214855 11/20/2012 *f CITY OF CARMEL, INDIANA VENDOR: 314125 Page 1 of 1
ONE CIVIC SQUARE UPS
CARMEL, INDIANA 46032 LOCKBOX 577 CHECK AMOUNT: $138.20
CAROL STREAM IL 60132-0577 CHECK NUMBER: 214855
CHECK DATE: 11/20/2012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
601 5023990 76V77A442 27 . 60 OTHER EXPENSES
651 5023990 RV6990412 21 . 83 OTHER EXPENSES
651 5023990 RV6990432 60 . 00 OTHER EXPENSES
651 5023990 RV6990442 28 . 77 OTHER EXPENSES
o� 3
Delivery Service Invoice
Invoice date November 3, 2012
Shipped from: Invoice number OOOORV6990442
CITY OF CARMEL/WASTEWATER Shipper number RV6990
U TERESA LEWIS Control ID 81W2
9609 HAZEL DELL PKWY
INDIANAPOLIS,IN 46280-2935 Page 1 of 3
Sign up for electronic billing today!
® 0249A000ORV69900 77401100017351 Visit ups.com/billing
AT 01 020347 07711H 66 A**3DGT For questions about your invoice,call:
® I�I��'I'III�I'I����I�II'�1�11111��111111�1111��11�1 � �11111111 (800)811-1648
Monday-Friday
CITY OF CARM E L 8:00 a.m.-9:00 p.m.E.T.
UTILITIES or write:
®_ 760 3RD AVE SW UPS
CARMEL, IN 46032-2072 P.O.Box 7247-0244
A19
Philadelphia,PA 19170-0001
Account Status Summary Thank you for using UPS.
Weekly Payment Plan
Amount Due This Period $28.77
Summary of Charges
Amount Outstanding(prior invoices) $81.83 Page Charge
Total Amount Outstanding $110.60 Inbound
Please include the Return Portion of each outstanding invoice with 3 Collect $28.77
your payment.See Account Status for details. Amount due this period $2877
Questions about your charges?
To get a better understanding of the charges on your invoice, UPS payment terms require payment of this invoice by November
visit our invoice guide and glossary of billing charges at 14,2012. _
ups.com/invoiceguide. Note:This invoice may contain a fuel surcharge as described at
ups.com. The published fuel surcharge is 8.091.for UPS Ground
Services and 13.5%for UPS Air Services,UPS 3 Day Select,and
International services.For more information, visit ups.com.
Delivery Service Invoice
Invoice date November 3, 2012
Invoice number OOOORV6990442
Shipper number RV6990
Page 2 of 3
Account Status
Weekly Payment Plan
Payments Applied
Amount
Invoice Number Invoice Date Paid
OOOORV6990392 09/29/2012 $12.52
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
OOOORV6990412 10/13/2012 $21.83
OOOORV6990432 10/27/2012 $60.00
Total $81.83
Outstanding balances reflect any payments received as of
11/02/2012.Please ignore this message if a recent payment has
been made for any outstanding invoices.
Delivery Service Invoice
Invoice date October 27, 2012
Shipped from: Invoice number OOOORV6990432
CITY OF CARMEL/WASTEWATER Shipper number RV6990
TERESA LEWIS Control ID 9Y42
TM 9609 HAZEL DELL PKWY
INDIANAPOLIS,IN 46280-2935 Page 1 of 4
Sign up for electronic billing today!
0249A000ORV69900 77401400017301 Visit ups.com/billing
AT 01 022682 02595H 72 A**3DGT For questions about your invoice,call:
"II��I���1'll'Ill' 'II�'��IIII�'�1�1"�III'lll'lllllll�l�l'll'I (800)811-1648
Monday-Friday
_ CITY OF CARMEL 8:00 a.m.-9:00 p.m.E.T.
UTILITIES or write:
760 3RD AVE SW UPS
CARMEL, IN 46032-2072 P.O.Box 7247-0244
A19
Philadelphia,PA 19170-0001
Account Status Summary
Weekly Payment Plan Thank you for using UPS.
Amount Due This Period $60,00 Summary of Charges
Amount Outstanding(prior invoices) $34.35 age Charge
Total Amount Outstanding $94.35 Inbound
Please include the Return Portion of each outstanding invoice with 3 Collect $57.94
your payment.See Account Status for details. 3 Adjustments&Other Charges $2.06
Questions about your charg s? Amount due this period $60.00
To get a better understanding of the charges on your invoice,
visit our invoice guide and glossary of billing charges at UPS payment terms require payment of this invoice by November
ups.com/invoiceguide. 7,2012.
Note:This invoice may contain a fuel surcharge as described at
ups.com. The published fuel surcharge is 8.0%for UPS Ground _—
Services and 13.5%for UPS Air Services,UPS 3 Day Select,and
International services.For more information, visit ups.com.
Delivery Service Invoice
Invoice date October 27, 2012
' Invoice number OOOORV699O432
Shipper number RV699O
n
Page 2 of 4
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
OOOORV6990392 09/29/2012 $12.52
OOOORV6990412 10/13/2012 $21.83
Total $34.35
Outstanding balances reflect any payments received as of
10/26/2012.Please ignore this message if a recent payment has
been made for any outstanding invoices.
6k�_
Delivery Service Invoke
Invoice date October 13, 2012
Shipped from: Invoice number OOOORV6990412
CITY OF CARMEUWASTEWATER Shipper number RV6990
TERESA LEWIS Control ID 912U
'� 9609 HAZEL DELL PKWY
INDIANAPOLIS,IN 46280-2935 Page 1 of 3
Sign up for electronic billing today!
_ 0249A000ORV69900 77401200020342 Visit ups.com/billing
AT 01 024328 94453H 79 A**3DGT For questions about your invoice,call:
(800)811-1648
Monday-Friday
CITY OF CARMEL 8:00 a.m.-9:00 p.m.E.T.
UTILITIES or write:
760 3RD AVE SW UPS
CARMEL, IN 46032-2072 P.O.Box 7247-0244
Philadelphia,PA 19170-0001
Account Status Summary
Weekly Payment Plan Thank you for using UPS.
Amount Due This Period $21,83 Summary of Charges
Amount Outstanding(prior invoices) $12.52 age Charge
Total Amount Outstanding $34.35 Outbound
Please include the Return Portion of each outstanding invoice with 3 UPS Internet Shipping $21.83
your payment.See Account Status for details. Amount due this period $21.83
Questions about your charges?
To get a better understanding of the charges on your invoice, UPS payment terms require payment of this invoice by October = -
visit our invoice guide-and glossary of billing charges at 24,2012'
ups.com/invoiceguide. Note:This invoice may contain a fuel surcharge as described at
ups.com. The published fuel surcharge is 8.0%for UPS Ground
Services and 13.5%for UPS Air Services,UPS 3 Day Select,and
International services.For more information, visit ups.com.
i
Delivery Service Invoice
Invoice date October 13, 2012
gym Invoice number OOOORV6990412
Shipper number RV6990
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
OOOORV6990392 09/29/2012 $12.52
Total $12.52
Outstanding balances reflect any payments received as of
10/12/2012.Please ignore this message if a recent payment has
been made for any outstanding invoices.
VOUCHER # 126135 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
OOOORV6990i 01-7362-05 $21.83
000'-RV(7 r90glol
oI- 736g-cam S.-7"1
C�00012 1p`/9 0 q 39
ol ( O'ba
Voucher Total
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 11/14/2012
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
11/14/201; OOOORV6990 $21.83
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
Date Officer
Delivery Service Invoice
Invoice date November 3, 2012
Shipped from: Invoice number 000076V77A442
CARMEL UTILITIES DISTRIBUTION Shipper number 76V77A
3450 W 1031ST ST Control ID 43V5
TM WESTFIELD,IN 46074
Page 1 of 3
Sign up for electronic billing today!
0249A000076V77A9 77401100024236 Visit ups.com/billing
_ AT 01 020536 07711H 66 D**3DGT For questions about your invoice,call:
= IIIIIII�' " 'II�"I�IIIIII1111�1'I�I�IIIII�I�I�II��II��I�II����� (800)811-1648
Monday-Friday
_ CARMEL UTILITIES 8:00 a.m.-9:00 p.m.E.T.
3450 W 131ST ST or write:
CARMEL, IN 46074-8267 UPS
P.O.Box 7247-0244
Philadelphia,PA 19170-0001
Account Status Summary
Weekly Payment Plan Thank you for using UPS.
Amount Due This Period $27,60 Summary of Charges
Amount Outstanding(prior invoices) $18.40 age Charge
Total Amount Outstanding $46.00 Outbound
Please include the Return Portion of each outstanding invoice with 3 UPS Internet Shipping $27.60
your payment.See Account Status for details. Amount due this period $27.60
_
Questions about your charges?
To get a better understanding of the charges on your invoice, UPS payment terms require-payment of thisinvoice by-November—°--
visit our invoice guide and glossary of billing charges at 14,2012.
ups.comiinvoiceguide. Note:This invoice may contain a fuel surcharge as described at =
ups.com. The published fuel surcharge is 8.0%for UPS Ground
Services and 13.5%for UPS Air Services,UPS 3 Day Select,and =_
International services.For more information, visit ups.com.
f - -
Delivery Service Invoice
Aam Invoice date November 3, 2012
Invoice number 000076V77A442
Shipper number 76V77A
Page 2 of 3
Account Status
Weekly Payment Plan
Payments Applied
Amount
Invoice Number Invoice Date Paid
000076V77A392 09/29/2012 $23.59
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
000076V77A412 10/13/2012 $18.40
Total $18.40
Outstanding balances reflect any payments received as of
11/02/2012.Please ignore this message if a recent payment has
been made for any outstanding invoices.
Delivery Service Invoice
Invoice date November 3, 2012
Invoice number 000076V77A442
Shipper number 76V77A
ri
Page 3 of 3
Outbound
UPS Internet Shipping
Pickup ZIP Billed
Date Tracking Number Service Code Zone Weight Charge
10/19 1 Z76V77A0394209894 Ground Commercial 46202 2 2 8.52
Fuel Surcharge 0.68
Total 9.20
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
10/29 iZ76V77A0391945308 Ground Commercial 46202 2 2 8.52
Fuel Surcharge 0.68
Total 9.20
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
1Z76V77A0394759513 Ground Commercial 46202 2 2 8.52
Fuel Surcharge 0.68
Total 9.20
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 27.60
Total UPS Internet Shipping 3 Package(s) 27.60
Total Outbound 3 Package(s) 27.60
VOUCHER # 122724 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
76V77A442 01-6360-03 $27.60
i
Voucher Total $27.60
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 11/12/2012
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
11/12/201', 76V77A442 $27.60
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