216396 01/15/2013 CITY OF CARMEL, INDIANA VENDOR: 093000 Page 1 of 1
ONE CIVIC SQUARE FEDEX-SHIPPING CHARGES
CARMEL, INDIANA 46032 PO BOX 94515 CHECK AMOUNT: $11.67
PALATINE IL 60094-0515 CHECK NUMBER: 216396
CHECK DATE: 1115/2013
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1115 4342100 2-138-29983 11 . 67 POSTAGE
Invoice Number Invoice Date Account Number Page
2-138-29983 Jan 09, 2013 1 of
FedEx Tax ID: 71-0427007
Billing Address: Shipping Address:
CARMEL COMMUNICATIONS CARMEL COMMUNICATIONS
31 1 STAVE NW 31 1 STAVE NW
CARMEL IN 46032-1715 CARMEL IN 46032-1715 Invoice Questions?
Contact FedEx Revenue Services
Phone: (800)622-1147 M-Sa 7-6(CST)
Fax: (800)548-3020
Invoice Summary Jan 09,2013 Internet: www.fedex.com
FedEx Ground Services
Transportation Charges 7.75
Other Handling Charges 3.92
Total Charges USD $11.67
TOTAL THIS INVOICE USD $11.67
Other discounts may apply.
I
i
Detailed descriptions of surcharges can be located atfedex.com
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Account Number Page
Invoice Number Invoice Date 2 of a
2-138-29983
Jan 09 2013
Adjustment Request
Fax to (800) 548-3020
for ad ustments due to the reasons indicated below. Requests for adjustments
Use this form to fax requests 1
to www.fedex.com or calling
due to other reasons,including service failures, should be submitted by going
ltiple forms for additional requests
800.622.1147. Please use mu I s
Please complete all fields in black ink Date
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Invoice Numb��J oice Date
2-138_�9983 Account Number
FedEx Ground Shipment Summary By Payor Type n 09 2 013 3 oga
FedEx Ground Shipments(Original)
Rated,
Weight Transportation Other Handlin
- ---------
Fedlhe —---------Date Shi ments Ibs 9 Ret Ch
Ground-Prepaid ::Charges 9/Tax
Char'es Credits/Other
12127 1 5 Total Char es
Total FedEx Ground 7.75 3.92
7
Ground Prepaid Subtotal 11 6
53:92
511.67
Total This Invoice
USD $11.61
1008-01-00-0005256-0001-0013198
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Page
Invoice Date Account Number 4 of 4
Invoice Number Jan 09, 2013
2-138-29983
P0#
FedEx Ground Prepaid Detail 109 Re I NO REFERENCE INFORMATION 7.75
Pickup pate Dec 27 2012 Dept# Transportation Charge 3.00
Reciul�nt NDOC PN Auto Comm 0.92
Payor Shipper sender ATTN:RMA#461115 fuel Surcharge
Tracking ID 321003815000272 Greg Bedell USD Stt.67
Ppd,Domestic Black Box Resale Services Total Charge e
Service Type Carmel Clay Communications Cell 9155 Cottonwood Lane N EEHEEE
Zone 31 1st Ave.N.W. Maple Grove MN 55369
Packages I Carmel IN 46032
Actual Weight 4.5 Ibs $11.67
Rated Weight bc 31,2012 USD
De
Delivered Prepaid Subtotal $11.67
Total FedEx Ground USD
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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))
01/09/13 2-138-29983 $11.67
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 $
P.O. Box 94515
Palatine, IL 60094-4515
$11.67
ON ACCOUNT OF APPROPRIATION FOR
Carmel Clay Communications
PO#/Dept. INVOICE NO. I ACCT#/TITLE AMOUNT Board Members
1115 I 2-138-29983 I 43-421.00 ` $11.67 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
Monday, January 14, 2013
Director
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund