224155 09/10/2013 CITY OF CARMEL, INDIANA VENDOR: 314125- Page 1 of 1
ONE CIVIC SQUARE UPS
s .o CARMEL, INDIANA 46032 LOCKBOX 577 CHECK AMOUNT: $26.82
CAROL STREAM IL 60132-0577 CHECK NUMBER: 224155
CHECK DATE: 9/10/2013
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
651 5023990 OOOORV69903 26 . 82 OTHER EXPENSES
Delivery Service Invoice
Invoice date August 17, 2013
Shipped from: Invoice number OOOORV6990333
CITY OF CARMEL/WASTEWATER Shipper number RV6990
TERESA LEWIS Control ID M965
9609 HAZEL DELL PKWY
INDIANAPOLIS,IN 46280-2935 Page 1 of 3
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® 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 $26,82 Summary of Charges
Amount Outstanding(prior invoices) $18.85 Page Charge
Total Amount Outstanding $45.67 Outbound
Please include the Return Portion of each outstanding invoice with 3 UPS Internet Shipping $26.82
your payment.See Account Status for details. Amount due this period $26.82
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Delivery Service Invoice
Adam Invoice date August 17, 2013
Invoice number OOOORV6990333
Shipper number RV6990
Page 2 of 3
Account Status
Weekly Payment Plan
Payments Applied
Amount
Invoice Number Invoice Date Paid
OOOORV6990273 07/06/2013 $14.59
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
OOOORV6990313 08/03/2013 $18.85
Total $18.85
Outstanding balances reflect any payments received as of
08/16/2013.Please ignore this message it a recent payment has
been made for any outstanding invoices.
i
VOUCHER # 136280 WARRANT # ALLOWED
314125 IN SUM OF $
UPS
LOCKBOX 577
CAROL STREAM, IL 60132-0577 ,
Carmel Wastewater Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
i
PO# INV# ACCT# AMOUNT Audit Trail Code
OOOORV6990: 01-7362-05 $26.82
Voucher Total $26.82
Cost distribution ledger classification if
claim paid under vehicle highway fund
;j
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 9/3/2013
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
9/3/2013 OOOORV6990 $26.82
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