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219523 04/24/2013 CITY OF CARMEL, INDIANA VENDOR: 314125 Page 1 of 1 ONE CIVIC SQUARE UPS 4) CARMEL, INDIANA 46032 LOCKBOX 577 CHECK AMOUNT: $59.61 CAROL STREAM IL 60132-0577 CHECK NUMBER: 219523 '�fiON GO CHECK DATE: 4124/2013 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 601 5023990 76V77A133 22 . 39 OTHER EXPENSES 601 5023990 76V77A143 37 . 22 OTHER EXPENSES i Delivery Service Invoice Invoice date March 30, 2013 Shipped from: Invoice number 000076V77A133 CARMEL UTILITIES DISTRIBUTION Shipper number 76V77A 3450 W 1031ST ST Control ID M293 WESTFIELD,IN 46074 Page 1 of 3 Sign up for electronic billing today! 0249A000076V77A9 77401500022697 Visit ups.com/billing AT 01 018982 16330H 62 D**3DGT For questions about your invoice,call: ��I��IIIII�IIII�I111111111�1��1111'I'I'�I'I"I�II��'��111'I� (800)811-1648 Monday-Friday CARMEL UTILITIES 8:00 a.m.-9:00 p.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 $22.39 Summary of Charges Amount Outstanding(prior invoices) $103.43 age Charge' Total Amount Outstanding $125.82 Outbound Please include the Return Portion of each outstanding invoice with 3 UPS Internet Shipping $16.50 your payment.See Account Status for details. 3 Adjustments&Other Charges $5.89 Special offer celebrates March Madness Amount due this period $22.39 The UPS Store®has created Small Business Tool Kits,which can be a great way to promote your company.To celebrate UPS payment terms require payment of this invoice by April 10, NCAA March Madness®,choose your"Starting 5"--a mailbox, 2013. a house account, a discount card for packing services,plus Note:This invoice may contain a fuel surcharge as described at your choice of brochures,flyers or business cards-and you ups.com. The published fuel surcharge is 7.091.for UPS Ground can save up to 40%. For promotion details, or to learn more Services and 11.5%for UPS Air Services,UPS 3 Day Select and e about the tool kits,visit theupsstore.com. International services.For more information, visit ups.com. �W i Delivery Service Invoice Invoice date March 30, 2013 Invoice number 000076V77A133 Shipper number 76V77A m 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 000076V77A093 03/02/2013 $18.67 000076V77A103 03/09/2013 $ 15.01 000076V77A113 03/16/2013 $21.59 000076V77A123 03/23/2013 $48.16 Total $103.43 Outstanding balances reflect any payments received as of 03/29/2013.Please ignore this message if a recent payment has been made for any outstanding invoices. ------- ------- Delivery Service Invoice Invoice date March 30, 2013 Invoice number 000076V77A133 Shipper number 76V77A m Page 3 of 3 Outbound UPS Internet Shipping Pickup ZIP Billed Date Tracking Number Service Code Zone Weight Charge 03/25 iZ76V77A0398196052 Ground Commercial 50010 4 18 15.42 Fuel Surcharge 1.08 Total 16.50 1st ref:Fluoride Analyzer-Repair(Brian) UserlD:CarmelWater Sender :Jaimie Foreman Receiver:SR#1820227 Carmel Water-Plant 1 Hach Co Service Center 4915 E. 106th Street 100 Dayton Ave CARMEL IN 46033 AMES IA 50010 Total for Internet-ID:CarmelWater 16.50 Total UPS Internet Shipping 1 Package(s) 16.50 Total Outbound 1 Package(s) 16.50 Adjustments & Other Charges On-Call Pickup Requests Date of Billed Date Request Pickup Request No. Service Charge 03/26 03/25 2952Q43F1 OJ Future Day Pickup-Web Request 5.50 Fuel Surcharge 0.39 Total 5.89 — 1st ref:Fluoride Analyzer-Repair(Brian) 2nd ref:1Z76V77A0398196052 Tracking No.: 1Z76V77A0398196052 Pickup Address:Jaimie Foreman Carmel Water-Plant 1 4915 E. 106th Street = CARMEL IN 46033 Total On-Call Pickup Requests 1 Request(s) 5.89 Total Adjustments&Other Charges 5.89 e Delivery Service Invoice Invoice date April 6, 2013 Shipped from: Invoice number 000076V77A143 0 CARMEL UTILITIES DISTRIBUTION Shipper number 76V77A 3450 W 1031ST ST Control ID 9L26 TM WESTFIELD,IN 46074 Page 1 of 3 Sign up for electronic billing today! ®_ 0249A000076V77A9 77401 100024916 Visit ups.com/billing AT 01 018922 21460H 60 D**3DGT For questions about your invoice,call: -= 11�11111111�1111111511111111,11�11I�IIIIIIIIIIIII�II"'l�llllll�� (800)811-1648 Monday-Friday CARMEL UTILITIES 8:00 a.m.-9:00 p.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 $37,22 Summary of Charges Amount Outstanding(prior invoices) $92.14 age Charge Total Amount Outstanding $129.36 Outbound Please include the Return Portion of each outstanding invoice with 3 UPS Internet Shipping $37.22 your payment.See Account Status for details. Amount due this period $37.22 Special offer celebrates March Madness® The UPS Store®has created Small Business Tool Kits,which UPS payment terms require payment of this invoice by April 17, can be a great way to promote your company. To celebrate 2013. NCAA March Madness®,choose your"Starting 5"--a mailbox, Note:This invoice may contain a fuel surcharge as described at e a house account, a discount card for packing services,plus ups.com. The published fuel surcharge is 7.54 for UPS Ground your choice of brochures,flyers or business cards-and you Services and 12.04 for UPS Air Services,UPS 3 Day Select,and can save up to 40%. For promotion details, or to learn more International services.For more information, visit ups.com. about the tool kits,visit theupsstore.com. Delivery Service Invoice Invoice date April 6, 2013 Invoice number 000076V77A143 Shipper number 76V77A i VTM Page 2 of 3 Account Status Weekly Payment Plan Payments Applied Amount Invoice Number Invoice Date Paid 000076V77A093 03/02/2013 $18.67 000076V77A103 03%09/2013 $15.01 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 000076V77A113 03/16/2013 $21.59 000076V77A123 03/23/2013 $48.16 000076V77A133 03/30/2013 $22.39 Total $92.14 Outstanding balances reflect any payments received as of 04/05/2013.Please ignore this message if a recent payment has been made for any outstanding invoices. I Delivery Service Invoice Invoice date April 6, 2013 Invoice number 000076V77A143 Shipper number 76V77A TM Page 3 of 3 Outbound UPS Internet Shipping Pickup ZIP Billed Date Tracking Number Service Code Zone Weight Charge 03/29 1 Z76V77A0390672453 Ground Commercial 60133 2 4 8.85 Fuel Surcharge 0.62 Total 9.47 1st ref:Returned Merchandise UserlD:CarmelWater Sender :Michelle Breedlove Receiver:Zinita Arnold Carmel Utilities Distributin Fisher Scientific Co 3450 w 131 st 4500 Turnberry Dr Carmel IN 46074 HANOVER PARK IL 60133 1Z76V77A0392948661 Ground Commercial 60133 2 4 8.85 Fuel Surcharge 0.62 Total 9.47 1st ref:Returned Merchandise UserlD:CarmelWater Sender :Michelle Breedlove Receiver:Zinita Arnold Carmel Utilities Distributin Fisher Scientific Co 3450 w 131 st 4500 Turnbery Dr Carmel IN 46074 HANOVER PARK IL 60133 1 Z76V77A0399349260 Ground Commercial 46202 2 2 8.52 Fuel Surcharge 0.60 Total 9.12 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 04/01 1 Z76V77A0397087878 Ground Commercial 46202 2 2 8.52 Fuel Surcharge 0.64 Total 9.16 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 Caramel IN 46074 INDIANAPOLIS IN 46202 Total for Internet-ID:CarmelWater 37.22 Total UPS Internet Shipping 4 Package(s) 37.22 Total Outbound 4 Package(s) 37.22 I 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 4/16/2013 Invoice Invoice Description Date Number (or note attached invoice(s) or bill(s)) Amount 4/16/2013 76V77A143 $37.22 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 `�//y//s Date Officer VOUCHER # 131388 WARRANT # ALLOWED 314125 IN SUM OF $ {. UPS a LOCKBOX 577 CAROL STREAM, IL- 60132 r Carmel Water Utility ON ACCOUNT OF APPROPRIATION FOR Board members PO# INV# ACCT# AMOUNT Audit Trail Code 76V77A143 01-6360-03 $37.22 Voucher Total CJU , 1 $ 2 Cost distribution ledger classification if claim paid under vehicle highway fund