212996 09/25/2012 CITY OF CARMEL, INDIANA VENDOR: 093000 Page 1 of 1
ONE CIVIC SQUARE FEDEX OFFICE
CARMEL, INDIANA 46032 CUSTOMER ADMIN.SERVICES CHECK AMOUNT: $294.53
r� PO BOX 672085 CHECK NUMBER: 212996
DALLAS TX 75284-2085
CHECK DATE: 9/25/2012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
651 5023990 07040000103 294 . 53 OTHER EXPENSES
INVOICE
Official Bill of Sale
Terms Net 30 Days
Please Reference Invoice#Below
INVOICE#: 070400010380
Please remit payment to: GTN#:
FedEx Office Receipt#: 0704003 Reg: bf65 Page: 1
Customer Administrative Services Account#: 0000386806 Card#: 0051
P.O. Box 672085 Customer#: City Of Carmel
Auth User: Sewer
Dallas, TX 75267-2085 Reference: jell cooper
Tax Exempt#:
Date: 08/29/12 12:10 PM Co-Worker:
Qty/List Disc. Price Amount
Questions?Please call:
18 FS OS Color Heavy Weig
800.488.3705 7.25 1.0872 6.163 110.93
54 LF Lamination Premium
4.00 0.6000 3.400 183.60
Discount Total $51.97
UserlRequestor Information
Signee: Jeff Cooper
Signee Phone: 317.716.5882
SUBTOTAL $294.53
.00
Electronically Reproduced TAX TOTAL $2$0$0.53
Copy of Original
Thank you for choosing FedEx Office
Carmel IN Carmel Dr 317.818.1600
530 E Carmel Dr
Visit our website at Carmel, IN 46032-2814
fedex.com
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
93000
FEDEX Purchase Order No.
Terms
PO Box 94515 Due Date 9/19/2012
Palatine, IL 60094
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
9/19/2012 0704000010: $294.53
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
91a /) Co---� n,-- O
Date Officer
VOUCHER # 125715 WARRANT # ALLOWED
93000 IN SUM OF $
FEDEX r4�00
&M�bv'.-r' A �-7J*Y.S
PO Box
Di,-((AO-rx
-7 5aG'7-RO s
Carmel Wastewater Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO# INV# ACCT# AMOUNT Audit Trail Code
07040000103 01-7202-05 $294.53
Voucher Total $294.53
Cost distribution ledger classification if
claim paid under vehicle highway fund