215015 12/04/2012 ��. CITY OF CARMEL, INDIANA VENDOR: 093000 Page 1 of 1
ONE CIVIC SQUARE FEDEX-SHIPPING CHARGES
CARMEL, INDIANA 46032 PO Box 94515 CHECK AMOUNT: $455.59
PALATINE IL 60094-4515
CHECK NUMBER: 215015
CHECK DATE: 1214/2012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1160 4342100 1-124-09419 432 . 80 POSTAGE
1115 4350900 2-081-13679 22 . 79 OTHER CONT SERVICES
rea-,. Invoice Number Invoice Date F Account Number Page
1-124-09419 Nov 22 2012 1062-2307-6 1 Of
FedEx TaxID: 71-0427007
Billing Address:
CITY OF CARMEUMAYOR'S OFC
SHARON KIBBE
1 CIVIC SO. Invoice
ontact FedEx Revenue Services
CARMEL IN 46032-2584 Phone: (800)622-1147 M-Sa 7-6(CST)
Fax: (800)548-3020
Invoice Summary Nov 22,2012 Internet: www.fedex.com
FedEx Express Services
Transportation Charges 379.65
Special Handling Charges 53.15
Total Charges USD $432.80
TOTAL THIS INVOICE USD $432.80
Other discounts may apply.
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Invoice Number Invoice Date Account Number Page
1-124-09419 Nov 22, 2012 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.
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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
e 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)622-1.147
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® Invoice Number Invoice Date Account Number Page
1-124-09419 Nov 22 2012 1062-2307-6 3 of 4
FedEx Express Shipment Summary By Reference
FedEx Express Shipments(Original)
Rated Special
Weight Transportation Handling Ret Chg/Tax
Reference Shipments Ibs Charges; Charges Credits/Other Discounts 'Total Charges;
RTN 873691084078 1 25.6 379.65 53.15 432.80
Total FedEx Express t 25 6 $319 65; $53:15 $432.801
Total This Invoice USD $432.80
1326-01-00-0069959-0001-0177249
Invoice Number Invoice Date Account Number Page
1-124-09419 Nov 22, 2012 1062-2307-6 4 of 4
FedEx Express Shipment Detail By Reference (Original)
Dropped off Nov 17 2012 Cust Ref RTN 873691084078 Ref#2
Payor.`Thlyd Parry Ref#3
• Fuel Surcharge-Fed Ex has applied a fuel surcharge of 14,00%to this shipment.
• FedEx has audited this airbill for correct pieces,weight,and service.Any changes made are reflected in the invoice amount.
Tracking ID 876728897595 Sender Recipient
Service Type FedEx Intl Priority FEDEX FOR CNEE SHARON KIBBE
Package Type Customer Packaging NOT GIVEN CITY OF CARMEL MANOR OFFICE
Orig./Dest SZX/MZZ SHENZHEN CN ONE CIVIC SQUARE
Zone N CARMEL IN 46032 US
Packages 1
Rated Weight 25.6lbs
Delivered Nov 20,2012 10:07
Signed by S.ENGELKING
FedEx Use G7373/USOOID/_ Transportation Charge 379.65
Customs Fuel Surcharge 53.15
Entry Date Nov 17,2012 Total Transportation Charges USD 5432.80
RTN 873691084078 Reference Subtotal USD $432.80
Total FedEx Express USD $432.80
1326-01-00-0069959-0001-0177249
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))
11/22/12 1-124-09419 $432.80
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.
ALLOWED 20
FedEx
IN SUM OF $
PO Box 94515
Palatine, IL 60094-4515
$432.80
ON ACCOUNT OF APPROPRIATION FOR
Mayor's Office
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
1160 1-124-09419 43-421.00 $432.80 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
Fri y, November 30, 2012
Z 9�-�—
Mayor
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund
Fedaze I Invoice Number Invoice Date Account Number Page
2-081-13679 Nov 14, 2012 11 3134-0235-5 1 of
FedEx Tax ID: 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 14,2012 Internet: www.fedex.com
FedEx Ground Services
Transportation Charges 15.05
Other Handling Charges 7.74
Total Charges USD $22.79
TOTAL THIS INVOICE USD $22.79
Other discounts may apply.
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Invoice Number Invoice Date F—Account Nu_m_be_r ,) Page
2-081-13679 Nov 14, 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.
.......... ........
...............
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........... ........
0 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 l W/ W/I I I I
1; Phone WWW I I I I I I I I I Fax#
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mail Address E:1 Yes,I wantto update account contactwith the above information. W---
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AD R-Address Correction INW-Incorrect Weight OVS- Oversize Surcharge For all Service failures or other
C
0 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
Exp Pick-up Fee SDR- Saturday Delivery -1147
OCS (800)622
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Invoice Number Invoice Date
2-081-13679 Account Number
FedEx Ground Shipment Summary By Pa or Type Nov 14 2012 3134-0235-5 3 of
� y
FedEx Ground Shipments(Original)
Rated
Weight Transportation Other Handhn
Date Shipments �bs 9 Ret ChglTax
Ground-Prepaid ; Charges Charges Credits/Other
11102 1 5 TotalChargesi
11/07 1 7.75 3.86
3 7.30
TotalfedEx'Ground 3.88 11.61
11
8 51505 Ground Prepaid Subtotal •18
S7 74 S22 79
Total This Invoice
USD $22.79
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1319-01-00-0030024-0001-007GG 11
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I Page
invoice Date Account Number 4 of 4
Invoice Number Nov 14,2012 3134-0235-5
2-081-13679
P o#
FedEx Ground Prepaid Detail (Original)
Cust Rei 2352 : 7.75
Pickup Date Nov 02 2D12 Dept#' Transportation Charge 3.00
Reciul�nt NDOC PIU Auto Comm
Payor; Shipped - Sender 0.86
321 003815000227 ATTN:RMA#457421 Fuel Surcharge 511,61
Tracking 10 Greg Bedell Black Box Resale Services total Charge USD o
Service Type Ppd,Domestic Carmel Clay Communications Cen
9155 Cottonwood Lane N
04 ® �
Zone 31 1st Ave.N.W Maple Grove MN 55369
Packages 1 Carmel IN 46032
Rated Weight 5lbs
Nov 06 2012 P!0#
Delivered 7 30
Cust Ref 44443
ation Charge
Pickup Date:Nov 07 2012 Transport 3.00 0
Dept#... Reciaient
Of Sh1pPe� Sender ATTN SERVICE DEPT RMA#006307 NDOC PIU-Auto Comm 088
Pay:.
Tracking ID 321 003815000234 Greg Bedell USD S11.18
Ppd,Domestic GLOBALTECHNOLOGY SYSTEMS,INCTotal Charg Surcharge
Service Type Carmel Clay Communications Cell 783013YRON DR
Zone 05 311st Ave.N.W. STE78 s
Packages 1 CarmellN 46032
2.1 Ibs WEST PALM BEACH FL 33404-33369 -
Actual Weight $22.79
Rated Weight Nov 09,2012 USD
Delivered Prepaid Subtotal USD $22,79
Total FedEx Ground
1319-01-00-003002 4-0001-1