216026 01/09/2013 CITY OF CARMEL, INDIANA VENDOR: 093000 Page 1 of 1
ONE CIVIC SQUARE FEDEX-SHIPPING CHARGES CHECK AMOUNT: $12.04
CARMEL, INDIANA 46032 PO BOX 94515
PALATINE IL 60094-4515 CHECK NUMBER: 216026
CHECK DATE: 1/912013
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1115 4342100 2-132-27674 12 . 04 POSTAGE
FedRac,
Invoice Number Invoice Date Account Number Page
2-132-27674 Jan 02, 2013 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 Jan 02,2013 Internet: www.fedex.com
FedEx Ground Services
Transportation Charges 8.09
Other Handling Charges 3.95
Total Charges USD $12.04
TOTAL THIS INVOICE USD $12.04
Other discounts may apply.
Detailed descriptions of surcharges can be located atfedex.com
Invoice Number Invoice Date F Account Number Page
2-132-27674 Jan 02, 2013 2of4
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.
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
t
a. Phone I I I I I I I I I I I I I Fax# I I I I l l l l I I I I I
c
t: E-mail Address E:1 Yes,I wantto update account contactwith the above information.
R Tracking Number Bill to Account $Amount
61111111111111111 1111111111 111111• W
bIIIIIIIIIIIIIIII IIIIIIIIII IIIIII• W
) 1111111111111111 IIIIIIIIII 111111• W
IIIIIIIIIIIIIIIII IIIIIIIIII LIIIII• W
SIIIIIIIIIIIIIIII llllllllll 111111• W
AD -Address Correction INW-Incorrect Weight OVS- Oversize Surcharge For all Service failures or other
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)622-1147
Rerate information only (round to nearest inch)
C Tracking Number Code $Amount LBS L W H
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Et Invoice Number Invoice Date Account Number Page
2-132-27674 Jan 02 2013 3of4
FedEx Ground Shipment Summary By Payor Type
FedEx Ground Shipments(Original)
Rated:
Weight' Transportation Other Handling Ret Chg/Tax
' :Date Shipments ibs Charges Charges Credits/Other `TotaCCharges
Ground-Prepaid
12/21 1 5 8.09 3.95 12.04
Ground-Prepaid Subtotal S12.04
Total Fed6 Ground 1 5 $8.09 $3:95 $12.04
Total This Invoice USD $12.04
1001-01-00-0039518-0001-0095910
Invoice Number Invoice Date F—Account Number--",) Page
2-132-27674 Jan 02, 2013 4 of 4
FedEx Ground Prepaid Detail (Original)
Pick0 Di.i*Dec 21,2012 Cust.Ref..NO REFERENCE INFORMATION:�iii!il��i�i;��!i,",: P.O.#:
P.Oyor:Shipper Dept.#.
Tracking ID 321003815000265 Sender Recipient Transportation Charge 8.09
Service Type Ppd,Domestic Greg Bedell RMA#520002245 NOOC P/U-Auto Comm 3.00
Zone 05 Carmel Clay Communications Cen BROTHER MOBILE SOLUTIONS Fuel Surcharge 0.95
Packages 1 31 1 st Ave.NV 100 TECHNOLOGY DR Total Charge USD 512.04
Rated Weight 5 lbs Carmel IN 46032 STE 250A
Delivered Dec 27,2012 BROOMFIELD CO 80021-349899
Prepaid Subtotal USD $12.04
Total FedEx Ground USD $12.04
1 001-01-00-0039518-0001-00959 10
VOUCHER NO. WARRANT NO.
ALLOWED 20
FedEx
IN SUM OF $
P.O. Box 94515
Palatine, IL 60094-4515
$12.04
ON ACCOUNT OF APPROPRIATION FOR
Carmel Clay Communications
PO#/Dept. INVOICE NO. I ACCT#/TITLE AMOUNT Board Members
1115 I 2-132-27674 I 43-421.00 I $12.04 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
i Monday, January 07, 2013
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))
01/02/13 2-132-27674 $12.04
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