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216222 01/09/2013 �,. CITY OF CARMEL, INDIANA VENDOR: 314125 Page 1 of 1 ` UPS ONE CIVIC SQUARE 0 CHECK AMOUNT: $43.98 LOCKBOX 577 CARMEL, INDIANA 46032 CAROL STREAM IL 60132-0577 CHECK NUMBER: 216222 ON CHECK DATE: 1/9/2013 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 601 5023990 76V77A492 18 . 48 OTHER EXPENSES 601 5023990 76VA77A492 20 . 90 OTHER EXPENSES 1207 4342100 AA5702502 4 . 60 POSTAGE Delivery Service In voice Invoice date December 15, 2012 Invoice number OOOOAA5702502 Shipper number AA5702 OW Control ID 59W1 Page 1 of 3 Sign up for electronic billing today! 0249A000OAA57022 77401300016488 Visit ups.com/billing AT 01 020797 35747H 67 B**3DGT For questions about your invoice,call: (800)811-1648 ® Monday-Friday _ BROOKSHIRE GOLF CLUB B:OOam.-9:OOp.m.E.T. 12120 BROOKSHIRE PKWY or write: CARMEL, IN 46033-3314 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 $4.60 Summary of Charges Amount Outstanding(prior invoices) $128.29 age Marge Total Amount Outstanding $132.89 3 Fees $4.60 Please include the Return Portion of each outstanding invoice with Amount due this period $4.60 your payment.See Account Status for details. New Rates Information UPS payment terns require payment of this invoice by December Effective December 31,2012, UPS Rates will change as 26,2012" follows:UPS Air and International Services will increase an average net 4.5%and UPS Ground Services will increase an Payments not received by January 9,2013 are subject to a late average net 4.9%. To view these new rates, as well as fee of 6% of the Amount Due This Period.(Details in UPS Tariff, changes to accessorial rates,visit ups.com/rates. available at ups.com) Note:This invoice may contain a fuel surcharge as described at ups.com. The published fuel surcharge is 8.59v.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 December 15, 2012 Invoice number OOOOAA57025O2 Shipper number AA5702 TM 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 OOOOAA5702462 11/17/2012 $76.69 OOOOAA5702472 11/24/2012 $37.29 OOOOAA5702492 12/08/2012 $14.31 Total $128.29 Outstanding balances reflect any payments received as of 12/14/2012.Please ignore this message if a recent payment has been made for any outstanding invoices. Delivery Service Invoice Invoice date December 15, 2012 OTM Invoice number OOOOAA5702502 Shipper number AA5702 Page 3 of 3 Fees WeekEnding Unpaid Billed Date Balance Rate Charge 11/17 Late Payment Fee 76.69 6.00% 4.60 Pursuant to the UPS Tariff, a late payment fee has been assessed. Total Fees 4.60 .. .. .. .. -.. ------ ... -- - ...... ......- I 020797 2/2 VOUCHER NO. WARRANT NO. ALLOWED 20 United Parcel Service IN SUM OF $ Lockbox 577 Carol Stream, IL 60132-0577 $4.60 ON ACCOUNT OF APPROPRIATION FOR Brookshire Golf Club PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members 1207 I OOOOAA5702502 I 43-421.00 I $4.60 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 Wednesday, January 02, 2013 Director, Brookshir Golf Club 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)) 12/15/12 I OOOOAA5702502 I Postage I $4.60 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 Delivery Service Invoice Invoice date December 8, 2012 Shipped from: Invoice number 000076V77A492 CARMEL UTILITIES DISTRIBUTION Shipper number 76V77A 3450 W 1031ST ST Control ID 49W5 WESTFIELD,IN 46074 Page 1 of 3 Sign up for electronic billing today! 0249A000076V77A9 77401200028018 Visit ups.com/billing AT 01 024002 30895H 77 E**3DGT For questions about your invoice,call: Il�llll�lll�lllllll��lllllll��lllll'1�1111,ullllllll�l!,Ilnll�� (800)811-1548 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 Thank you for using UPS. Weekly Payment Plan Amount Due This Period $18,48 Summary of Charges Amount Outstanding(prior invoices) $18.84 Page Charge Total Amount Outstanding $37.32 Outbound Please include the Return Portion of each outstanding invoice with 3 UPS Internet Shipping $18.48 your payment.See Account Status for details. Amount due this period $18.48 New Rates Information Effective December-31—, 2012, UPS Rates will change as UPS payment terms require payment of this invoice by December follows:UPS Air and International Services will increase an 19,2012. average net 4.5%and UPS Ground Services will increase an Note:This invoice may contain a fuel surcharge as described at average net 4.9%. To view these new rates, as well as ups.com. The published fuel surcharge is 8.5%for UPS Ground changes to accessorial rates,visit ups.com/rates. 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 December 8, 2012 Invoice number 000076V77A492 Shipper number 76V77A Page 2 of 3 Account Status Weekly Payment Plan Payments Applied Amount Invoice Number Invoice Date Paid 000076V77A412 10/13/2012 $ 18.40 000076V77A442 11/03/2012 $27.60 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 000076V77A472 11/24/2012 $ 18.84 Total $18.84 Outstanding balances reflect any payments received as of 12/07/2012.Please ignore this message if a recent payment has been made for any outstanding invoices. Delivery Service Invoice Invoice date December 8, 2012 Invoice number 000076V77A492 Shipper number 76V77A n� Page 3 of 3 Outbound UPS Internet Shipping Pickup ZIP Billed Date Tracking Number Service Code Zone Weight Charge 11/28 1Z76V77A039693 1 1 44 Ground Commercial 46202 2 2 8.52 Fuel Surcharge 0.72 Total 9.24 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 12/03 iZ76V77A0397140952 Ground Commercial 46202 2 2 8.52 Fuel Surcharge 0.72 Total 9.24 1st ref:weekly fluoride 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 18.48 Total UPS Internet Shipping 2 Package(s) 18.48 Total Outbound 2 Package(s) 18.48 Delivery Service Invoice Invoice date December 15, 2012 Shipped from: Invoice number 000076V77A502 CARMEL UTILITIES DISTRIBUTION Shipper number 76V77A TM 3450 W 1031ST ST Control ID 557W WESTFIELD,IN 46074 Page 1 of 3 Sign up for electronic billing today! 0249A000076V77A9 77401300024792 Visit ups.com/billing AT 01 020949 35747H 67 D**3DGT For questions about your invoice,call: IJI�IJII�� II ��II�I�IIII�I�'I�'ll'IIII�I��IIJ�I�l�llll�, (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 Thank you for using UPS, Weekly Payment Plan Amount Due This Period $20.90 Summary of Charges Amount Outstanding(prior invoices) $37.32 Page Charge Total Amount Outstanding $58.22 Outbound Please include the Return Portion of each outstanding invoice with 3 UPS Internet Shipping $20.90 your payment.See Account Status for details. Amount due this period $20.90 New Rates Information Effective December 31, 2012, UPS Rates will change as UPS payment terms require payment of this invoice by December follows:UPS Air and International Services will increase an 26,2012. _ average net 4.5%and UPS Ground Services will increase an Mote:This invoice may contain a fuel surcharge as described at average net 4.9%. To view these new rates, as well as ups.com. The published fuel surcharge is 8.5%for UPS Ground changes to accessorial rates,visit ups.com/rates. Services and 13.5%for UPS Air Services,UPS 3 Day Select,and International services.For more information, visit ups.com. co - Delivery Service Invoice Invoice date December 15, 2012 Invoice number 000076V77A502 Shipper number 76V77A n 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 000076V77A472 11/24/2012 $18.84 000076V77A492 12/08/2012 $18.48 Total $37.32 Outstanding balances reflect any payments received as of 12/14/2012.Please ignore this message if a recent payment has been made for any outstanding invoices. IF0 Delivery Service Invoice Invoice date December 15, 2012 Invoice number 000076V77A502 Shipper number 76V77A n Page 3 of 3 Outbound UPS Internet Shipping Pickup ZIP Billed Date Tracking Number Service Code Zone Weight Charge 12/12 1Z76V77A0391714941 Ground Commercial 46202 2 2 8.52 Fuel Surcharge 0.72 Total 9.24 1st ref:weekly fluoride 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 1 Z76V77A0397420168 Ground Commercial 46202 2 10 10.75 Fuel Surcharge 0.91 Total 11.66 1st ref:Plant 1 Radionuclide 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 20.90 Total UPS Internet Shipping 2 Package(s) 20.90 Total Outbound 2 Package(s) 20.90 VOUCHER # 123120 WARRANT # ALLOWED 314125 IN SUM OF $ UPS LOCKBOX 577 CAROL STREAM, IL 60132 Carmel Water Utility ON COUNT OF APPROPRIATION FOR Board members PO # INV# ACCT# AMOUNT Audit Trail Code 76V77A492 01-6360-03 $18.48 I(e vA-77ncSo '904D Voucher Total 3', 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 12/29/2012 Invoice Invoice Description Date Number (or note attached invoice(s) or bill(s)) Amount 12/29/201: 76V77A492 $18.48 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