224248 09/23/2013 CITY OF CARMEL, INDIANA VENDOR: 093000 Page 1 of 1
ONE CIVIC SQUARE FEDEX-SHIPPING CHARGES
0 CHECK AMOUNT: $10.68
CARMEL, INDIANA 46032 PO BOX 94515
PALATINE IL 60094-4515 CHECK NUMBER: 224248
CHECK DATE: 9/2312013
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1092 4239039 239665452 10 . 68 GENERAL PROGRAM SUPPL
FedE,m. Invoice Number Invoice Date Account Number Page
2-396-65452 Sep 11 2013
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 Sep 11,2013 Internet: www.fedex.com
FedEx Ground Services
Transportation Charges 7.95
Other Handling Charges 3.05
Performance Pricing Discount -0.32
Total Charges USD $10.68
TOTAL THIS INVOICE USD $10.68
You saved$0.32 in discounts this period!
Other discounts may apply.
SEP 16 2013 !
BY
Detailed descriptions of surcharqes can be located at fedex.com
Invoice Number Invoice Date Account Number Page
2-396-65452 Sep 11 2013 11 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.
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a Phone I I I I I I I I I I I I I Fax# WWW WWU I I I I I
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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
o 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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FedEm I Invoice Number Invoice Date Account Number Page
2-396-65452 Sep 11, 2013 3ot4
FedEx Ground Shipment Summary By Payor Type
FedEx Ground Shipments(Original)
_....__.. _...........
... ..
Rated::
Weight,; Transportation: Other Handling Ret.... h
Date Shipments ihs Charges; Charges Credits/Other Discounts Total Charges
Ground-Bill Third Parry
09/03 1 3 7.95 3.05 -0.32 10.68
Ground-Bill Third Party Subtotal $10.68
_.._ . ... _.... _. ........ _. ._.._
Total FedEx Ground 1 3 $7.95 53:05 -$0.32 $110.68:
Total This Invoice USD $10.68
1253-01-00-0003849-0001-0009986
Invoice Number Invoice D ate Account Number Page
2-396-65452 Sep 11 2013 4of4
FedEx Ground Bill Third Party Detail (Original)
Pickup;Date Sep03 2013 Cust Ref NO REFERENCE INFORMATION? P D#
Payor.Thirtl Party [lept.#:
Tracking 10 795825077050 Sender Recipient Transportation Charge 7.95
Service Type Bill 3rd Party,Dom KINKO'S/GD NONACCT BRCD/LOC INTERNATIONAL BAR CODE Performance Pricing -0.32
Zone 05 530 E CARMEL DR 160 OAK ST Declared Value 2.55
Packages 1 CARMEL IN 46032-2814 GLASTONBURY CT 06033-239999 Fuel Surcharge 0.50
Actual Weight 2.1 Ibs Total Charge USD 510.68
Rated Weight 3 Ibs
Declared Value USD 200.00
Delivered Sep 05,2013
Bill Third Party Subtotal USD $10.68
Total FedEx Ground USD $10.68
1253-01-00-0003849-0001-0009986
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.
093000 FedEx Terms
P.O. Box 94515
Palatine, IL 60094-4515
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) PO# Amount
9/11/13 239665452 Bar code readears repair $ 10.68
Total $ 10.68
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$
$ 10.68
ON ACCOUNT OF APPROPRIATION FOR
109 -Monon Center
PO#or INVOICE NO. ACCT#!TITLE AMOUNT Board Members
Dept#
1092 239665452 4239039 $ 10.68 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
19-Sep 2013
Signature
$ 10.68 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund