215627 12/18/2012 CITY OF CARMEL, INDIANA VENDOR: 093000 Page 1 of 1
ONE CIVIC SQUARE FEDEX-SHIPPING CHARGES
s 0
CARMEL, INDIANA 46032 PO BOX 94515 CHECK AMOUNT: $25.44
PALATINE IL 60094-4515 CHECK NUMBER: 215627
CHECK DATE: 12/18/2012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1115 4350900 210243382 13 . 11 OTHER CONT SERVICES
1115 4350900 210981879 12 . 33 OTHER CONT SERVICES
Invoice Number Invoice D ate Account Number Page
2-109-81879 Dec 12, 2012 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 Dec 12,2012 Internet: www.fedex.com
FedEx Ground Services
Transportation Charges 8.36
Other Handling Charges 3.97
Total Charges USD $12.33
TOTAL THIS INVOICE USD $12.33
Other discounts may apply.
Detailed descriptions of surcharges can be located at fedex.com
Invoice Number Invoice Date F—Account Nurnb_e_r ",) Page
2-109-81879 Dec 12, 2012 11 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.
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 I
t
.A Phone I I I I l l l l l I I I I Fax#
E-mail Address E:1 Yes,I wantto update account contactwith the above information.
Tracking Number Bill to Account $Amount
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b
sllllllllllllllll
ADR-Address Correction I NW-Incorrect Weight OVS- Oversize Surcharge For all Service failures or other
C
. DVC-Declared Value INS- Incorrect Service RSILI- Residential Delivery surcharges please use our web
d [AN- Invalid Acct# OCF- Grd Pick-up Fee PND- Pwrshp Not Delivered site www.fedex.com or call
e OCS-Exp Pick-up Fee SDR- Saturday Delivery (800)622-1147
Berate information only (round to nearest inch)
C Tracking Number Code $Amount LBS L W H
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FedEx. Invoice !Number Invoke Date A ccou nt Number Page
2-109-81879 Dec 12, 2012 3134-0235-5 3 of 4
FedEx Ground Shipment Summary By Payor Type
FedEx Ground Shipments(Original)
Rated
weight I Transportation OtherHandling Rat Chg/Tax
pate Shipments Ibs Charges Charges Credits/Other Tot aICharges,
Ground-Prepaid
11/30 1 15 8.36 3.97 12.33
Ground-Prepaid Subtotal $12.33
Total NdU Ground..,: t 15: $8.36 $3.93 $12.31
Total This Invoice USD $12.33
1346-01-00-0012853-0001-0032298
Invoice Number Invoice Date F—Account Nurnb-e-r--" Page
2-109-81879 Dec 12, 2012 3134-0235-5 4 of 4
FedEx Ground Prepaid Detail (Original►
Pickup Date:.Noy,30,_2Q12 Cusi.:Rdf.::NO.REFERENCE INFORMATI KON:
Payor:Shipper.... 06ptA
Tracking ID 321 003815000258 Sender Recipient Transportation Charge 8.36
Service Type Ppd,Domestic Greg Bedell KIM WIENKE-RMA#166146 NDOC P/U-Auto Comm 3.00
Zone 02 Carmel Clay Communications Cen OTTO Fuel Surcharge 0.97
Packages 1 31 1st Ave.N.W. 10 W MAIN ST Total Charge USD S12.33
Rated Weight 15 lbs Carmel IN 46032 CARPENTERSVILLE IL 60110-171999
Delivered Dec 03,2012
Prepaid Subtotal USD $12.33 —
Total FedEx Ground USD $12.33
1346-01-00-0012853-0001-0032298
VOUCHER NO. WARRANT NO.
ALLOWED 20
FedEx
IN SUM OF $
P.O. Box 94515
Palatine, IL 60094-4515
$12.33
ON ACCOUNT OF APPROPRIATION FOR
Carmel Clair Communications
PO#/Dept. INVOICE N0. I ACCT#/TITLE AMOUNT Board Members
1115 I 2-109-81879 I 43-509.00 I $12.33 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
Monday, December 17, 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))
12/12/12 2-109-81879 $12.33
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
2-102-43382 Dec 05, 2012 3134-0235-5 1 of
FedEx Tax ID: 71-0427007
Billing Address: Shipping Address:
CARMEL COMMUNICATIONS CARMEL COMMUNICATIONS
31 1 STAVE 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 Dec 05,2012 Internet: www.fedex.com
FedEx Ground Services
Transportation Charges 9.08
Other Handling Charges 4.03
Total Charges USD $13.11
TOTAL THIS INVOICE USD $13.11
Other discounts may apply.
Detailed descriptions of surcharges can be located atfedex.com
Invoice Number Invoice Date Account Number Page
2-102-43382 Dec 05, 2012 11 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.
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
t
a Phone WWW WWW I I I I I Fax# WWW WWW I I I I I
c
t E-mail Address ❑Yes,I wantto update account contactwith the above information.
R Tracking Number Bill to Account $Amount
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tllllllllllllllll LIIIIIIIII Llllil• W
sIIIIIIIIIIIIIIII llllllllll LIIIII • W
AD -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
e IAN- Invalid Acct# OCF- Grd 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
d 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 WWWI I I IxI I I IxI 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 I I • W L 1-1-1 I—L-1-J x WWJ x WWJ
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Invoice Number Invoice Date —Account Number _�) Page
2-102-43382 Dec 05, 2012 3134-0235-5 3oI4
FedEx Ground Shipment Summary By Payor Type
FedEx Ground Shipments(Original)
Rated
Weight jimsportation ,Other Handling Rettlig/Tax
Date Shipments lbs Charges Charges Credits/Other Total Charges:
Ground-Prepaid
11/27 1 10 9.08 4.03 13.11
Ground-Prepaid Subtotal S13.11
Total FedExGround t 10 $9.08 $4.03 $13:11
Total This Invoice USD $13.11
1340-01-00-0037080-0001-0094022
Invoice Number Invoice Date Account Number Page
2-102-43382 Dec 05, 2012 3134-0235-5 4 of 4
FedEx Ground Prepaid Detail (Original)
Pidt p Date:Nov 27 2012 Cust Ref.:44600
Papor;Shipper:; Dept.#:
Tracking ID 321003815000241 Sender Recipient Transportation Charge 9.08
Service Type Ppd,Domestic Carmel Clay Communications Cen RMA#135456 Fuel Surcharge 1.03
Zone 05 Carmel Clay Communications Cen L-3 MOBILE-VISION INC. NDOC P/U-Auto Comm 3.00
Packages 1 31 1st Ave.N.W. 90 FANNY RD Total Charge USD 513.11
Rated Weight 10lbs Carmel IN 46032 BOONTON NJ 07005-106599
Delivered Nov 29,2012
Prepaid Subtotal USD $13.11
Total FedEx Ground USD $13.11
1340-01-00-0037080-0001-0094022
VOUCHER NO. WARRANT NO.
ALLOWED 20
FedEx
IN SUM OF $
P.O. Box 94515
Palatine, IL 60094-4515
$13.11
ON ACCOUNT OF APPROPRIATION FOR
Carmel Clay Communications
PO#/Dept. INVOICE NO. I ACCT#/TITLE AMOUNT
Board Members
1115 I 2-102-43382 I 43-509.00 I $13.11 1 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
Tuesday, December 11 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))
12/05/12 2-102-43382 $13.11
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
, 20
Clerk-Treasurer