HomeMy WebLinkAbout212997 09/25/2012 CITY OF CARMEL, INDIANA VENDOR: 093000 Page 1 of 1
= ONE CIVIC SQUARE FEDEX-SHIPPING CHARGES CHECK AMOUNT: $14.71
CARMEL, INDIANA 46032 PO BOX 94515
o� PALATINE IL 600944515 CHECK NUMBER: 212997
CHECK DATE: 9/2512012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
2200 4239099 200119743 14 . 71 OTHER MISCELLANOUS
Fedlz. Invoice Number Invoice Date Account Number Page
2-001-19743 Aug 29, 2012 1062-2307-6 1 of
FedEx TaxID: 71-0427007
Billing Address: Shipping Address:
CITY OF CARMEUMAYOR'S OFC CITY OF CARMEL
SHARON KIBBE 1 CIVIC SQ
1 CIVIC SO CARMEL IN 46032-2584 Invoice Questions?
Contact FedEx Revenue Services
CARMEL IN 46032-2584 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 6.25
Other Handling Charges 6.65
Total Charges USD $12.90
FedEx Other Charges
Merchandise Sales 1.69
Sales Tax 0.12
Total Charges USD $1.81
TOTAL THIS INVOICE USD $14.71
Other discounts may apply.
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Invoice Number Invoice Date Account Number Page
2-001-19743 Aug 29 2012 11 1062-2307-6 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
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E-mail Address W Yes,I wantto update account contact with the above information.
R Tracking Number Bill to Account $Amount
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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
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 inch)
C Tracking Number Code $Amount LBS L W H
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reom, . Invoice Number Invoice Date Account Number Page
2-001-19743 Aug 29 2012 1062-2307-6 3 of 4
FedEx Ground Shipment Summary By Reference
FedEx Ground Shipments(Original)
Rated::
Weight Transportation Other Handling . Ret Chg/Tax
I.
Reference Shipments Ibs Charges Charges .Credits/Other Total Cha€ges
NO REFERENCE INFORMATION 1 5 6.25 6.65 12.90
Total.FedEx Ground t 5 $6.25 $6:65 $12 90;
FedEx Other Charges Summary
Number of
Transaction Date Items Charges Sales Tax Qscounts` Total Charges
Merchandise Sales
08/21 1 1.69 0.12 1.81
Merchandise Sales Subtotal $1.81
Total;Other Charges 1 $1:69 $Osj2
Total This Invoice USD $14.71
1241-01-00-0070094-0001-0177532
Invoice Number Invoice Date Account Number Page
2-001-19743 j Aug 29, 2012 1062-2307-6 4 of 4
FedEx Ground Shipment Detail By Reference (Original)
PICkuP Date Aug 21 20:12 Guq.1:9 ef ND REFERENCE INFORMATION: P 0,#:
Payor:`Third
15PRY Dept#
Tracking ID 468 646515181768 Sender Recipient Transportation Charge 6.25
Service Type Home Delivery DEBRA DUPUIS ENVIRONMENTAL LABORATORIES DAS Extended Resi 3.25
Zone 02 KINKO'S/GD NONACCT BRCD/LOC LAB Fuel Surcharge 0.85
Packages 1 530 E CARMEL DR 635 GREEN RD Residential 2.55
Actual Weight 4.8 Ibs CARMEL IN 46032-2814 MADISON IN 47250-217799 Total Charge USD 512.90
Rated Weight 5Ins
Delivered Aug 22,2012
NO REFERENCE INFORMATION Reference Subtotal USD $12.90
Total FedEx Ground USD $12.90
FedEx Other Charges Detail
Transactton ID 078060908364 Transaction Date:August 21,2012 Transactlon Type Merchandise Sales
Purchaser: JOHN THOMAS Description Quantity Unit Price Total Charon
Purchase Location: Mailr Kraft 10.5x15 1 1.69 1.69
530 E CARMEL DR Sales Tax 0.12
CARMEL,IN 46032 Total USD 1.81
Merchandise Sales Subtotal USD 1.81
Total Other Charges USD 1.81
1241-01-00-0070094-0001-0177832
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 service rendered, by whom,
rates per day, number of hours, rate per hour, number of units, price per unit, etc.
Payee
FedEx Purchase Order No.
POB 94515 Terms
Palatine, IL 60094-4515 Date Due
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s) Amount
8/29/2012 2-001-19743 Lab samples for testing $ 14.71
Total $ 14.71
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.
FedEx ALLOWED 20
POB 94515 IN SUM OF $
Palatine, IL 60094-4515
$ 14.71
ON ACCOUNT OF APPROPRIATION FOR
Board Members
PO#or INVOICE NO. ACCT#/TITLE AMOUNT
DEPT# I hereby certify that the attached invoice(s), or
0 2-001-19743 2200-4239099 14.71 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
r/ /24/2012
Signatur
Cost Distribution ledger classification if Title ��
claim paid motor vehicle highway fund