HomeMy WebLinkAboutSHIEL SEXTON COMPANY, INC. -002155 -7/28/2011 CARMEL REDEVELOPMENT COMMISSION 002155
Shiel Sexton Company, Inc. Check: 2155
902 N Capitol Avenue Date: 7/28/2011
Indianapolis, IN 46204 Vendor: SHIELSE1
Prior
Invoice P.O. Num. Invoice Amt Balance Retention Discount Amt. Paid
58 69,078.02 69,078.02 0.00 0.00 69,078.02
Work thru June 2011
69,078.02 69,078.02 0.00 0.00 69,078.02
i tyt^t Al
wit i OP
Pa i
. ,
June 30, 2011
Mr. Les Olds, Director
Carmel Redevelopment Commission
City of Carmel
One Civic Square
Carmel, IN 46032
RE: Parcel 7A, Regional Performing Arts Center
Construction Management Services-Shiel Sexton Job#2695
Payment Application 58 (June, 2011)
The following is a summary of Shiel Sexton's billable expenses:
CM STAFF
June, 2011 2695-50 $ 64,190.00
CM GENERAL CONDITIONS
June, 2011 2695-50 $ 4,870.32
CM REIMBURSABLES
June, 2011 2695-50 $ 17.70
TOTAL DUE $ 69,078.021
If you have any questions please call me at 223-5011 or our Accountant Lynda Weaver at 423-6008.
Sincerely,
gib. 10(1
No,. •. ,..._.....,...,. 4
David C. Burc and Director of Redevelopment/ (
Construction Manager
Shiel Sexton Company, Inc.
902 North Capitol Avenue
Indianapolis, IN 46204
..101),- •
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Invoice Disbursement Schedule
Contract: 2695-CARMEL-PAC-CONSTRUCTION
Invoice: 2695-50 06/30/11
Item: 10-CM Staff
Labor
6 salary weeks 05/13/11 thru 06/23/11
Sr. PM- 2 men-salary 231.00 Hrs @ $110.00 25,410.00
PM- 2 men salary 54.00 Hrs @ $110.00 5,940.00
Project Engineer- 2 men-salary 222.00 Hrs @ $80.00 17,760.00
Project Coord'r- 1 man-salary 232.00 Hrs @ $65.00 15,080.00
Total Hours 739.00
TOTAL Labor 64,190.00
Material
TOTAL Material -
Subcontract
TOTAL Subcontract -
Item: 10-CM Staff 64,190.00
Item: 20-CM General Conditions
Material
DOCUNET ONLINE INC. 452 250.00
ICE MOUNTAIN SPRING WATER 01F0121103790 17.10
IKON FINANCIAL SERVICES 84974847 442.98
Apr11 PLPD Insurance 637.31
May11 PLPD Insurance 83.45
SSC IT- resubmitted from April SSC invoice 2695-#48
because it was excluded from payment 0411-2695 1,348.13
SSC IT 0611-2695 836.40
SPEEDWAY SUPERAMERICA LLC 61011 209.95
TW TELECOM 4197974 1,045.00
TOTAL Material 4,870.32
Item: 20-CM General Conditions 4,870.32
Item: 30-CM Reimbursables
Material
FEDERAL EXPRESS CORPORATION 7-529-26991 17.70
TOTAL Material 17.70
Item: 30-CM Reimbursables 17.70
Summary
10-CM Staff 64,190.00
20-CM General Conditions 4,870.32
30-CM Reimbursables 17.70
CURRENT DUE : 69,078.02
Docunet Online,Inc. Invoice
10019 Windward Pass � r ,; ,
Fishers,Indiana 46037
'317-435-4681
JUN 10 ZOil
tO
18111 To:
Shiel Sexton Company
attn:Linda
902 N.Capitol Ave
Indianapolis,Indiana 46204
Date Invoice No. P.O.Number Terms Due Date Project
06/08/11 452 Net 30 07/08/11
Item Description Amount
M Service Agreement Monthly Docunet Service Fee-Carmel Performing Ms Center-June 250.00
Thank You Total $250.00
service.lcemountainwater.com BILLING PERIOD INVC!ICE NUMBER
1Cf'AltUNTA/N #215 6661 DIXIE HWY,SUITE 4 05/07/11 06/06/11 01E0121103790
LOUISVILLE KY 40258
direct.- •
ADDRESS SERVICE REQUESTED UPCOMING D ELIVERIES ACCOUNT NUMBER
1111 II 1111111 II 11111111 I II 1111 I if I : . FRI_ JUN 24 01211037
TUE- JUL 26
WED- AUG 24
- • FRI- SEP 23
SHIEL SEXTON JUN 20jj Customer Service:1-800-472-9888
ACCOUNTING Thank you for choosing ice Mountain Home&Office
902 N CAPITOL AVENUE Delivery!We value your business.
INDIANAPOLIS IN 46204-1005
IIIII'1'1I'I'IIIIII'IIIIIIII'11 iIIII1IIi11,IIIIIrl1611:11111r1
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ACCOUNT ACTIVITY •eyyour• on ins a.sery Ce.[Cemoun a nwa er.comor. •one a• :I; `s ree
=:DATE REFERENCE It` QiY --DESCRIPTION
� .� !r• AMOL1NTi
PREVIOUS BALANCE 17.10
5/23 878889 PAYMENT-THANK YOU -17.10
6/06 F1087794 RENT 15.98
SALES TAX 1.12
TOTAL 17.10
ACCOUNT SUMMARY PREVIOUS BALANCE PAYMENT I ADJUSTMENT. CURRENT ACTIVITY PAY THIS AMOUNT
Subject to terms on reverse side. 17.10 — 17.10 -}- 17.10 = 17.10
Detach this stub and return with your payment
ACCOUNT NUMBER PAY BY PAY THIS AMOUNT
P.O.Box 856680 0121103790 06125111 17.10
Louisville,KY 40285.6680
INVOICE NUMBER BILLING DATE AMT.ENCLOSED
01F0121103790 06/08/11
407E01211037901 0001 710 000173,02 5
ICE MOUNTAIN
a DH(ston of Ness/Waters North America In SHIEL SEXTON
P.O.Box 856680 ACCOUNTING
Louisville.KY 40285-6680 902 N CAPITOL AVENUE
INDIANAPOLIS IN 46204-1005
IIrrI,IIII1gIILuIIIII111111 III'II1I1r11lIIP'i thi llrlluli
FOR CUSTOMER SERVICE CALL 1-800-472-9888
SIGN UP FOR FREE AUTOPAYI Sign Up Required On Reverse Side. ❑Print My Charges On Reverse Side.
720103-040.0'••—1-D-E-C —0005323 pane 1 of 1
PLEASE RETURN THIS REMITTANCE PORTION WITH YOUR PAYMENT __ ___ , 006/29/201i 4 iiii,
1076031-2611330 L:-:,,. , u:r..••'c 06/10/2011
'�'=�':t4 ,: ., .P va prove-t iC on — -,
PLH.Sr PIFEO TO ACCOUNT NOSIGatt • ' •Y •�� - - - 84974847
CIS A'A ITIOU'IRiES AMOUtIT
PLEASE DO NOT STAPLE OR FOLD THIS PORTION •1B E ( J ,Dull $442.98,,
MI 1111111111119111 i
, JUN 1 5 2011
, r ATTN: ACCOUNTS PAYABLE r IKON FINANCIAL SERVICES
SHIEL SEXTON COMPANY INC '1,D PO BOX 740541
902 N CAPITOL AVE %, T ATLANTA GA 30374-0541
INDIANAPOLIS IN 46204-1005 InlllIlnu,ll,I,nl/lnil[w,lllulnlu,Il,InInI(11111E
01 0000000010760312 0000849748472 0000000000442988
II ICON FinancialServicess 84974847
P9 BOX 9155, Macon GA 31208.9175 Lola chorges will be assessed ff _ _ __1
payment is not received by the due 06/10/2011
dote. —
ACCOUNT .-F T- 06/29/2011
NUMBER: 1076031-2611330 1B E J - -
SHIEL SEXTON COMPANY INC
For billing inquiries, please call customer service at ATTN: ACCOUNTS PAYABLE
number printed balms, Please refer to account number on 9 02 N CAPITOL
all inquiries. INDIANAPOLIS IN 46204-1005
PLEASE CALL 1-800-595-1011 FOR ACCOUNT INQUIRIES OR FAX TO 1-478-405-4026
RENEWAL 414.00
STATE TAX 28.98 $442.98
EQUIPMENT DESCRIPTION ON SUMMARY REPORT
CURRENT BILLING PERIOD: 05/29/2011 — 06/28/2011
PURCHASE ORDER NBA : 2695-01205
FOR QUICKER PAYMENT PROCESSING YOU MAY PREFER ONE OF OUR
ELECTRONIC PAYMENT OPTIONS:
11) AUTOMATED CLEARING HOUSE
2 ELECTRONIC FUNDS TRANSFER
3 CHECK BY PHONE — PLEASE CALL THE NUMBER LISTED ABOVE.
FOR ASSISTANCE IN LOCATING AND REPORTING METERS OR
ORDERING SERVICE AND SUPPLIES, CALL 1-888-456-6457 OR
GO TO WWW.IKON.COM AND CLICK ON THE CUSTOMER SUPPORT LINK
AT THE TOP OF THE PAGE.
I: `.'it .:= • I - --YOU FOR AMOUin ODE
Ts.YOURFP.ROMPT
442.98 0.00' 0.00 0.00 ,PAYFiENT $442.98
... ':- l-- . . . -,.. . .,-TP, ir);, ,.. ... -
IrraiN OIrCE
Insurance Coverages
4_ - Shiel Sexton Company Inc
902 North Capitol Avenue Date: 5/31/2011
Indianapolis, IN 46204
(317}423-6000
. (317}423 6155 Fax
Job Number Job Name
2695 Carmel PAC
Contract Amount Final Contract
$ 8,000,000.00
Cost per$1 of
Contract Amount contract Amount
Est total job billing
$ 9,964,586.00 $ 0.00290 $ 28,897.30.
Already Billed
$ 9,744,824.14 $ 0.00290 $ 28,259.99
$ 637.31
Total Due $ 637.31
Builders risk insurance is not included in this total.
If you have any questions concerning this invoice,call:Kathy Jones(317)423-6155
1141 ORCE
Insurance Coverages
11-1.1 Shiel Sexton Company Inc
902 North Capitol Avenue Date: 6/21/2011
Indianapolis, IN 46204
(317)423-6000
(317)423-6155 Fax
Job Number Job Name
2695 Carmel PAC
Contract Amount Final Contract
$ , 8,000,000.00
Cost per$1 of
Contract Amount contract Amount
Est total job billing
$ 9,993,363.00 $ 0.00290 $ 28,980.75
Already Billed
$ 9,964,586.00 $ 0.00290 $ 28,897.30
$ 83.45
Total Due $ 83.45
Builders risk insurance is not included in this total.
If you have any questions concerning this invoice,call:Kathy Jones(317)423-6155
. s
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FR IV l} Invoice
il iyJ
IT GROUP la••'• Y vena)T'Cg.) 6 C W PA-h-ftWENcer
IT Services i,.3,. ci114 Fa4M 64-1-wsr.V. Fotz,
Sc, lest Z l7°)S- 44-0 i 1
t;441 .09)11 A3 %ty LES o
Invoice Date: 4-29-11 f r / IC — L
Invoice
Number: 0411-2695
Company: Shiel Sexton Company, Inc.
Project: PAC
Project
Number:2695
Summary
Description:
Wireless and 1348.13
internet services
Total 1348.13
Contact Tim Malarney with questions (317) 423-6111
Shiel Sexton IT Group
902 N. Capitol Ave
Indianapolis, IN 46204
Invoice
IT OnOOP
IT Services
•
Invoice Date: 6-30-11
Invoice
Number 0611-2695
Company: Shiel Sexton Company, Inc.
Project:
Project
Number: Carmel-PAC
Summary
Description-
Wireless Phone,
Equipment,IT
Service Amount
836.40
Total
Contact Tim Malarney with questions(317)423-6111
Shiel Sexton IT Group
902 N. Capitol Ave
Indianapolis, IN 46204
Speedway SuperAmerica LLC
ft
_,_. rfxWhon you provide a check as anynent, you authorize us either to use the inform tion
from your chock to nake a one-time electronic fund transfer from your account or to
process the payment as a check transaction.xox
SAeedfL y ACCOUNT NUMBER DUE DATE ' AMOUNT DUE AV WO'PAID
..,::.. / k.mr.«„»afcnn:rc.»mfn,ff _ . -...
- 100 0194 009 07-06-11 • 854668.10
1000194009 MAIL PAYMENT TO:
Ferquesuons or account P.O. BOX 740587
infOrmaim: CINCINNATI, OH 45274-0587
WRITE TO:
Speedway SuperAmerlca Lie
ATTN:Credit Customer Servka
P.O.9ox 3590 SNIEC SEXTON INC
Springfield,0H 4550f 902 N CAPITOL AVE S[RESTAOCAESS
FAX: 1.37)-1643091 INDIANAPOLIS IN 46204-1005 CITY STATE AP
FAX: (937)•864.3091 1 1 1
E•ma:l:ssacrodltcardQssaSc.com IIhtitltlrisiti 11nf Ruiulljtln f'iIU1l1l11(HIUfsiliini
AREA COLE 7 wane M.MEER
TAX 10: 31.1551430 Complete above ONLY 4 address hag changed.
