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210571 07/05/2012 CITY OF CARMEL, INDIANA VENDOR: 314125 Page 1 of 1 ONE CIVIC SQUARE UPS CARMEL, INDIANA 46032 LOCKBOX 577 CHECK AMOUNT: $31.01 «off CAROL STREAM IL 60132 -0577 CHECK NUMBER: 210571 CHECK DATE: 7/5/2012 DE PARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 651 5023990 6990242 13.08 CONT SVS -OTHER 601 5023990 76V77A242 17.93 OTHER EXPENSES Delivery Service Invoice Invoice date June 16, 2012 1 Shipped from: Invoice number 000O76V77A242 CARMEL UTILITIES DISTRIBUTION Shipper number 76V77A 3450 W 1031ST ST Control ID E531 WESTFIELD, IN 46074 Page 1 of 3 Sign up for electronic billing today! 0249A000076V77A9 77401300023333 Visit ups.com /billing AT 01 019834 07904H 63 D *3DGT For questions about your invoice, call: IIII'IIII' 1111' llllllllll'1111'll'lllllll'I'll "11'11111 "1'11111 Monday 1 Friday CARMEL UTILITIES 8:00 a.m.- 9:00p.m.E.T. 3450 W 131ST ST or write: CARMEL, IN 46074-8267 UPS R.O. Box 7247 -0244 Philadelphia, PA 19170 -0001 Account Status Summary Thank you for using UPS. Weekly Payment Plan Amount Due This Period 17,93 Summary of Charges Amount Outstanding (prior invoices) 43.96 Page Charge Total Amount Outstanding 61.89 Outbound Please include the Return Portion of each outstanding invoice with 3 UPS Internet Shipping 17.93 your payment. See Account Status for details. Amount due this period 17.93 .Questions about your charges To get a better understanding of the charges on your invoice, UPS payment terms require payment of this invoice by June 27, 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 8.5% for UPS Ground Services and 14.5% for UPS Air Services, UPS 3 Day Select, and International services. For more information, visit ups.com. Deli very Service In voice Invoice date June 16, 2012 Invoice number 000076V77A242 Shipper number 76V77A TM Page 2 of 3 Account Status Weekly Payment Plan Payments Applied Amount Invoice Number Invoice Date Paid 000076V77A172 04/28/2012 17.30 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 000076V77A202 05/19/2012 26.03 000076V77A222 06/02/2012 17.93 Total 43.96 Outstanding balances reflect any payments received as of 06/15/2012. Please ignore this message if a recent payment has been made for any outstanding invoices. Delivery Service Invoice Invoice date June 16, 2012 Invoice number 000076V77A242 Shipper number 76V77A Page 3 of 3 Outbound UPS Internet Shipping Pickup ZIP Billed Date Tracking Number Service Code Zone Weight Charge 06/04 1 Z76V77AP294700366 Ground Commercial 46202 2 2 8.52 Fuel Surcharge 0.72 Total 9.24 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 06/11 iZ76V77A0390955371 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 Total for Internet -ID: CarmelWater 17.93 Total UPS Internet Shipping 2 Package(s) 17.93 Total Outbound 2 Package(s) 17.93 VOUCHER 121294 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 76V77A242 01- 6360 -03 $17.93 Voucher Total $17.93 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 6/26/2012 Invoice Invoice Description Date Number (or note attached invoice(s) or bill(s)) Amount 6/26/2012 76V77A242 $17.93 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 Date Officer Delivery Service Invoice Invoice date June 16, 2012 Shipped from: Invoice number OOOORV6990242 CITY OF CARMEUWASTEWATER Shipper number RV6990 TERESA LEWIS Control ID U362 9609 HAZEL DELL PKWY INDIANAPOLIS, IN 46280 -2935 Page 1 of 3 Sign up for electronic billing today! 0249A000ORV69900 77401300016499 Visit ups.com /billing AT 01 019648 07904H 63 A *3DGT For questions about your invoice, call: I�lllnl��l��llllll��llllll�l, Illl��u�tlll�llltlll�llllll�lllll (800) 811 -1648 Monday Friday 8:00 am. 9:00 p.m. E.T. CITY OF CARMEL UTILITIES or write: 760 3RD AVE SW UPS CARMEL, IN 46032 -2072 P.O. Box 7247 -0244 Philadelphia, PA 19170 -0001 Account Status Summary Thank you for using UPS. Weekly Payment Plan Amount Due This Period 13.08 Summary of Charges Amount Outstanding (prior invoices) 7.71 age Charge Total Amount Outstanding 20.79 Outbound Please include the Return Portion of each outstanding invoice with 3 UPS Internet Shipping 13.08 your payment. See Account Status for details. Amount due this period 13.08 Questions about your charges To get a better understanding of the charges on your invoice, UPS payment terms require payment of this invoice by June 27, 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 8.5% 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 June 16, 2012 Invoice number OOOORV699O242 Shipper number RV699O TM 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 OOOORV6990212 05/26/2012 7.71 Total 7.71 Outstanding balances reflect any payments received as of 06/15/2012. Please ignore this message if a recent payment has been made for any outstanding invoices. Delivery Service Invoice Invoice date June 16, 2012 Invoice number OOOORV6990242 Shipper number RV6990 n Page 3 of 3 Outbound UPS Internet Shipping Pickup ZIP Billed Date Tracking Number Service Code Zone Weight Charge 06/06 1 ZRV69900395373516 Ground Commercial 44056 3 2 6.22 Fuel Surcharge 0.53 Total 6.75 UserlD TLEWIS9609 Sender :TERESA LEWIS Receiver: 820120605.115020 CITY OF CARMEL WWTP BW ROGERS CO. 9609 HAZEL DELL PARKWAY 7900 EMPIRE PARKWAY INDIANAPOLIS IN 46280 MACEDONIA OH 44056 06/12 1ZRV69900390978828 Ground Commercial 61615 3 1 5.83 Fuel Surcharge 0.50 Total 6.33 UserlD TLEWIS9609 Sender TERESA LEWIS Receiver: CITY OF CARMEL WWTP DAILY LABORATORIES 9609 HAZEL DELL PARKWAY 2200 W ALTORFER DR SUI TE B INDIANAPOLIS IN 46280 PEORIA IL 61615 Total for Internet -ID: TLEWIS9609 13.08 Total UPS Internet Shipping 2 Package(s) 13.08 Total Outbound 2 Package(s) 13.08 019648 2/2 dl VOUCHER 125174 WARRANT ALLOWED 314125 IN SUM OF UPS LOCKBOX 577 CAROL STREAM, IL 60132 -0577 Carmel Wastewater Utility ON ACCOUNT OF APPROPRIATION FOR Board members PO INV ACCT AMOUNT Audit Trail Code 6990242 01- 7362 -05 $13.08 Voucher Total $13.08 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 -0577 Due Date 6/25/2012 Invoice Invoice Description Date Number (or note attached invoice(s) or bill(s)) Amount 6/25/2012 6990242 $13.08 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 Date Officer