224482 09/25/2013 CITY OF CARMEL, INDIANA VENDOR: 093000 Page 1 of 1
ONE CIVIC SQUARE FEDEX-SHIPPING CHARGES
�tr CARMEL, INDIANA 46032 PO BOX 94515 CHECK AMOUNT: $32.66
PALATINE IL 60094-4515 CHECK NUMBER: 224482
CHECK DATE: 9/25/2013
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1203 4342100 2-390-90624 32 . 66 POSTAGE
Fed-, ® Invoice Number Invoice Date r Account Number Page
2-390-90624 Sep 04, 2013
Billing Address: Shipping Address:
CITY OF CARMEUMAYOR'S OFC CITY OF CARMEL
SHARON KIBBE 1 CIVIC SG
1 CIVIC SQ 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 Sep 04,2013 Internet: www.fedex.com
FedEx Express Services
Transportation Charges 30.10
Special Handling Charges 2.56
Total Charges USD $32.66
TOTAL THIS INVOICE USD $32.66
Other discounts may apply.
I
Detailed descriptions of surcharges can be located atfedex.com
Invoice Number Invoice Date Account Number Page
2-390-90624 Sep 04 2013 2of4
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.
n: Requestor Namel 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 Date1/ W/ W
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Tracking Number Bill to Account $Amount
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ADR-Address Correction INW-Incorrect weight OVS- Oversize Surcharge For all Service failures or other
C 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)
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FedlKe Invoice Number Invoice Date r—Account Number -\,) Page
2-390-90624 Sep 04, 2013 11 3 of 4
FedEx Express Shipment Summary By Reference
FedEx Express Shipments(Original)
Rated
_;Weight ;Transportation_. 'Handling Ret Chg/Tax
Reference; S--h.!'Pmen t S Ab S bha*rqfs .
Charges: CrediWOt..h...e.r ... .D...i.s..codif Total
.......
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NO REFERENCE INFORMATION 1 30.10 2.56 32.66
Express foiafF dt 1
...... $30 10 ......i;�� 32-,66�i
Total This Invoice US0 $32.66
1246-01-00-0042058-0001-0097725
Invoice Number Invoice Date F—Account Number page
2-390-90624 Sep 04, 2013 11 4 of 4
FedEx Express Shipment Detail By Reference (Original)
6ro;O0*64.94.-:*Aug 28,2013 6:111§:t;Ref.::NO REF:EIRI EN C: E:l NF0RMAT1:bN:
P 6r:'Shr Ref#3:
• Fuel Surcharge-FedEx has applied a fuel surcharge of 8.50%to this shipment,
• Distance Based Pricing,Zone 7
Automation USAB Sender Recipient
Tracking ID 803689612263 MELANIE LENTZ ATTIN ACCOUNTING DEPT
Service Type FedEx Standard Overnight CITY OF CARMEL 5401 N SCOTTSDALE RD
Package Type FedEx Envelope I civic so SCOTTSDALE AZ 85250 US
Zone 07 CARMEL IN 46032-2584 US
Packages I
Rated Weight N/A
Delivered Aug 29,2013 09:32
Svc Area Al Transportation Charge 30.10
Signed by M.MOREM Fuel Surcharge 2.56
FedEx Use 024050363/0000255/ Total Charge USD 532.66
NO REFERENCE INFORMATION Reference Subtotal USD $32.66
Total FedEx Express USD $32.66
1246-01-00-0042058-0001-0050725
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 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))
09/04/13 2-390-90624 $32.66
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
FeclEx
IN SUM OF $
PO Box 94515
Palatine, IL 60094-4515
$32.66
ON ACCOUNT OF APPROPRIATION FOR
Community Relations
PO#/Dept. INVOICE NO. ACCT#!TITLE AMOUNT Board Members
1203 I 2-390-90624 I 43-421.00 I $32.66 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
Sunday, September 22, 2013
1
Director, Co munity Relations/Economic Development
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund