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214631 11/20/2012 CITY OF CARMEL, INDIANA VENDOR: 093000 Page 1 of 1 7 ONE CIVIC SQUARE FEDEX-SHIPPING CHARGES CHECK AMOUNT: $371.90 ;a PO BOX 94515 CARMEL, INDIANA 46032 PALATINE IL 60094-4515 CHECK NUMBER: 214631 CHECK DATE: 11120/2012 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1160 4342100 111935567 361 . 38 POSTAGE 1115 4350900 207367719 10 . 52 OTHER CONT SERVICES Invoice Number Invoice Date Account Number page 1-119-35567 Nov 08 2012 1062-2307-6 1 of 4 FedEx TaxiD: 71-0427007 Billing Address: CITY OF CARMEUMAYOR'S OFC SHARON KIBBE Invoice Questions? 1 CIVIC SQ Contact FedEx Revenue Services CARMEL IN 46032-2584 Phone: (800)622-1147 M-Sa 7-6(CST) Fax: (800)548-3020 Invoice Summary Nov 08,2012 Internet: www.fedex.com FedEx Express Services Transportation Charges 318.40 Special Handling Charges 42.98 Total Charges USD $361.38 TOTAL THIS INVOICE USD $361.38 Other discounts may apply. Detailed descriptions of surcharges can be located atfedex.com Invoice Number Invoice Date� F—Account Number Page 1-119-35567 Nov 08, 2012 1 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. . ............ Please complete all fields in black ink. 0 :" Requestor Name I I I I I I I l l I I l l I l I I I I I I I I I I I I I Date l W/ W/I/ I I I t a Phone WWW WWW I I I I I Fax# C t E-mail Address ElYes,I wantto update account contact with the above information. R Tracking Number Bill to Account $Amount e S ADR-Address Correction INW-Incorrect Weight OVS- Oversize Surcharge For all Service failures or other c o DVC- Declared Value INS- Incorrect Service RSU- Residential Delivery surcharges please use our web d IAN- Invalid Acct# OCF- Gird Pick-up Fee PND- Pwrshp Not Delivered site www.fedex.com or call e OCS-Exp Pick-up Fee SOR- Saturday Delivery (800)622-1147 Rerate information only (round to nearest inch) C Tracking Number Code $Amount LBS L W H r d e X I I IXI IWWWxI I I IX I t I II I I IX1 I I IX s I I I X1 I I XWW X1 I I X1 I I Fedl" z. Invoice Number Invoice Date r—Account Number-- Page 1-119-35567 Nov 08, 2012 1 1062-2307-6 3 of 4 FedEx Express Shipment Summary By Reference FedEx Express Shipments(Original) Rated .. 's ecial Weight hrsporation Handling Bet,Ch g/T . ....... Reference. Shipments lbs Charges Charges Uddits/Other Discounts Total Charges NO REFERENCE INFORMATION 1 25.0 318.40 42.98 361.38 Total FedEX Express 1 25.0 $318..#0 .9 8 $361.39 Total This Invoice USD $361.38 1313-01-00-0094537-0001-0246854 Invoice Number Invoice Date Account Number Page 1-119-35567 Nov 08, 2012 1062-2307-6 4 of 4 FedEx Express Shipment Detail By Reference (Original) Dropped off:Oct 17;2012 Cust.Ref.:NO REFERENCE INFORMATION Payor:Shipper Ref.#1 • Fuel Surcharge-FedEx has applied a fuel surcharge of 13.50%to this shipment. • Regulatory clearance delay. • FedEx has audited this airbill for correct pieces,weight,and service.Any changes made are reflected in the invoice amount. Tracking ID 873691084078 Sender Recipient Service Type FedEx Intl Priority SHARON KIBBE HANDE ZHANG Package Type Customer Packaging CITY OF CARMEL-MANOR OFFICE TONGJI MEDICAL UNIVERSITY Orig./Dest MZZ/WUH ONE CIVIC SQUARE 13 HONG KONG ROAD Zone N CARMEL IN 46032 US TE 2 PONG,GATE 3,ROOM 601 Packages 1 WUHAN HUBEI 430014 CN Rated Weight 25.0 lbs FedEx Use G9323/US001 O/_ Transportation Charge 318.40 Customs Fuel Surcharge 42.98 Entry Date Oct 1.8,2012 Total Transportation Charges USD S361.38 NO REFERENCE INFORMATION Reference Subtotal USD $361.38 Total FedEx Express USD $361.38 1313-07-00-0094537-0001-0246854 VOUCHER NO. WARRANT NO. ALLOWED 20 Fed Ex IN SUM OF $ PO Box 94515 Palatine, IL 60094-4515 $361.38 ON ACCOUNT OF APPROPRIATION FOR Mayor's Office PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members 1160 1-119-35567 43-421.00 $361.38 I 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 Friday, Nov ber 16, 2012 Mayor Title Cost distribution ledger classification if claim paid motor 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 service rendered, by whom, rates per day, number of hours, rate per hour, number of units, price per unit, etc. Payee Purchase Order No. Terms Date Due Invoice Invoice Description Amount Date Number (or note attached invoice(s) or bill(s)) 11/08/12 1-119-35567 $361.38 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 Invoice Number Invoice Date Account Number Page 2-073-67719 Nov 07, 2012 3134-0235-5 1 of 4 FedEx TaxID: 71-0427007 Billing Address: Shipping Address: CARMEL COMMUNICATIONS CARMEL COMMUNICATIONS 31 1 ST AVE 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 Nov 07,2012 Internet: www.fedex.com FedEx Ground Services Transportation Charges 6.74 Other Handling Charges 3.78 Total Charges USD $10.52 TOTAL THIS INVOICE USD $10.52 Other discounts may apply. Detailed descriptions of surcharges can be located atfedex.com Invoice Number Invoice Date Account Number Page 2-073-67719 Nov 07, 2012 1 3134-0235-5 2 of 4 Adjustment Request Fax to 1800► 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 t a Phone WWW WWW I I I I I Fax# c t, E-mail Address ❑Yes,I wantto update accountcontactwith the above information R Tracking Number Bill to Account $Amount ellllllllllllllll IIIIIIIIII IIIIII• W bllllllllllllllll IIIIIIIIII IIIIII• W jllllllllllllllll IIIIIIIIII IIIIII• W 11111111111111111 IIIIIIIIII IIIIII• W sllllllllllllllll IIIIIIIIII IIIIII• W ADR-Address Correction INW-Incorrect Weight OVS- Oversize Surcharge For all Service failures or other oDVC- Declared Value INS- Incorrect Service RSU- Residential Delivery surcharges please use our web eIAN- 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 r e l 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 xl I I IxI I I I dIIIIIIIIIIIIIIIIIIIIIIIIII• W IIIIIIIIxWWWxllll t 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 IXI I I IxI I I I S XI I I IxI I I I 1 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 �� xl I I IxI I I I FedBg. Invoice Number Invoice Date Account Number Page 2-073-67719 Nov 07, 2012 3134-0235-5 1011 FedEx Ground Shipment Summary By Payor Type FedEx Ground Shipments(Original) Rated:::::. Weight Transportation Otfier Handling Ret Chg/Tax Hate Shipments Ihs`" Charges Charges Credits/Other Total Charges Ground-Prepaid 10/25 1 2 6.74 3.78 10.52 Ground-Prepaid Subtotal $10.52 Total FedEx.Ground 1 2. $6.74 $3.78 $10,52 Total This Invoice USD $10.52 - 1311-01-00-0030585-0001-0078244 Invoice Number Invoice Date Account Number Page 2-073-67719 Nov 07, 2012 3134-0235-5 4 of 4 FedEx Ground Prepaid Detail (Original) Pickup Date:Oct 25,2012 Cust.Ref City Hall garden P.OA Payor:.Shipper Dept# Tracking ID 321003815000210 Sender Recipient Transportation Charge 6.74 Service Type Ppd,Domestic Greg Bedell AXIS RMA#74842 NDOC P/U-Auto Comm 3.00 Zone 04 Carmel Clay Communications Cen AXIS COMMUNICATIONS NORTH AM Fuel Surcharge 0.78 Packages 1 31 1st Ave.N.W. 2420 TECH CENTER PKWY Total Charge USD S10.52 Rated Weight 2lbs Carmel IN 46032 STE 100 Delivered Oct 29,2012 LAWRENCEVILLE GA 30043-131020 Prepaid Subtotal USD $10.52 Total FedEx Ground USD $10.52 1311-01-00-0030585-0001-0078244 VOUCHER NO. WARRANT NO. ALLOWED 20 FedEx IN SUM OF $ P.O. Box 94515 Palatine, IL 60094-4515 — $10.52 ON ACCOUNT OF APPROPRIATION FOR Carmel Clay Communications PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members 1115 I 2-073-67719 I 43-509.00 I $10.52 I 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 Wednesday, November 14, 2012 Director Title Cost distribution ledger classification if claim paid motor 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 service rendered, by whom, rates per day, number of hours, rate per hour, number of units, price per unit, etc. Payee Purchase Order No. Terms Date Due Invoice Invoice Description Amount Date Number (or note attached invoice(s)or bill(s)) 11/07/12 2-073-67719 $10.52 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