For overnight payments: -
Speedway SuperAmerica LLC
Credit Services 910001940096005466810
500 Speedway Or}ts I
Enon,OH 45323 ( _-
Pay onlineQww wa
H.speedy.com -
Pay by phone:1.206.731.1349 PLEASE,rc'ude your account nu rrbe r cn at chec:t9 fcofresccndence9 -
TRANS REFERENCE CARD
TI
DATE NUMBER ME NUMBER DESCRIPTIONOPTRANSACTION AMOUNT
05-20 1140 52 034383•5155:00 0138 P11 006093 2640 NORTH 600 NEST GREENFIELD IN $51.18
05-26 1147 50 016018 6:55;30 0138 MPC 007674 5964 H PENDLETON PIKE HCCORDSVILLE IN 964.84
05-31 1151 52 095115 6:50:29 0138 STR 1230 4382 NATIONAL RD E RICHMOND IN 062.16
06-05 1156 5I 006733 3:35;50 0138 SIR 8600 9749 HAZELTON ETNA RD PATASKALA ON $45.85
TOTAL FOR COG TO ID 3992 9369.89
TOTAL FOR DRIVER DARYL COLEMAN 9425.43
05-09 1129 52 017510 E2:17:39 0123 STR 6066 8895 E 116TH ST FISHERS IN $62.93
TOTAL FOR CHO TO ID 6 962.93
05-15 1135 52 007143 09:36:05 0123 SIR 6066 8895 E 116TH ST FISHERS IH $70.05
06-07 -1158 52 023584 12:14:19 0123 STR 7771 4425 S EMERSON INDIANAPOLIS IN $76.97
TOTAL HG TO ID 2695
\,.."'".--- TOTAL FOR DRIVER DAVE BURCHARO $209.95
05-09 1129 52 005013 80:11:49 0021 SIR 1302 1618 N LEBANON LEBANON °'-tN`''''5
05-18 1138 52 005136 05:48:08 0021 STR 1302 1618 N LEBANON LEBANON IN $61.41
06-06 1157 51 008755 11:32:15 0021 STR 5387 5555 W 86TH ST INDIANAPOLIS IN 962.39
• TOTAL FOR CHG TO ID 3752 $184.05
TOTAL FOR DRIVER DAVE FARRIS 9184.05
05-12 1132 52 017523 07:04:36 0019 STR 6010 2700 N WALNUT BLOOMINGTON IN 963.00
05-18 1138 52 017367 1 7:03:31 0019 SIR 6010 2700 N WALNUT BLOOMINGTON IN $59.19
05-23 1144 53 110632 9:10:55 0019 MPC 068619 109 JANAY DRIVE MARTINSVILLE IN $50.38
05-27 1147 51 002864 0:08:24 0019 STR 1327 3021 E 3RD BLOOMINGTON IN 025.00
05-27 1147 51 002866 0:20:00 0019 STR 1327 3021 E 3RD BLOOMINGTON IN $17.00
05-30 1151 53 105831 4:40:48 0019 MPC 068619 109 JANAY DRIVE MARTINSVILLE IN 352.55
06-03 '1154 52 020164 7:08:20 0019 SIR 6672 4732 W 61ST AVE HOBART IN $25.65
06-03 1154 52 012553 2:16;21 0019 SIR 4202 6340 LAKE RD WINDSOR WI $29.25
06-03 1155 53 134933 9:29:05 0019 MPC 068619 109 JANAY DRIVE MARTINSVILLE IN $49.37
-ACCOUNTNUl.18ER STATEMENT • PREVIOUS- PAYMENTS/ CHARGES/ FINANCE
,- . tCLOSINGDATE .BALANCE CREDITS• - A0,1 , CHARGE BALANCE- .
ANNUAL MONTHLY AVERAGE 01.4112! IS ue0 aoatr«.,t F[. Ct
CREDIT AVAILABLE `f T-D 5331[,,a.ror”[•R4 PAGE
LIMIT CREDIT
FINANCE PERCENTAGE PERIODIC PAl?NCE EU8 ECT TO IqH:[491 if IFCfM> 6OF37
CHARGE RATE INTEREST RATE FINANCE CHARGE n fn a¢c au[sta:n9s
: - .. KEEPTIOPART '
- - FORYCORRECOROS
DLO:F 0312007
Speedway LLC wlnTlnC.Oct oea/C nee e/nC Cr -3.w•nnnrww.r wn...r,nw.w. .•..•.......r•....
•
1.9250120 /23086/620
.71.1,2E 15.20tt JNd£15.2011
Axant N ber:9463 Acatrd M:rrtEr 91.63
Imt*ce lsSniter.01251056 4+135,6/Kurrber.45254956
ft LOCAL CALLS•061A'L
-e:xkzegas,M1
i�'0�'SMfI SE(TON•on...., 1.'0 Rd.PeeW&,¢!.A*IA ON,0 .E£.ire9 N=Ny'd 0•11016‘31.1141.11 Pa661 P.77A
j.hlfNrlt!SYYJRa"193F.MYiA'1Ai0U3 N.417177
J i.,�y�y C aiTwEti'QR36Y.2=A:sm49[nY4lRiri Rrbe'6C<,Wle4"3.•7ed Uev'+32.E.kMNAreaSV.a.C'lz&q C3J
PM d A.Y. 1'1� �'gysafHrw Fi4Siio ' °Q ['3/ M'^'n'4 CLYa1Cr�E:nD raiYf Acstec E=O'ryYMwtr>1 QLCv'gbh.c=Or�tkt GAVit W>bt&•kN:SO-s.O+R'I
CKEMR7 tls,ayl(y'ldxe-. __ .$6641 fliY31 t 677663 Asosarco,P-P11'Jbe O'966/11Crclen3,7.41,1.013,r -Cr9s
El/46eMM Cd1611•J1aSN1 ` . 1 111123
TOTAL Sef.&.ir<Xk¢".4 16' A0akel OlIZEig211
....,... .' '- K 6h1Ei eFJR6N
• _.
S.tript 2sa#/l; fd#.st's91CST0N.k1M.WO0t1S H tt261 1
Ibm._S1aTt.5ES70!( �1((I J xOmilitul2auo
Addnsrf 13ROAVE SN.CARMEL4.4011 04.1./41,4 L..Cott
J.al sent. MS C✓6YS1i.6m6i4 d?a1 ' Rd t , 4-mLCxM S#!Ir>'_1 fl>v 21116761. iima
r er•.•srnuu4, d51s1[•ehlan s 11»21 ��3+�er .,.... . .1
heerMAsszs6lRys (6'511-%•14'11 1 1111Qt 105012011 9X1AN (BASS(or 16.111OCce a 0. 3Z7 415
101 1 nm.laa uc oNn uS<3_31/ter V. Total Q'17 k a1
-mom+/° `0_•.
Sea@1laiise..es •._ , , 1 La++.:
_ .5uC
AAA(s!11119WT 11101.3.SPC.Al1L 46211 •
twoxtia ketil 00151.torq 11 J.lX1NFERETiCE SOLUTKY!PNOW:CT-SUNWIRY
tde:rtl Area/1Pfs _.- "-_ _.._ 7 cn1e>'e'm1�7.e rarSaYntrwtal6q
061911'%rilily� i SUlld �h �h Year Cm*
O]ALSercit<L&fNa2-043f "`°�yl ltet S
1116,c3st.Saul Cad.nal Cad 4rurat
�•,.•umice113YRi£R2M y g y 11.426!
_
toy, &1614461 7a66661 I,161111t111S 1!rl.,
kBra rn6s0o11x Ltgs `dN.,x���� 0615/1141101 1 ,'70.61 TOM 131 1602331 1 1.11{131
IINNi Af4S5M.CP1 '�"'�^R3 [513/11-01111.11 1 5110U
-.. "...Noal....,,,TOTALS.niee toonoN.iW RN :... ._ .
TOTAL 661Og113,hO6T1i aSotkoE iiG]DN I P%ePM04 7ab7Call IsatALSEC Mbn';
OgRnt 5.0,-tmt Cxxves. 1.13 13,56135 6/225375
N :r RecaOhRerN1 S6m5 t �� 6/01..66/ ?y 1e1S1?5 71i4�if
S'a'atk._wsA Sri..Fed 01 15aJa1• 1106
• j%h1T.F $eckaF )1114I
Ta,a1_22RCES107S1CL1261( 1c 31)11 3
•
Et LOCAL CALLS•Stllif[ARY
161.. 1.664s S.mauf
I:aMelLaa5soo113111
N.6y-SKFI SEEiON
•5eekry gelta6.6CZlt
/..Perkj 7416[671} ia:msssE0
On I 011 3616
10711 ALL11364CE ; 437 LW
LOCAIpaS
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■
Invoice Number Invoice Date Account Number Page
7-529-26991 1 Jun 15,2011 J 1011-0951-8 I 61:4 19
FedEx Express Shipment Detail By Reference(Original)
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• The Uwe iscount los Yds shp date hes been calculstedbased on a revenue theashnM of$063.89 _____
• Fuel Surcharge dEx has apple d a fuel surcharge of 1650%to this sh menu
• Distente Based Prtcatb-ZOna 4
Automaton INET laid= mall . +•-�'..."
Tracking 10 194821440486 � Mark Meier Cathy Loudenback
Service Type Fed Ex Express Saver "`'ShielSexton ShielSaxtar
Package Type FedEx Envelope Bui(d4-T1113 ;r .' Capital Ave.
Zone 04 JACKSONVILLE N54 INDIANAPOLIS 114 46291 US
Packages 1 -- .. ...—
Rated Weight N/A Transportation Charge - 1960
Declared Value USD 10000 CourtedPickupC 0AD
Delivered Jun 09,20111131 Eerne nttTr t -403
Svc Area Af ationBonusDiscount
Signed by S.KRAMER Fuel Surcharge 091
FedEx Use 00000000hVV0g0B3y Adult Signature
4.25
Declared Value Charge 909
Total Charge USD $10.61
NO REFERENCE INFORMATION Reference Subtotal USD $10.67
.. yy.�. .-..'¢�: ..1...�•<:S+(o�..a-.....,._...�z�.--..a.:<..-,i5,,,,,...:�a_ to �.y
1X000.91);�DtL 34 1 7 z. y . s ,1�f:ds.1�3 F :( 5 i L A9t.Ki' Yi L -)Z.32 v N
4,,,.re The Earned Oistauntforatis sh'p dote has be en cakule led basedpnerevenue threshold o1S8N 59
• • Fuel Sachs rga-Fed Ex hes epp-ed a fuel surcharge of 1656%to Udsshlpment•.•-6,^-•'•..'em-46.^^'-=••u
• Distance Based Pricing,Zone 1 '-�'""'^"'•^d +•--•- ����
Automation USAB Studer Recloieal °^-.,
Tracking ID 815660887847 OEI*T PRATT TRACY NICTES
Service Type Fed Ex Priority Overnight SHIEL SEXTON SBCOA
Package Type FadExEnvelope 902 H CAPITOL AVE 8650 109TH AVE N
Zone 04 INDIANAPOLIS IN 46794-1005 US CHAMPLINMN 55310 US
Packages I
Dated Weight N/A
Delivered Jun 14.20110321 Transportation Charge 24.550
Svc Area AI Earned Discount -931
Signed by M.NUDENT FuelSurcharga Y.51
FedEx Use 016416553/0000208/ Total Charge USD $17.70 >/
2695 Reference Subtotal USD $17.70 f
0:60ed-rfl 0,4)J 011xr _ i s'_ - to S ?� '-"* € 3 htlef. •->, a } ; - _ "'-'.:�'"°"'
64-0-#Sh(pp$r 3f..: ..,. 110f.K4s 1>J 5,f -.;..3..,: ° I LT t f ;"lr' <f
• fuel Surcharge-Fed Ex has appbed a fuel surcherg a o£16.50%to this shipment
• Business cored or Adult Rectplaer Unreadable-DeEveryUoterepteted.
• Detente Based Prlc'ng,Zones
• • )cede tJun 14,2011 nt08-05Aht
IUD=Elden IN ET ;i>ladit 9gslsleot
Tracking ID 94858700548 Stacie Kramer Marton Lynn ,,,..+O'
Service Iype Fed"&firsl Overnight 902 N Capitol Ave. M lemur n Arch.
Package Type Customer Panagipy INDIANAPOLIS IN 46204 US 12 E PINE ST
Zone OS "°4a`�„ LAKELAND FL 33801 US
Packager I
Rated Weight 1.Olbs,0.5kgs ..•
Delivered Jun 14,201109.74
Svc Area by D. TranspP�o�r aer n Charge 1082
Signedby D.COBURN Fu: SfTrchargo 10.82 •
Fed ExUse 00OCOOp00/IX100012/ t41 Charge USD"k•osi., 27637
2888 Referent`Subtotal USD —"'°-$16.37