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217129 02/13/2013 CITY OF CARMEL, INDIANA VENDOR: 093000 Page 1 of 1 ONE CIVIC SQUARE FEDEX-SHIPPING CHARGES CHECK AMOUNT: $11.72 CARMEL, INDIANA 46032 PO BOX 94515 PALATINE IL 60094-4515 CHECK NUMBER: 217129 CHECK DATE: 2/13/2013 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1115 4342100 216772365 11 . 72 POSTAGE Fedlz I Invoice Number Invoice Date Account Number Page 2-167-72365 Feb 06, 2013 1 of 4 FedEx TaxlD: 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 Feb 06,2013 Internet: www.fedex.com FedEx Ground Services Transportation Charges 7.95 Other Handling Charges 3.77 Total Charges USD $11.72 TOTAL THIS INVOICE USD $11.72 Other discounts may apply. F)Ptailpd dw;r.rintinns of siircharnPs ran hP IncatPd atfPdPx.cnm Invoice Number Invoice Date Account Number Page 2-167-72365 Feb 06, 2013 11 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. ,o.,, 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 Date a Phone WWW WWW I I I I I Fax# WWW I I I I I I I I I t E-mail Address DYes,I want to update account contactwith the above information. Tracking Number Bill to Account $Amount `'ellllllllllllllll IIIIIIIIII IIIIII• W b'Illlllllllllllll IIIIIIIIII IIIIII• W lllllllllllllI Ll I I I I I I I I I I IIIIII• W IIIIIIIIIIIIIIIII Illlllllll IIIIII• W ( IIIIIIIIIIIIIII IIIIIIIIII IIIIII• W C ADR-Address Correction INW-Incorrect Weight OVS- Oversize Surcharge For all Service failures or other U DVC- 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) Tracking Number Code $Amount LBS L W H 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 I I I II 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• W WWWWW�xI I I Ixl I I I t!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 I I I IWWWxI I I IxI I I I s I l l l l l l l l l l l l l l l l l l l l l l l l l• W I I I II 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• W I I I II I I IxI I I IxI I I I Fedizo I Invoice Number Invoice Date Account Number Page 2-167-72365 Feb 06 2013 11 3 of 4 FedEx Ground Shipment Summary By Payor Type FedEx Ground Shipments(Original) Rated V4leight ;Transportation Other'Handling Ret Chg/Tax Date Shipments Ibs Charges Charges Cretlits/Other Total Charges; Ground-Prepaid 01/30 1 3 7.95 3.77 11.72 Ground-Prepaid Subtotal $11.72 Total FedEx Ground 1 3 a $7.95 $3.77 $11.72 Total This Invoice USD $11.72 1036-01-00-0039151-0001-0094850 Invoice Number Invoice Date Account Number Page 2-167-72365 Feb 06 2013 1 4of4 FedEx Ground Prepaid Detail (Original) PicCUp Gate Jan 30,2013 Gust Ref 45213,4521 5 45283 45282 P.O.#: Payor ShippeC Dept# Tracking ID 321 003815000296 Sender Recipient Transportation Charge 7.95 Service Type Ppd,Domestic Carmel Clay Communications Con RA#'S 037080,037081,136586,136 NDOC P/U-Auto Comm 3.00 Zone 05 Carmel Clay Communications Con L-3 MOBILE-VISION INC. Fuel Surcharge 0.77 Packages 1 31 1st Ave.N.W. 90 FANNY RD Total Charge USD $11.72 Rated Weight 3lbs Carmel IN 46032 BOONTON NJ 07005-106599 Delivered Feb 01,2013 Prepaid Subtotal USD $11.72 Total FedEx Ground USD $11.72 1036-01-00-0039151-0001-0094850 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)) 02/06/13 2-167-72365 $11.72 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 — $11.72 ON ACCOUNT OF APPROPRIATION FOR Carmel Clay Communications PO#/Dept. INVOICE NO. I ACCT#/TITLE AMOUNT Board Members 1115 I 2-167-72365 I 43-421.00 I $11.72 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, February 11, 2013 Director Title Cost distribution ledger classification if claim paid motor vehicle highway fund