225810 11/05/2013 CITY OF CARMEL, INDIANA VENDOR: 093000 Page 1 of 1
ONE CIVIC SQUARE FEDEX-SHIPPING CHARGES CHECK AMOUNT: $42.03
CARMEL, INDIANA 46032 PO BOX 94515
'4 oN PALATINE IL 60094A515 CHECK NUMBER: 225810
CHECK DATE: 11/5/2013
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1160 4342100 2-442-53870 29 . 45 POSTAGE
1115 4342100 2-448-85531 12 . 58 POSTAGE
Invoice Number Invoice Date Account Number Page
2-442-53870 Oct 23, 2013 1 of 4
FedEx Tax ID: 71-0427007
Billing Address: Shipping Address:
CITY OF CARMEUMAYOR'S OFC CITY OF CARMEL
SHARON KIBBE 1 CIVIC SQ
Invoice Questions?
1 CIVIC SG CARMEL IN 46032-2584
Contact FedEx Revenue Services
CARMEL IN 46032-2584 Phone: (800)622-1147 M-Sa 7-6(CST)
Fax: (800)548-3020
Invoice Summary Oct 23,2013 Internet: www.fedex.com
FedEx Express Services
Transportation Charges 26.65
Special Handling Charges 2.80
Total Charges USD $29.45
TOTAL THIS INVOICE USD $29.45
Other discounts may apply.
F77-1 X FT7-1 X I I I I F77-1 m °1
FT7-1 X FT-T--1 X FT-T--1 F-— -1 F7-1 • �T-I� s
Invoice Number Invoice Date F Account Number Page
2-442-53870 Oct 23, 2013 2 of 4
Ad-ustment Request
1 q
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.
h 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 I
t
a Phone WWW I I I I I I I I I Fax# WWW I I I I I I I I !
c.
t' E-mail Address DYes,I wantto update accountcontactwith the above information.
R Tracking Number Bill to Account $Amount
e1111111111111111 IIIIIIIIII IIIIII• III
bllllllllllllllll IIIIIIIIII IIIIII• W
illllllllllllllll IIIIIIIIII llllll • W
IIIIIIIIIIIIIIIII IIIIIIIIII IIIIII• W
SIIIIIIIIIIIIIIII IIIIIIIIII IIIIII• III
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)
C Tracking Number Code $Amount LBS L W H
r
tl l I I I I I I I I I I I I I I I ( I I I I I I I I I • W WW WI I I Ix 1 I I I X1 I I I
I ! ! I I ! I l l l ! I I ! ! l l l l l l l l l l I• W I I I I I I X1 I I Ix1 I I I
• I I I I I I I I f I l I l l l l l l l l l l l l l I _ I I I I I I If I I I v l I I I V I I I I
Invoice Number Invoice Date Account Number Page
2-442-53870 Oct 23 2013 3 of 4
FedEx Express Shipment Summary By Reference
FedEx Express Shipments(Original)
Rate€i, Special
Werght. Transportation Handling Rot ChgfTaic
Reference Shipments Ibs Charges_ Charges Credits/Other Discounts Total Charges;_
SELECT USA REGISTRATION 1 26.65 2.80 29.45
Tofa.l.FedEx.fxpress ". ` 1 $26.65 $2.80
Total This Invoice USD $29.45
I
1295-01-00-0033238-0001-0077968
Invoice Number Invoice Date Account Number Page
2-442-53870 Oct 23 2013 4 of 4
FedEx Express Shipment Detail By Reference (Original)
Dropped A:60t:151:201-3 Cust Ref SELECT:USA REGI STRATI DfV Re f.#2;
Payor:Shipper Ref
.#3.
• Fuel Surcharge-FedEx has applied a fuel surcharge of 10.50%to this shipment.
• Distance Based Pricing,Zone 4
Automation USAB Sender Recipient
Tracking ID 899361345300 SHARON KIBBE DEBBIE PORTER
Service Type FedEx Standard Overnight CITY OF CARMEL THE PONT GROUP/CONWAY DATA IN
Package Type FedEx Envelope 1 CIVIC SO 6625 THE CORNERS PKWY
Zone 04 CARMEL IN 46032-2584 US NORCROSS GA 30092 US
Packages 1
Rated Weight N/A
Declared Value USD 100.00
Delivered Oct 16,2013 13:19 Transportation Charge 26.65
Svc Area Al Fuel Surcharge 2.80
Signed by J.NEDERBACH Declared Value Charge 0.00
FedEx Use 028875466/0000222/_ Total Charge USD S29.45
SELECT USA REGISTRATION Reference Subtotal USD $29.45
Total FedEx Express USD $29.45
I
I
1 2 9 5-01-00-00 3 3 2 3 8-000 1-00 779 6 8
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))
10/23/13 2-442-53870 $29.45
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
,l
20
Clerk-Treasurer
VOUCHER NO. WARRANT NO.
