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217623 02/26/2013
��. CITY OF CARMEL, INDIANA VENDOR: 093000 Page 1 of 1 �0 ONE CIVIC SQUARE FEDEX-SHIPPING CHARGES CHECK AMOUNT: $170.93 ? CARMEL, INDIANA 46032 PO BOX 94515 PALATINE IL 60094-4515 CHECK NUMBER: 217623 CHECK DATE: 2/26/2013 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1110 4342100 114952811 170 . 93 POSTAGE Invoice Number Invoice Date Account Number Page 1-149-52811 Feb 07, 2013 1 1 of 3 FedEx TaxID: 71-0427007 Billing Address: CARMEL COMMUNICATIONS 31 1 STAVE NW 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 Feb 07,2013 Internet: www.fedex.com FedEx Express Services Transportation Charges 155.39 Special Handling Charges 15.54 Total Charges USD $170.93 TOTAL THIS INVOICE USD $170.93 Other discounts may apply. Detailed descriptions of surcharges can be located atfedex.com Invoice Number Invoice Date F Account Number Page 1-149-52811 Feb 07 2013 2of3 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. 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' Phone WWU I I I I I I I I I Fax# f l l l I I I I I I I I I c! t Email Address DYes,I wantto update accountcontactwiUi the above information. Tracking Number Bill to Account $Amount ellllllllllllllll IIIIIIIIII IIIIII• W bllllllllllllllll IIIIIIIIII IIIIII• W j;IIIIIIIIIIIIIIII IIIIIIIIII IIIIII• W lllllllllllllllll llllllllll IIIIII• W SIIIIIIIIIIIIIIII IIIIIIIIII IIIIII• W c AD -Address Correction INW-Incorrect Weight OVS- Oversize Surcharge For all Service failures or other 0 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 r. d;I I I I I I I I I I I I I I I I l l l l L I I I I I• W I I I II I I IxI I I IxI I I I IIIIIIIIIIIIIIIIIIIIIIIIII• W IIIIIIIIxIIIIX t l 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 IxIWWxI 1 1 1 5'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 —1WWxWWJX ( 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 LWWL_L_Wxl I I Ixl I I I i Fed-IK. Invoice Number Invoice Date Account Number Page 1-149-52811 Feb 07 2013 3of3 ' FedEx Express Shipment Detail By Payor Type (Original) Ptcketl up Jan 29,2013 Cust Ref NO REFERENCE INFO,RMATI©N Ref#2 Payo.r Reclpient Ref.#3 • fuel Surcharge FedEx has applied a fuel surcharge of 10.00%to thins hipment. Regulatory clearance delay. - -° • FedEx has audited this airbill for correct pieces,weight,and service.Any changes made are reflected in the invoice amount. • We calculated your charges based on a dimensional weight of 4.O Ibs,11'x 1'x 7',using a dimensional factor of 139. Tracking 10 874998763560 Sender Service Type FedEx Intl Priority LINDA WAGNER Recipient Package Type Customer Packaging DRMO JELLISON RYAN Orig./Dest KLT/MZZ CARMEL POLICE DEPARTMENT BLDG.2384,KLEBERKASERNE Zone D MANNHEIMER STR 219 3 CIVIC SQUARE Packages 1 KAISERSLAUTERN 67657 DE CARMEL IN 46032 US Actual Weight 1.1 Ibs Rated Weight 4.0 Ibs Delivered Feb 01,2013 10:15 Signed by B.BOLES FedEx Use G8286/US00ID/_ Transportation Charge Customs Fuel Surcharge 155.39 Entry Date Jan 29,2013 Total Transportation Charges 15.54 USD 5170.93 Recipient Subtotal USD $170.93 Total FedEx Express USD $170.93 1037-01-00-0017567-0004-0046040 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)) 02/07/13 1-149-52811 shippingh charges $170.93 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 VOUCHER NO. WARRANT NO. ALLOWED 20 FedEx IN SUM OF $ P.O. Box 94515 Palatine, IL 60094-4515 $170.93 ON ACCOUNT OF APPROPRIATION FOR i Carmel Police Department PO#/Dept. INVOICE NO. I ACCT#/TITLE AMOUNT Board Members 1110 I 1-149-52811 I 43-421.00 I $170.93 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 Thursday, February 21, 2013 Chief of Police Title Cost distribution ledger classification if claim paid motor vehicle highway fund