221038 06/18/2013 CITY OF CARMEL, INDIANA VENDOR: 093000 Page 1 of 1
i ONE CIVIC SQUARE FEDEX-SHIPPING CHARGES CHECK AMOUNT: $75.92
+o CARMEL, INDIANA 46032 Po Box 94515
o�a� PALATINE IL 60094-4515 CHECK NUMBER: 221038
CHECK DATE: 6/18/2013
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1203 4359300 228827536 75 . 92 ECONOMIC DEVELOPMENT
Fe&m. Invoice Number Invoice Date Account Number Page
2-288-27536 May 29 2013 1Of4
FedEx TaxID: 71-0427007
Billing Address. Shipping Address:
CITY OF CARMEUMAYOR'S OFC CITY OF CARMEL
SHARON KIBBE 1 CIVIC SG
1 CIVIC SG CARMEL IN 46032-2584 Invoice Questions?
Contact FedEx Revenue Services
CARMEL IN 46032-2584 Phone: (800)622-1147 M-Sa 7-6(CST)
Fax: (800)548-3020
Invoice Summary May 29,2013 Internet: www.fedex.com
FedEx Ground Services
Transportation Charges 59.36
Other Handling Charges 16.56
Total Charges USD $75.92
TOTAL THIS INVOICE USD $75.92
Other discounts may apply.
Detailed descriptions of surcharges can be located atfedex.com
7
Invoice Number Invoice Date Account Number Page
2-288-27536 Ma y 29, 2013 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.
C Please complete all fields in black ink.
d 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 W/ W/ W
t
a Phone ( I I I WWWI I I I I I Fax# I I I I I I I I I I I I I
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t E-mail Address DYes,I wantto update account contact with the above information.
R Tracking Number Bill to Account $Amount
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AD -Address Correction INW-Incorrect Weight OVS- Oversize Surcharge For all Service failures or other
U 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)
C Tracking Number Code $Amount LBS L W H
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E Invoice Number Einvoice Date_ [—�ccount Number Page
1 2-288-27536 M a y 29, 2013 _j 30"
FedEx Ground Shipment Summary By Reference
FedEx Ground Shipments(Original)
Rated
Weight Transportation Other Handling Rot Chg/Tax
Referen e Shipments lbs
Charges 6ediW.Oiher,:.
Total-C rgqs
NO REFERENCE INFORMATION 2 70 59.36
16.56 75.92
Total FedEx Ground 2 70 WJ6
05.112;
Total This Invoice USD $75.92
1148-01-00-0036275-0001-0086382
swm, INC
F
Invoice Dumber Invoice Date Account Number Page
2-288-27536 M aV 29 2013 4 Of 4
FedEx Ground Shipment Detail By Reference(Original)
Pickup Date:':May 1.5,2013 Cust..Ref NO REFERENCE INFORMATION P.0j:
Payoff:Th ird.Pa rty Dept.# _..... ..
Tracking ID 468646515256701 Sender Rerinient Transportation Charge 29.68
Service Type Direct Signature Req DEBRA DUPUIS Direct Signature 3.50
Zone 07 KINKO'S/GD NONACCT BRCD/LOC Fuel Surcharge 2.23
Packages 1 530 E CARMEL DR Declared Value 2.55
Actual Weight 34.4lbs CARMEL IN 46032-2814 Total Charge USD $37.96
Rated Weight 35lbs
Declared Value USD 125.00
Delivered May 20,2013
Pickup Date:May 1.5;2013 Cust..Ret NO REFERENCE INFORMATION P.0j:
PaYerThird Parry. Dept.#:
Tracking ID 468 646515256718 Sender Recipient Transportation Charge 29.68
Service Type Direct Signature Req DEBRA DUPUIS ,T Declared Value 2.55
Zone 07 KINKO'S/GD NONACCT BRCD/LOC Direct Signature 3.50
Packages 1 530 E CARMEL DR Fuel Surcharge 2.23
Actual Weight 34.5 Ibs CARMEL IN 46032-2814 Total Charge USD $37.96
Rated Weight 35lbs
Declared Value USD 125.00
a Delivered May 20,2013
NO REFERENCE INFORMATION Reference Subtotal USD $75.92
Total FedEx Ground USD $75.92
1148.01.00.00S627S-0001-0086
r.� 38
�'Form No.201
Prescribed by State Board of Accounts City (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))
05/29/13 2-288-27536 $75.92
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.
ALLOWED 20
FedEx
IN SUM OF $
PO Box 94515
Palatine, IL 60094-4515
$75.92
ON ACCOUNT OF APPROPRIATION FOR
Community Relations
PO#/Dept. INVOICE NO. I ACCT#/TITLE I AMOUNT Board Members
1203 I 2-288-27536 I 43-593.00 I $75.92 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
Monday, June 17, 2013
CjDirector, Community Rel tions/Ec nomic Development
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund