218033 03/13/2013 - CITY OF CARMEL, INDIANA VENDOR: 093000 Page 1 of 1
ONE CIVIC SQUARE FEDEX-SHIPPING CHARGES
=i CHECK AMOUNT: $25.91
CARMEL, INDIANA 46032 PO BOX 94515
PALATINE IL 60094-4515 CHECK NUMBER: 218033
CHECK DATE: 3113/2013
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1115 4342100 218278124 25 . 91 POSTAGE
Fedlzrl Invoice Number Invoice Date Account Number Page
2-182-78124 Feb 20 2013 1 of 4
FedEx Tax ID: 71-0427007
Billing Address: Shipping Address:
CARMEL COMMUNICATIONS CARMEL COMMUNICATIONS
31 1 ST AVE 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 20,2013 Internet: www.fedex.com
FedEx Ground Services
Transportation Charges 18.21
Other Handling Charges 7.70
Total Charges USD $25.91
TOTAL THIS INVOICE USD $25.91
Other discounts may apply.
Detailed descriptions of surcharges can be located atfedex.com
Invoice Number Invoice Date Account Number Page
2-182-78124 Feb 20, 2013 2 of 4
Adjustment Request
Fax to 1800► 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.
h 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
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a Phone I I I I WWW I I I I I Fax# I I I I I I I I I I I I I
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ADR-Address Correction INW-Incorrect Weight OVS- Oversize Surcharge For all Service failures or other
C 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)
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Invoice Number Invoice Date F Account Number Page
2-182-78124 Feb 20 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 d.rt
Charges Cres/Other Total Charges;
Ground-Prepaid
02/08 1 15 9.79 3.90 13.69
02/12 1 5 8.42 3.80 12.22
Ground-Prepaid Subtotal $25.91
TotalfedExDrou r 2 20 $1821'; $L70 $2591;
Total This Invoice USD $25.91
1050-01-00-00377.39-0001-0088623
Invoice Number Invoice Date Account Number Page
2-182-78124 Feb 20, 2013 4 of 4
FedEx Ground Prepaid Detail (Original)
Ptckup Daie:Feb 08,2013 Gust Ref.:WO 45686 P 0#
Payor Shipper is Dept#
Tracking 10 321 003815000302 Sender Recipient Transportation Charge 9.79
Service Type Ppd,Domestic Greg Bedell AXIS RMA#80876 Fuel Surcharge 0.90
Zone 04 Carmel Clay Communications Cen AXIS COMMUNICATIONS NORTH AM NDOC P/U-Auto Comm 3.00
Packages 1 31 1st Ave.N.W. 2420 TECH CENTER PKWY Total Charge USD S13.69
Rated Weight 15lbs Carmel IN 46032 STE 100
Delivered Feb 12,2013 LAWRENCEVILLE GA 30043-131020
Prckup Date Feb 12,20]3 Gust Ref:WO 45.682 P 0#.
Payor:Shipper; Dept#
Tracking ID 321 003815000326 Sender Recipient Transportation Charge 8.42
Service Type Ppd,Domestic Greg Bedell AXIS RMA#81050 Fuel Surcharge 0.80
Zone 04 Carmel Clay Communications Cen AXIS COMMUNICATIONS NORTH AM NDOC P/U-Auto Comm 3.00
Packages 1 31 1st Ave.N.W. 2420 TECH CENTER PKWY Total Charge USD S12.22
Rated Weight 5lbs Carmel IN 46032 STE 100
Delivered Feb 14,2013 LAWRENCEVILLE GA 30043-131020
Prepaid Subtotal USD $25.91
Total FedEx Ground USD $25.91
1050-01-00-0037239-0001-0088623
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))
02/20/13 2-182-78124 $25.91
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
$25.91
ON ACCOUNT OF APPROPRIATION FOR
Carmel Clay Communications
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
1115 I 2-182-78124 I 43-421.00 I $25.91 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
Tuesday, March 05, 2013
Director
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund