKS RECREATION CARMEL CLAY PARKS RECREATION
1411 E 116TH ST 1411 E 116TH ST Invoice Questions?
CARMEL IN 46032 -7611 CARMEL IN 46032 -7611 Contact FedEx Revenue Services
Phone: (800) 622 -1147 M -Sa 7 -6 (CST)
Fax: (800) 548 -3020
Invoice Summary Apr 18, 2012 Internet: www.fedex.com
FedEx Ground Services
Transportation Charges 14.53
Other Handling Charges 1.16
Total Charges USD $15.69
TOTAL THIS INVOICE USD $15.69
Other discounts may apply.
APR 2 3 �p17
Detailed descriptions of surcharges can be located atfedex.com
Invoice Number Invoice Date Account Number Page
7 -858 -86469 Apr 18, 2012 2178- 5678 -7 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.fedex.com or calling
800.622.1147. Please use multiple forms for additional requests.
C Please complete all fields in black ink.
n Requestor Name I Date
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a! Phone I I I I WW1—I I I I I I Fax# WWW WLWJ I I I I
C
f- E -mail Address Yes, I wantto update account contact with the above information.
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AD Address Correction INW Incorrect Weight OVS Oversize Surcharge For all Service failures or other
o DVC Declared Value INS Incorrect Service RSU Residential Delivery surcharges please use our web
e IAN Invalid Acct OCF Gird 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)
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Invoice Number Invoice Date Account Number Page
7- 858 -86469 Apr 18 2012 2178 5678 -7 3of4
FedEx Ground Shipment Summary By Payor Type
FedEx Ground Shipments (Original)
Rated
Weight Transportation;. Other Handting Ret Chg/Tax
[}ate Shipments Ibs Charges Charges CrediWgt,h Total Charges
Ground -Bill Third Party
04/09 1 13 14.53 1.16 15.69
Ground -Bill Third Party Subtotal $15.69
Total FedEx Ground 1 13 X14 53 $06 $15.69;
Total This Invoice USD $15.69
1108- 01 -00- 0023951- 0001 0062306
ACCOUNTS PAYABLE VOUCHER
CITY OF CARMEL
An invoice of 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.
093000 FedEx Terms
P.O. Box 94515
Palatine, IL 60094 -4515
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) PO Amount
4/18/12 785886469 Postage 15.69
Account# 217856787
Total 15.69
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
20_
Clerk- Treasurer
Voucher No. Warrant No.
r
093000 FedEx )A 11 C Allowed 20
P.O. Box 94515
Palatine, IL 60094 -4515
In Sum of
15.69
ON ACCOUNT OF APPROPRIATION FOR
109 Monon Center
PO# or INVOICE NO. ACCT #/TITLE AMOUNT Board Members
Dept
1091 785886469 4342100 15.69 1 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
3 -May 2012
P �ffAJ'y1I10
Signature
15.69 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund