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Home My WebLink About209377 05/22/2012 \,f CITY OF CARMEL, INDIANA VENDOR: 314125 Page 1 of 1 0 ONE CIVIC SQUARE UPS CARMEL, INDIANA 46032 LOCKBOX 577 CHECK AMOUNT: $17.30 CAROL STREAM IL 60132 -0577 CHECK NUMBER: 209377 CHECK DATE: 5/22/2012 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 601 5023990 76V77A172 17.30 OTHER EXPENSES l Delivery Service Invoice Invoice date April 28, 2012 Shipped from: Invoice number 000076V77A172 CARMEL UTILITIES DISTRIBUTION Shipper number 76V77A 0'° 3450 W 1031ST ST Control ID 29P5 WESTFIELD, IN 46074 Page 1 of 3 Sign up for electronic billing today! 0249A000076V77A9 77401400025099 Visit ups.com /billing AT 01 024665,80732H 81 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 Thank you for using UPS. Weekly Payment Plan Amount Due This Period $17.30 Summary of Charges Amount Outstanding (prior invoices) $118.85 Page C arge Total Amount Outstanding $136.15 Outbound Please include the Return Portion of each outstanding invoice with 3 UPS Internet Shipping 17.30 your payment. See Account Status for details. Amount due this period 17.30 A paper alternative. Choose a UPS electronic billing solution as an alternative to UPS payment terms require payment of this invoice by May 9, receiving a paper bill. You can view, manage and pay your 2012' UPS bills electronically. Choose the format that best suits your Note: This invoice may contain a fuel surcharge as described at company's needs. Learn more at www.ups.com /billing ups.com. The published fuel surcharge is 8.0% for UPS Ground Services and 14.0% for UPS Air Services, UPS 3 Day Select, and International services. For more information, visit ups.com. Delivery Service Invoice Invoice date April 28, 2012 Invoice number 000076V77A172 Shipper number 76V77A n Page 2 of 3 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 000076V77A132 03/31/2012 41.14 000076V77A162 04/21/2012 17.85 Total $118.85 Outstanding balances reflect any payments received as of 04/27/2012. Please ignore this message if a recent payment has been made for any outstanding invoices. I Delivery Service Invoice Invoice date April 28, 2012 Invoice number 000076V77A172 Shipper number 76V77A TM Page 3 of 3 Outbound UPS Internet Shipping Pickup ZIP Billed Date Tracking Number Service Code Zone Weight Charge 04/23 1 Z76V77A0395539017 Ground Commercial 46202 2 1 8.01 Fuel Surcharge 0.64 Total 8.65 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 04/25 1 Z76V77A0398442624 Ground Commercial 46202 2 1 8.01 Fuel Surcharge 0.64 Total 8.65 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 17.30 Total UPS Internet Shipping 2 Package(s) 17.30 Total Outbound 2 Package(s) 17.30 VOUCHER 114565 WARRANT ALLOWED 314125 IN SUM OF UPS LOCKBOX 577 CAROL STREAM, IL 60132 Carmel Water Utility ON ACCOUNT OF APPROPRIATION FOR Board members i PO INV ACCT AMOUNT Audit Trail Code 76V77A172 01- 6360 -03 $17.30 4 i Voucher Total $17.30 Cost distribution ledger classification if 1 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 5/14/2012 Invoice Invoice Description Date Number (or note attached invoice(s) or bill(s)) Amount 5/14/2012 76V77A172 $17.30 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