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209693 06/05/2012 CITY OF CARMEL, INDIANA VENDOR: 314125 Page 1 of 1 "F. ONE CIVIC SQUARE UPS 0 CHECK AMOUNT: $33.74 CARMEL, INDIANA 46032 LOCKBOX 577 CAROL STREAM IL 60132 -0577 CHECK NUMBER: 209693 CHECK DATE: 615/2012 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 601 5023990 76V77A202 26.03 OTHER EXPENSES 651 5023990 RV6990212 7.71 7362.5 Delivery Service In voice Invoice date May 26, 2012 Shipped from: Invoice number OOOORV6990212 CITY OF CARMEUWASTEWATER Shipper number RV6990 UOTMTERESA LEWIS Control ID U869 9609 HAZEL DELL PKWY INDIANAPOLIS, IN 46280 -2935 Page 1 of 3 Sign up for electronic billing today! 0249A000ORV69900 77401400016915 Visit ups.com /billing AT 01 023732 95296H 78 A *3DGT For questions about your invoice, call: III11 "�I'�� "II'�IIIII'I�'I��' 111 "��11��11�11�11�'I�'lll�'I "II (800) 811 -1648 Monday Friday CITY OF CARMEL 8:00 a.m.- 9:OOp.m. E.T. UTILITIES or write: 760 3RD AVE SW UPS P.O. Bo 724 0 CARMEL, IN 46032 -2072 19 Philadelphia, PA 19170 -0001 Account Status Summary Thank you for using UPS. Weekly Payment Plan Amount Due This Period 7 Summary of Charges Amount Outstanding (prior invoices) 0.00 age C Total Amount Outstanding 7.71 Outbound Questions about your Charges? 3 UPS Internet Shipping 7.71 To get a better understanding of the charges on your invoice, Amount due this period 7.71 visit our invoice guide and glossary of billing charges at ups.com/invoiceguide. UPS payment terms require payment of this bill by June 6, 2012. Note: This invoice may contain a fuel surcharge as described at ups.com. The published fuel surcharge is 8.59. for UPS Ground e Services and 14.5% for UPS Air Services, UPS 3 Day Select, and International services. For more information, visit ups.com. Delivery Service Invoice Invoice date May 26, 2012 OTM Invoice number OOOORV6990212 Shipper number RV6990 Page 2 of 3 Account Status Weekly Payment Plan Payments Applied Amount Invoice Number Invoice Date Paid OOOORV6990152 04/14/2012 16.03 Delivery Service Invoice Invoice date May 26, 2012 1 Invoice number OOOORV6990212 Shipper number RV6990 Page 3 of 3 Outbound UPS Internet Shipping Pickup ZIP Billed Date Tracking Number Service Code Zone Weight Charge 04126 1ZRV69900391 5808 1 7 Ground Commercial 45241 2 9 7.14 Fuel Surcharge 0.57 Total 7.71 UserlD TLEWIS9609 Sender TERESA LEWIS Receiver: MACHINE DRIVE DIV CITY OF CARMEL WWTP BW ROGERS CO. 9609 HAZEL DELL PARKWAY 2513 CRESCENTVILLE ROA D INDIANAPOLIS IN 46280 CINCINNATI OH 45241 Total for Internet -ID: TLEWIS9609 7.71 Total UPS Internet Shipping 1 Package(s) 7.71 Total Outbound 1 Package(s) 7.71 023732 2/2 Form Prescr ibe 301 -S St Bo 1995) ccounts ACCOUNTS PAYABLE VOUCHER Form 301 7995) D ADDRESS Invoice Date Invoice Number Item Amount I 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 ,19 Signature Title 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. 19 fficer Title Voucher No. Warrant No. ACCOUNTS PAYABLE DETAILED ACCOUNTS SANITATION DEPARTMENT A CARMEL, INDIANA O �.Eavor Of U{ 0 5-3/ L/ (r0 a c3a-a Total Amount of Voucher Deductions Amount of Warrant Month of 19 Acct. VOUCHER RECORD No. Collection System Operation Plant Commercial General Undistributed Construction Depreciation Reserve Stock Accounts Merchandise Total Allowed Board Members Filed BOYCE FORMS SYSTEMS 1- 800 382 -8702 325 i Delivery Service Invoice Invoice date M ay 19, 2012 Shipped from: Invoice number 000076V77A202 CARMEL UTILITIES DISTRIBUTION Shipper number 76V77A V3450 W 1031ST ST Control ID 68T8 WESTFIELD, IN 46074 Page 1 of 3 Sign up for electronic billing today! 0249A000076V77A9 77401300024238 Visit ups.com /billing AT 01 020935 91694H 67 D *3DGT For questions about your invoice, call: �II�III��IIJ��IIJ��I�I��II' I�� 'II'�11��1�'lll'lll��lllll��ll (800) 811 -1648 Monday Friday CARMEL UTILITIES 8:OO am. 9:OOp.m.E.T. 3450 W 131ST ST or write: CARMEL, IN 46074 -8267 UPS P.O. Box 7247 -0244 Philadelphia, PA 19170 -0001 Account Status Summary Thank you for using UPS. Weekly Payment Plan Amount Due This Period 26.03 Summary of Charges Amount Outstanding (prior invoices) 35.15 Page Charge Total Amount Outstanding 61.18 Outbound Please include the Return Portion of each outstanding invoice with 3 UPS Internet Shipping 26.03 your payment. See Account Status for details. Amount due this period 26.03 Questions about your charges To get a better understanding of the charges on your invoice, UPS payment terms require payment of this invoice by May 30 visit our invoice guide and glossary of billing charges at 2012' ups.com/invoiceguide. Note: This invoice may contain a fuel surcharge as described at ups.com. The published fuel surcharge is 8.59. for UPS Ground Services and 14.5% for UPS Air Services, UPS 3 Day Select, and International services. For more information, visit ups.com. I Delivery Service Invoice Invoice date May 19, 2012 Invoice number 000076V77A202 Shipper number 76V77A tw Page 2 of 3 Account Status Weekly Payment Plan Payments Applied Amount Invoice Number Invoice Date Paid 000076V77A112 03/17/2012 59.86 000076V77A132 03/31/2012 41.14 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 000076V77A162 04/21/2012 17.85 000076V77A172 04/28/2012 17.30 Total 35.15 Outstanding balances reflect any payments received as of 05/18/2012. Please ignore this message if a recent payment has been made for any outstanding invoices. Deli very Service In voice Invoice date May 19, 2012 Invoice number 000076V77A202 Shipper number 76V77A n Page 3 of 3 Outbound UPS Internet Shipping Pickup ZIP Billed Date Tracking Number Service Code Zone Weight Charge 05/03 1Z76V77A0392914741 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 05/10 1Z76V77A0398627630 Ground Commercial 46202 2 1 8.01 Fuel Surcharge 0.68 Total 8.69 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 05/17 iZ76V77A0394948158 Ground Commercial 46202 2 1 8.01 Fuel Surcharge 0.68 Total 8.69 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 e _.Carmel IN 46074 INDIANAPOLIS IN 46202 Total for Internet -ID: CarmelWater 26.03 Total UPS Internet Shipping 3 Package(s) 26.03 Total Outbound 3 Package(s) 26.03 VOUCHER 121057 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 76V77A202 01- 6360 -03 v3 Voucher Total $26.30 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 5/30/2012 Invoice Invoice Description Date Number (or note attached invoice(s) or bill(s)) Amount 5/30/2012 76V77A202 $26.30 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 6 111 1�;-4 /7�� Date Officer