ALLOWED 20
FedEx
IN SUM OF $
PO Box 94515
Palatine, IL 60094-4515
$29.45
ON ACCOUNT OF APPROPRIATION FOR
Mayor's Office
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
1160 2-442-53870 43-421.00 $29.45 I 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
Friday, November 01, 2013
A
Mayor
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund
Fed-,a- , Invoice Number Invoice Date Account Number Page
2-448-85531 Oct 30 2013 1 o14
FedEx Tax ID: 71-0427007
Billing_Address: Shipping Address:
CARMEL COMMUNICATIONS CARMEL COMMUNICATIONS
31 1 ST AVE NW 31 1 STAVE NW Invoice Questions?
CARMEL IN 46032-1715 CARMEL IN 46032-1715 Contact FedEx Revenue Services
Phone: (800)622-1147 M-Sa 7-6(CST)
Fax: (800)548-3020
Invoice Summary Oct 30,2013 Internet: www.fedex.com
FedEx Ground Services
Transportation Charges 8.81
Other Handling Charges 3.77
Total Charges USD $12.58
TOTAL THIS INVOICE USD $12.58
I
Other discounts may apply.
Detailed descriptions of surcharges can be located atfedex.com
Invoice Number Invoice Date Account Number Page
2-448-85531 Oct 30 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.
C Please complete all fields in black ink.
u 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 L I I I WWW I I I I I Fax# I I I I I I I I I I I I I
c
t., E-mail Address El Yes,I wantto update account contactwith the above information.
R Tracking Number Bill to Account $Amount
ellllllllllllllll lillllilll IIIIII• W
bllllllllllllllll IIIIIIIIII IIIIII• W
jllllllllllllllll IIIIIIIIII IIIIII• W
`I` IIIIIIIIIIIIIIII IIIIIIIIII IIIIII• W
SIIIIIIIIIIIIIIII IIIIIIIIII ( IIIII• W
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
eIAN- Invalid Acct# OCF- Grd 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
r`
d l 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 lWWWWxI X
IIIIIIIIIIIIIIIIIIIIIIIIII• W IIIIIIIIX X III
t l I I I I I 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1• I I I WWWI I I IxI I I IxI I I I
S 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 I IWW WW x LWJW x LWLJ
I I I I I I I I I I I I I I I 1 1 1 1 1 1 1 1• W WWWI I I IxI I I IxI I I I
Invoice Number Invoice Date F—Account Number "N, Page
2-448-85531 Oct 30, 2013 3 of 4
FedEx Ground Shipment Summary By Payor Type
FedEx Ground Shipments(Original)
Rat;d
t
Weight Nli,yansportation ..Other Handling Ret Chd/%k
ate, Shipments lbs Charges ,Charge; Credits/Other
Total Charges
...........
Ground-Prepaid
10/18 1 5 8.81 3.77 12.58
Ground-Prepaid Subtotal $12.58
M8
f o I F
10 e.d.Ex!,.round 1 5 77 $12.58
Total This Invoice USD $12.58
1302-01-00-0033981-0001-0079655
Invoice Number Invoice Date Account Number Page
2-448-85531 Oct 30, 2013 4 of 4
FedEx Ground Prepaid Detail (Original)
Pickup Date-Oct 18,2013 Cust.Ref:NO REFERENCE INFORMATION PA#;
Payor:Shipper Dept.#:
Tracking ID 321003815000395 Sender Recipient Transportation Charge 8.81
Service Type Ppd,Domestic Greg Bedell RMA#520002873 Fuel Surcharge 0.77
Zone 05 Carmel Clay Communications Cen BROTHER MOBILE SOLUTIONS NDOC P/U-Auto Comm 3.00
Packages 1 31 1st Ave.N.W. 100 TECHNOLOGY DR Total Charge USD 512.58
Rated Weight 5lbs Carmel IN 46032 STE 250A
Delivered Oct23,2013 BROOMFIELD CO 80021-349899
Prepaid Subtotal USD $12.58
Total FedEx Ground USD $12.58
1302-01-00-0033981-0001-0079655
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))
10/30/13 2-448-85531 $12.58
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
20
Clerk-Treasurer
VOUCHER NO. WARRANT NO,
ALLOWED 20
FedEx
IN SUM OF $
P.O. Box 94515
Palatine, IL 60094-4515
$12.58
ON ACCOUNT OF APPROPRIATION FOR
Carmel Clay Communications
PO#!Dept. INVOICE NO. I ACCT#/TITLE AMOUNT Board Members
1115 I 2-448-85531 I 43-421.00 I $12.58 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, November 04, 201
Director
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund