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209768 06/18/2012
CITY OF CARMEL, INDIANA VENDOR: 093000 Page 1 of 1 ONE CIVIC SQUARE FEDEX- SHIPPING CHARGES CHECK AMOUNT: $92.75 CARMEL, INDIANA 46032 PO BOX 94515 PALATINE IL 60094 -4515 CHECK NUMBER: 209768 CHECK DATE: 6/18/2012 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1091 4342100 790464240 92.75 POSTAGE MM Invoice Number Invoice Date Account Number Page 7- 904 -64240 May 30, 2012 2178 5678 -7 1 of 3 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 CARMEL IN 46032 -7611 CARMEL IN 46032 -7611 Invoice Questions? Contact FedEx Revenue Services Phone: (800) 622 -1147 M -Sa 7 -6 (CST) Fax: (800) 548-3020 Invoice Summary May 30, 2012 Internet: www.fedex.com FedEx Express Services Transportation Charges 77.95 Special Handling Charges 14.80 Total Charges USD $92.75 TOTAL THIS INVOICE USD $92.75 Other discounts may apply. RE C EIVED JUN 0 4 2012 Detailed descriptions of surcharges can be located atfedex.com Invoice Number Invoice Date Account Number Page 7- 904 -64240 May 30, 2012 2178 5678 -7 2 of 3 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. Requestor Name I I I I I I I I I I I I I I I I I I I I I I I I I I I I Date W/ W/ W 011 Phone WWW I I I I I I I I I Fax WWW WWW I I I I c! t' E -mail Address Yes, I wantto update account contact with the above information. R Tracking Number Bill to Account Amount e! IIIIIIIIIIIIIIII IIIIIIIIII IIIIII IIIIIIIIIIIIIIII IIIIIIIIII IIIIII IIIIIIIIIIIIIIII IIIIIIIIII IIIIII 1 1111111111111111 IIIIIIIIII IIIIII s, llllllllllllllll IIIIIIIIII IIIIII c ADR 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 inchl C' Tracking Number Code Amount LBS L W H r' d', I I I I I I I I I I I I I I I I I I I I I I I 1 1 .1 1 1 1 11 I I I I I I I I I i I I I I I I I I I I I I I I I I I I I I L I I I I I W I I I II I I I I I I I I I t l I I I I I I I I I I I I I I I I I I I l l l l l I W WW WW x I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I W I I I II I I I l I I I X1 I I I I I I I I I I I I I I I I I I I I I I I I I I I I W I I I II I I I I I I I I I Invoice Number Invoice D t Account Number Pa e 7- 904 -64240 May 30 2012 2178 5678 -7 3of3 FedEx Express Shipment Detail By Payor Type (Original) Dropped off: M,ay.22, 2412 Cust Re# NO REFERENCE fNFOfMATli3N Ref #2 Payor.; Shipper Re# #3 Fuel Surcharge FedEx has applied a fuel surcharge of 14.50% to this shipment. Distance Based Pricing, Zone 7 Automation USAB Sender Recipient Tracking ID 800138222281 CARMEL CLAY PARKS MR MARSHALL MYRMAN Service Type FedEx Priority Overnight CARMEL CLAY PARKS RECREATION WAVE LOCH Package Type FedEx Pak 1411 E 116TH ST 3146 MISSION BLVD STE F Zone 07 CARMEL IN 46032 -7611 US SAN DIEGO CA 92109 US Packages 1 Rated Weight 1.0 Ibs, 0.5 kgs Delivered May 23, 2012 09:06 Svc Area Al Transportation Charge 49.95 Signed by N.CHURCH Fuel Surcharge 7.24 FedEx Use 014311437/0001596 Total Charge USD S57.19 Shipper Subtotal USD $57.19 Droppedoif May 23, 2 ]2 Cust Re NO REFERENCE iNFORMATI ©N Ref. #2: Payor: Recipient Ref. #3_ Fuel Surcharge FedEx has applied a fuel surcharge of 14.50% to this shipment. Distance Based Pricing, Zone 7 Automation USAB Sender Recipient Tracking ID 800138222292 SAN DIEGO CA 92109 US DEBRAGRISHAM Service Type FedEx Standard Overnight CARMELCLAY PARKS RECREATION Package Type FedEx Envelope 1411E 116TH ST Zone 07 CARMEL IN 46032 US Packages 1 Rated Weight N/A Delivered May 24, 2012 11:04 Transportation Charge 28.00 Svc Area A2 Fuel Surcharge 4.06 Signed by P.SCHLEMMER Direct Signature 3.50 FedEx Use 014508043/0000255!_ Total Charge USD 535.56 Recipient Subtotal USD $35.56 Total FedEx Express USD Purchase P.O.# PorF G.L. 1 0 C 1 4 3y 007 Budget R� Line Descr Q( gam``�.�'T g_�F� Purchaser Date JUN 0 4 2012 Approval Date BY: 1150- 01 -00- 0054745 -0001- 0138642 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 5/30/12 790464240 Postage 92.75 Account 217856787 Total 92.75 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. 093000 Fed Ex Allowed 20 P.O. Box 94515 Palatine, IL 60094 -4515 In Sum of 92.75 ON ACCOUNT OF APPROPRIATION FOR 109 Monon Center PO# or INVOICE NO. ACCT #/TITLE AMOUNT Board Members Dept 1091 790464240 4342100 92.75 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 14 -Jun 2012 Signature 92.75 Accounts Payable Coordinator Cost distribution ledger classification if Title claim paid motor vehicle highway fund