220143 05/21/2013 CITY OF CARMEL, INDIANA VENDOR: 093000 Page 1 of 1
ONE CIVIC SQUARE FEDEX-SHIPPING CHARGES
_.
CARMEL, INDIANA 46032 PO BOX 94515 CHECK AMOUNT: $40.29
PALATINE IL 600944515 CHECK NUMBER: 220143
CHECK DATE: 5/21/2013
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1093 4350100 226467508 40 . 29 BUILDING REPAIRS & MA
Fedlzo
Invoice Number Invoice Date
1of4
FedEx Tax ID: 71-0427007
Billing Address: Shipping Address:
CARMEL CLAY PARKS&RECREATION CARMEL CLAY PARKS & RECREATION
1411 E 116TH ST 1411 E 116TH ST Invoice Questions?
CARMEL IN 46032-7611 CARMEL IN 46032-7611 Contact FedEx Revenue Services
Phone: (800)622-1147 M-Sa 7-6(CST)
Fax: (800) 548-3020
Invoice Summary May 08,2013 Internet: www.fedex.com
FedEx Ground Services
Transportation Charges 42.59
Other Handling Charges 2.81
Performance Pricing Discount -5.11
Total Charges USD $40.29
TOTAL THIS INVOICE USD $40.29
You saved$5.11 in discounts this period!
Other discounts may apply. RI CF 'V D
MAY 1 201
Detailed descriptions of surcharges can be located atfedex.com
Invoice Number Invoice Date F—Account Number Page
2-264-67508 May 08, 2013 11 2 of 4
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.
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Please complete all fields I
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Phone WWW WWW I I I I I Fax#
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E-mail Address E]Yes,I wantto update account contact with the above information. ------
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ADR-Address Correction INW-incorrect Weight OVS- Oversize Surcharge For all Service failures or other
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Declared Value - Incorrect Service RSU- Residential Delivery
0 DVC INS surcharges please use our web
d IAN- Invalid Acct# OCIF- Gird Pick-up Fee PND- Pwrshp Not Delivered site www.fedex.com or call
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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
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Invoice Number Invoice Date —Account Number �) Page
2-264-67508 M a y 08, 2013 3 of 4
FedEx Ground Shipment Summary By Payor Type
FedEx Ground Shipments(Original)
-
Weight. Transportation;, imOlh iMandling
gJ
Date Shlpnents lb Charges Char es C re its, th
er ..D iscounts Total Oarges
.........
Ground-Bill Third Party
04/26 1 46 42.59 2.81 -5.11 40.29
Ground-Bill Third Party Subtotal $40.29
TotaI Fe if Ground $42,59_ $2.81
Total This Invoice USD $40.29
U27-01-00-0003769-0001-0009595
Invoice Number Invoice Date F—Account Nurnb-e-r--� Page
2-264-67508 May 08, 2013 4 of 4
FedEx Ground Bill Third Party Detail (Original)
NO REFERENCE 0 6-4
Pick Date A f
yp:. f,:?6,2013: Gust INFORMATION
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Tracking ID 468 646515250723 Sender Recipient Transportation Charge 42.59
Service Type Bill 3rd Party,Dom DEBRA DUPUIS DIGILOCK Fuel Surcharge 2.81
Zone 08 KINKO'S/GO NONACCT BRCD/LOC 9 WILLOWBROOK CT Performance Pricing -5.11
Packages 1 530 E CARMEL DR PETALUMA CA 94954-650709 Total Charge USD 540.29
Actual Weight 45.8 lbs CARMEL IN 46032-2814
Rated Weight 46lbs
Delivered May 02,2013
Bill Third Party Subtotal USD $40.2-9
Total FedEx Ground USD $40.29
1127-01-00-0003769-0001-0009595
ACCOUNTS PAYABLE VOUCHER
CITY OF CARMEL
An invoice of 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
093000 FeclEx
P.O. Box 94515
Palatine, IL 60094-4515
;5/8/1 oice Invoice Description Arnount
or note attached invoice(s) or bill(s)) PO #
ate Number ( , 40.29
3 226467508 Deliver Warranty locks
Total $ 40.29
1 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.
093000 Fed Ex Allowed 20
P.O. Box 94515
Palatine, IL 60094-4515
In Sum of$
$ 40.29
ON ACCOUNT OF APPROPRIATION FOR
109 - Monon Center
PO#or INVOICE NO. ACCT#/TITLE AMOUNT Board Members
Dept#
1093 226467508 4350100 $ 40.29 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
16-May 2013
Signature
$ 40.29 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund