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218651 03/25/2013 a f CITY OF CARMEL, INDIANA VENDOR: 314125 Page 1 of 1 0 ONE CIVIC SQUARE UPS CARMEL, INDIANA 46032 LOCKBOX 577 CHECK AMOUNT: $120.50 CAROL STREAM IL 60132-0577 CHECK NUMBER: 218651 CHECK DATE: 3/25/2013 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 601 5023990 76V77A093 18 . 67 OTHER EXPENSES 601 5023990 76V77A103 15 . 01 OTHER EXPENSES 651 5023990 RV69901 86 . 82 OTHER EXPENSES Delivery Service Invoice Invoice date March 9, 2013 Shipped from: Invoice number OOOORV6990103 CITY OF CARMEL/WASTEWATER Shipper number RV6990 TERESA LEWIS Control ID 333W TM 9609 HAZEL DELL PKWY INDIANAPOLIS,IN 46280-2935 Page 1 of 4 Sign up for electronic billing today! 0249A000ORV69900 77401200019520 Visit ups.com/billing AT 01 022765 00511H 74 A**3DGT For questions about your invoice,call: �lll�lll��rllllllllllllrllnl���lllllllllllllll��l�llll�l�lllll (800)811-1sa8 Monday-Friday _ CITY OF CARMEL 8:OO am.-9:OOp.m.E.T. UTILITIES or write: .� 760 3RD AVE SW UPS CARMEL, IN 46032-2072 P.O.Box 7247-0244 Philadelphia,PA 19170-0001 Account Status Summary Thank you for using UPS. Weekly Payment Plan Amount Due This Period $86,82 Summary of Charges Amount Outstanding(prior invoices) $66.91 age C arge Total Amount Outstanding $153.73 Outbound Please include the Return Portion of each outstanding invoice with 3 UPS Internet Shipping $15.78 your payment.See Account Status for details. Inbound .Questions about your charges? 3 collect $71.oa To qpt a betterutsderstanding ofAhe-charges on your invoice, Amount due_this period $86.82 visit our invoice.guide and glossary of billing charges at ups.com/inyOlceguide. UPS payment terms require payment of this invoice by March 20, _ 2013. Note:This invoice may contain a fuel surcharge as described at ups.com. The published fuel surcharge is 7.09.for UPS Ground Services and 11.5%for UPS Air Services,UPS 3 Day Select and — International services.For more information,visit ups.com. Delivery Service invoice Invoice date March 9, 2013 1 Invoice number OOOORV6990103 Shipper number RV6990 n Page 2 of 4 Account Status Weekly Payment Plan Payments Applied Amount Invoice Number Invoice Date Paid OOOORV6990053 02/02/2013 $39.35 OOOORV6990063 02/09/2013 $83.04 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 OGOORV6990083 02/23/2013 $66.91 Total $66.91 Outstanding balances reflect any payments received as of 03108/2013.Please ignore this message if a recent payment has been made for any outstanding invoices. Delivery Service Invoice Invoice date March 9, 2013 Invoice number OOOORV6990103 Shipper number RV6990 TM Page 3 of 4 Outbound UPS Internet Shipping Pickup ZIP Billed Date Tracking Number Service Code Zone Weight Charge 02/28 1ZRV69900391848092 Ground Commercial 46310 2 2 6.35 Delivery Area Surcharge 2.00 Declared Value$800.00 6.80 Fuel Surcharge 0.63 Total 15.78 UserlD:bmallaber Sender :Blaine Mallaber Receiver: City of Carmel AFC International,INC. 9609 Hazel Dell Parkway 715C SW Almond St Indianapolis IN 46280 DEMOTTE IN 46310 Total for Internet-ID:bmallaber 15.78 Total UPS Internet Shipping 1 Package(s) 15.78 Total Outbound 1 Package(s) 15.78 Inbound Collect Pickup Pickup ZIP Billed Date Record Entry Tracking Number Service Code Zone Weight Charge 03/08 1167600210 1 1Z33WO040340541149 Ground Commercial Collect 46280 2 70 18.02 - -_ Customer entered weight 14 Fuel Surcharge 1.26 Customer Entered Dimensions=25 x 22 x 21 in Total 19.28 1st ref:414712 Sender :AAF MCQUAY INC Receiver:CITY OF CARMEL UTILITI ES 210 N ENTERPRISE BLVD 9609 HAZEL DELL PKWY LEBANON IN 46052-8192 INDIANAPOLIS IN 46280 = Message Codes :r _® 2 iZ33W0040340912551 Ground Commercial Collect 46280 2 70 18.02 _- Customer entered weight 14 Fuel Surcharge 1.26 Customer Entered Dimensions=25 x 22 x 21 in Total 19.28 - ------ - - ---------- .....-... - ------ -- -.......... - - _..... -- - -- - --- -------- -------- -------- 1st ref:414712 Sender :AAF MCQUAY INC Receiver:CITY OF CARMEL UTILITI ES 210 N ENTERPRISE BLVD 9609 HAZEL DELL PKWY LEBANON IN 46052-8192 INDIANAPOLIS IN 46280 Message Codes :r 3 IZ33WO040340534764 Ground Commercial Collect 46280 2 53 15.18 Customer entered weight 12 Fuel Surcharge 1.06 Customer Entered Dimensions=22 x 20 x 20 in Total 16.24 1st ref:414712 Sender :AAF MCQUAY INC Receiver:CITY OF CARMEL UTILITI ES 210 N ENTERPRISE BLVD 9609 HAZEL DELL PKWY LEBANON IN 46052-8192 INDIANAPOLIS IN 46280 Message Codes :r 022765 2/2 Delivery Service Invoice Invoice date March 9, 2013 VTM Invoice number OOOORV6990103 Shipper number RV6990 Page 4 of 4 Inbound Collect(continued) Pickup Pickup ZIP Billed Date Record Entry Tracking Number Service Code Zone Weight Charge 03/08 1167600210 4 1Z33WO040340911776 Ground Commercial Collect 46280 2 53 15.18 Customer entered weight 12 Fuel Surcharge 1.06 Customer Entered Dimensions=22 x 20 x 20 in Total 16.24 1st ref:414712 Sender :AAF MCQUAY INC Receiver:CITY OF CARMEL UTILITI ES 210 N ENTERPRISE BLVD 9609 HAZEL DELL PKWY LEBANON IN 46052-8192 INDIANAPOLIS IN 46280 Message Codes :r Total for Shipper :000033WO04 71.04 Total Collect 4 Package(s) 71.04 Total Inbound 4 Package(s) 71.04 Invoice Messaging Code Message r Dimensional weight applied -------------_..__........... - 6 VOUCHER # 135131 WARRANT # ALLOWED 314125 IN SUM OF $ UPS LOCKBOX 577 CAROL STREAM, IL 60132-0577 Carmel Wastewater Utility ON ACCOUNT OF APPROPRIATION FOR Board members PO# INV# ACCT# AMOUNT Audit Trail Code OOOORV69901 01-7362-06 $86.82 Voucher Total $86.82 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 60132-0577 Due Date 3/18/2013 Invoice Invoice Description Date Number (or note attached invoice(s) or bill(s)) Amount 3/18/2013 OOOORV6990 $86.82 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 Deli very Service In voice Invoice date March 9, 2013 Shipped from: Invoice number 000076V77A103 CARMEL UTILITIES DISTRIBUTION Shipper number 76V77A OT. 3450 W 1031ST ST Control ID 16TO WESTFIELD,IN 46074 Page 1 of 3 Sign up for electronic billing today! _ 0249A000076V77A9 77401200027047 Visit ups.com/billing AT 01 022961 00511H 74 D**3DGT For questions about your invoice,call: InI,I�Illllll�l��lll�lllll�lllll�l�ll��l�llnullll�llllnll���l (800)811-1648 ® Monday-Friday _ CARMEL UTILITIES 8:OO am.-9:OOp.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 Weekly Payment Plan Thank you for using UPS. Amount Due This Period $15.01 Summary of Charges Amount Outstanding(prior invoices) $18.67 Page Charge Total Amount Outstanding $33.68 Outbound Please include the Return Portion of each outstanding invoice with 3 UPS Internet Shipping $9.12 your payment.See Account Status for details. 3 Adjustments&Other Charges $5.89 Questions about your charges? Amount due this period $15.0i =_ --To-get a better understanding-of-the-charges on-yourinvoice, - - - - visit our invoice guide and glossary of billing charges at UPS payment terms require payment of this invoice by March 20, ups.com/invoiceguide. 2013. Note:This invoice may contain a fuel surcharge as described at ups.com. The published fuel surcharge is 7.0%for UPS Ground Services and 11.55K.for UPS Air Services,UPS 3 Day Select,and International services.For more information, visit ups.com. �� o Delivery Service Invoice Invoice date March 9, 2013 OTM Invoice number 000076V77A103 Shipper number 76V77A Page 2 of 3 Account Status Weekly Payment Plan Payments Applied Amount Invoice Number Invoice Date Paid 000076V77A053 02/02/2013 $27.48 000076V77A063 02/09/2013 $23.47 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 000076V77A093 03/02/2013 $18.67 Total $18.67 Outstanding balances reflect any payments received as of 03/08/2013.Please ignore this message if a recent payment has been made for any outstanding invoices. Delivery Service Invoice Invoice date March 9, 2013 Invoice number 000076V77A103 On Shipper number 76V77A Page 3 of 3 Outbound UPS Internet Shipping Pickup ZIP Billed Date Tracking Number Service Code Zone Weight Charge 03/07 1 Z76V77A0396861836 Ground Commercial 46202 2 2 8.52 Fuel Surcharge 0.60 Total 9.12 1st ref:weekly fluoride UserlD:CarmelWater Sender :Michelle Breedlove Receiver: Caramel Utilities Distributin Indiana State Dept.of Health 3450 w 131 st 550 W.16th Street Carmel IN 46074 INDIANAPOLIS IN 46202 Total for Internet-ID:CarmelWater 9.12 Total UPS Internet Shipping 1 Package(s) 9.12 Total Outbound 1 Package(s) 9.12 Adjustments &Other Charges On-Call Pickup Requests Date of Billed Date Request Pickup Request No. Service Charge 03/04 02/28 292212P62Q1 Future Day Pickup-Web Request 5.50 Fuel Surcharge 0.39 Total 5.89 — _ 1st ref:W23VFD 2nd ref:Well#3 VFD Tracking No.:1Z76V77A4394793400 Pickup Address:Ken Rhodes Carmel Utilities Plant#1 4915 E. 106th St CARMEL IN 46033 Total On-Call Pickup Requests 1 Request(s) 5.89 Total Adjustments&Other Charges 5.89 Delivery Service Invoice Invoice date March 2, 2013 Shipped from: Invoice number 000076V77A093 CARMEL UTILITIES DISTRIBUTION Shipper number 76V77A ON 3450 W 1031ST ST Control ID 057U WESTFIELD,IN 46074 Page 1 of 3 Sign up for electronic billing today! 0249A000076V77A9 77401100023115 Visit ups.com/billing AT 01 019556 95606H 63 D**3DGT For questions about your invoice,call: (800)811-1648 Monday-Friday ® 8:00 a.m.-9:00 p.m.E.T. CARMEL UTILITIES ® 3450 W 131ST ST or write: CARMEL, IN 46074-8267 UPS P.O.Box 7247-0244 Philadelphia,PA 19170-0001 Account Status Summary �J Weekly Payment Plan Thank you for using UPS. Amount Due This Period $18,67 Summary of Charges Amount Outstanding(prior invoices) $50.95 age Charge Total Amount Outstanding $69.62 Outbound Please include the Return Portion of each outstanding invoice with 3 UPS Internet Shipping $18.67 your payment.See Account Status for details. Amount due this period $18.67 Questions about your charges? To-get a better-understanding of-the-charges-on-your invoice, UPS-payment-terms require payment of this-invoice by-March 13,—- visit our invoice guide and glossary of billing charges at 2013. ups.com/invoiceguide. Note:This invoice may contain a fuel surcharge as described at ups.com. The published fuel surcharge is 7.591.for UPS Ground Services and 10.5%for UPS Air Services,UPS 3 Day Select,and International services.For more information, visit ups.com. Delivery Service Invoice Invoice date Larch 2, 2013 Invoice number 000076V77A093 Shipper number 76V77A 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 000076V77A053 02/02/2013 $27.48 000076V77A063 02/09/2013 $23.47 Total $50.95 Outstanding balances reflect any payments received as of 03/0112013.Please ignore this message if a recent payment has been made for any outstanding invoices. Delivery Service Invoice AM Invoice date March 2, 2013 Invoice number 000076V77A093 Shipper number 76V77A n Page 3 of 3 Outbound UPS Internet Shipping Pickup ZIP Billed Date Tracking Number Service Code Zone Weight Charge 02121 iZ76V77A0393589995 Ground Commercial 46202 2 4 8.85 Fuel Surcharge 0.66 Total 9.51 1st ref:Weekly Fluoride Samples UserlD:CarmelWater Sender :Michelle Breedlove Receiver: Carmel Utilities Distributin Indiana State Dept.of Health 3450 w 131 st 550 W. 16th Street Carmel IN 46074 INDIANAPOLIS IN 46202 02/27 1Z76V77A0399288826 Ground Commercial 46202 2 2 8.52 Fuel Surcharge 0.64 Total 9.16 1st ref:weekly fluoride UserlD:CarmelWater Sender :Michelle Breedlove Receiver: Carmel Utilities Distributin Indiana State Dept.of Health 3450 w 131 st 550 W. 16th Street Carmel IN 46074 INDIANAPOLIS IN 46202 Total tot Internet-ID:CarmelWater 18.67 Total UPS Internet Shipping 2 Package(s) 18.67 Total Outbound 2 Package(s) 18.67 VOUCHER # 131116 WARRANT # ALLOWED 314125 IN SUM OF $ UPS LOCKBOX 577 CAROL STREAM, IL 60132 Carmel Water Utility ON ACCOUNT OF APPROPRIATION FOR Board members PO # INV# ACCT# AMOUNT Audit Trail Code 76V77A093 01-6360-03 $18.67 i Voucher Total 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 3/19/2013 Invoice Invoice Description Date Number (or note attached invoice(s) or bill(s)) Amount 3/19/2013 76V77A093 $18.67 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