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212578 09/12/2012 CITY OF CARMEL, INDIANA VENDOR: 093000 Page 1 of 1 it�` ONE CIVIC SQUARE FEDEX-SHIPPING CHARGES CHECK AMOUNT: $7.36 ,ra CARMEL, INDIANA 46032 PO BOX 94515 PALATINE IL 60094-4515 CHECK NUMBER: 212578 CHECK DATE: 9/1212012 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1115 4350900 200041567 7 . 36 OTHER CONT SERVICES i ® Invoice Number Invoice de at A ccou nt N m be r Page 2-000-41567 Aug 29 2012 3134-0235-5 1 of 4 FedEx Tax ID: 71-0427007 Billing Address: Shipping Address: CARMEL COMMUNICATIONS CARMEL COMMUNICATIONS 31 1 STAVE NW 31 1 STAVE NW Invoice Questions? CARMEL IN 46032-1715 CARMEL IN 46032-1715 Contact FedEx Revenue Services Phone: (800)622-1147 M-Sa 7-6(CST) Fax: (800)548-3020 Invoice Summary Aug 29, 2012 Internet: www.fedex.com FedEx Ground Services Transportation Charges 6.88 Other Handling Charges 0.48 Total Charges USD $7.36 TOTAL THIS INVOICE USD $7.36 Other discounts may apply. Detailed descriptions of surcharges can be located atfedex.com Invoice Number Invoice Date Account Number Page 2-000-41567 Aug 29 2012 3134-0235-5 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 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 t! a' Phone WWW l l l l I I I I I Fax# WWW WWW I I I I I t E-mail Address ❑Yes,I wantto update account contact with the above information. R Tracking Number Bill to Account $Amount ellllllllllllllll IIIIIIIIII IIIIII• W b'IIIIIIIIIIIIIIII IIIIIIIIII IIIIII• W jIIIIIIIIIIIIIIII IIIIIIIIII IIIIII• W I`IIIIIIIIIIIIIIII IIIIIIIIII IIIIII• W SIIIIIIIIIIIIIIII IIIIIIIIII IIIIII• W ADR-Address Correction INW-Incorrect Weight OVS- Oversize Surcharge For all Service failures or other C DVC-Declared Value INS- Incorrect Service RSU- Residential Delivery surcharges please use our web e IAN- Invalid Acct# OCF- Grd 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) C Tracking Number Code $Amount LBS L W H V: e 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 WWWI 1 1 lX I I I XI tl'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 IX I I I XWWJ tl 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_WWWWWX I I I I XWWL_ S 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 WWW WWW X WWI 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 1 1 1 1 1 1. 1 I I WWWWJX I I I I X I I I I ���""' Invoice Number Invoice Date Account Number Pa e 9 2-000-41567 Au 29 2012 3134-0235-5 3 of 4 FedEx Ground Shipment Summary By Payor Type FedEx Ground Shipments(Original) Rated 1Neight; Transportation: Oth.e.r Handling Net Chg/Tax Q.afe Shi .ments Ibs :har es' Ghar`°es Creditsl0ther Total Ghar es Ground-Prepaid 08/21 1 2 6.88 0.48 7.36 Ground-Prepaid Subtotal $7.36 TotaLFedEx Ground 1 2 $6 Sli': $048 $7 36 Total This Invoice USD $7.36 00- 007 W7 3-000 _0777`?O \24\-0�- �� 1�� ��� ��t � �� � �� a �2 t " i Y.'-S;. �``�� 4'�dt'K � �gT y5_� '�"�' 1' 3i f�eY' t"'� '�'; � �- 'tip. a� ��'U*<'..�t�iu -. �'��I ���'�[{9��.:'s"`� k., .. � � , �y� Invoice Number Invoice Date AccounfNumber Page 2-000-41567 Aug 29, 2012 3134-0235-5 4 of 4 FedEx Ground Prepaid Detail (Original) Pickup Date Aug 21;2012 Cust.Ref 029589 P 0.# Payor Shlppel Dept;# . Tracking ID 321 003815000104 Sender Recipient Transportation Charge 6.88 Service Type Ppd,Domestic Carmel Clay Communications Cen RMA#030997,030998 Fuel Surcharge 0.48 Zone 05 Carmel Clay Communications Cen L-3 Mobile-Vision Inc. Total Charge USD 57.36 Packages 1 31 1st Ave.N.W. 90 FANNY RD Actual Weight 1.2lbs Carmel IN 46032 BOONTON NJ 07005 Rated Weight 2 Ibs Delivered Aug 23,2012 Prepaid Subtotal USD $7.36 Total FedEx Ground USD $7.36 . Prescribed&s @ mm of Accounts City Form No.21(Rev 2s \y/\\ ACCOUNTS PAYABLE VOUCHER » \/ < CITY OFCARMEL \ \ , A invoice or bill bb properly itemize dmustshow: kind of service,wh em performed, dates m+m rendered, by 2\ \/ whom, m@sper Awnumb rof hours, r epeh ur, numbrof un#, p c per unit, etc. ( \ Payee »\<\« 3 �' Purchase Order No. v» > Terms m»\// Date Due ��\ \ \y; Invoice Invoice Description amount >3 %2 Date Number (or note attached invoice(s)or b199 \\\ 08/29/12 »00 415 7 $7.3 /+ \� + ® c �\§ , »« v /» © \ ° \ ƒ» Ihereb mm\that the attached invoice(s), or WAtG(am)true andcr ct andIhaveaud+ds mein accordance with 2 5-11-10-1.6 , 20 Clerk-Treasurer ���� VOUCHER NO. WARRANT NO. ALLOWED 20 FedEx IN SUM OF $ P.O. Box 94515 Palatine, IL 60094-4515 — $7.36 ON ACCOUNT OF APPROPRIATION FOR Carmel Clay Communications PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members 1115 2-000-41567 43-509.00 $7.36 r - I hereby certify that the attached invoice(s), or � � � bill(s) is (are)true and correct and that the 3 materials or services itemized thereon for which charge is made were ordered and received except r uesdaySeptemberr04, 2012 Y� Cost distribution ledger classification if claim paid motor vehicle highway fund