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226494 11/19/2013 CITY OF CARMEL, INDIANA VENDOR: 353597 Page 1 of 1 0 ONE CIVIC SQUARE UPS STORE#2587 CHECK AMOUNT: $147.51 CARMEL, INDIANA 46032 484 E CARMEL DRIVE CARMEL IN 46032-2812 CHECK NUMBER: 226494 CHECK DATE: 11/19/2013 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 651 5023990 22238 147 . 51 OTHER EXPENSES Statement The UPS Store 484 E. Carmel Dr. Date Carmel, IN 46032 11/l/2013 ' ___________________________ To: _ 1 Carmel Wastewater Treatment 1 Ask us about custom designing 1 Suite 110 1 g b 1 760 3rd.Ave.,SW 1 1 Carmel,IN 46032 1 your Christmas cards or 1 personalized note cards. 1 1 Amount Due Amount Enc. $147.51 Date - Transaction Amount Balance 09/30/2013 Balance forward 0.00 10/02/2013 INV#00000022238. Due 10/03/2013. 147.51 147.51 Kempa Lisa ---Shipping(UPS), I @ $147.51= 147.51 ---SalesTax$0.00 I 31-60 DAYS PAST 61-90 DAYS PAST OVER 90 DAYS CURRENT DUE DUE PAST DUE Amount Due Thank You For Your Business 147.51 0.00 0.00 0.00 $147.51 4 The UPS Store - #2587 i 484 E, Carmel:,Dr. Carmel , IN 460322812 (317) 574-0570 10/02/13 09:38 AM 1 � We�are�the one stop for ;alT,l your , sl7ipp�ng,, postal and htsines needs i�tt, it 1 1 �; •o ' �II�i l'l i ICI i Iliilll I EI l I E I EIIII IIII IIIIhII II IIIII I I II I II I I III lElU 06�1�O'0I000,(001) ",1��� '�'�;� T�� $ 147.'x, vT{racking# 1Z3E87841537-1'553";2 4c i SubTotall $ 147.51 Total $ 147.51 r' �t House Account: $ 147.51 Carmel Wastewater Treatment Kempa Lisa Than k y oci Kempa Lisa Receipt ID 82276492476473883068 001 Items } CSH`: Mad lyn Tran: 8751 Reg: 002 Bring black this receipt and receive 5% off any transaction of $25.00 or more UJlatev�r your busines rs s and peonal _ needs, we are here to serve you. u� f Shipment Receipt : Page #1 of 1 THIS IS NOT A SHIPPING LABEL. PLEASE SAVE FOR YOUR RECORDS. SHIP DATE: SHIPMENT INFORMATION: WED, OCT 2, 2013 UPS NEXT DAY AIR EARLY AM CON 43 LBS 9.8 OZ ACTUAL WT EXPECTED DELIVERY DATE: 44.00 LBS BILLABLE W1 THUR. OCT 3, 2013 0:30 AM DIMS; 28,00X1610BX15100 SHIP FROM: TERESA LEVIS 760 3RD AVE SW CARMEL IN 46032 (317) 571.2477 TRACKING NUMBER: 1Z3E87841S371SS3S2 i SHIPMENT ID: MMPCVKXPBTBFG SHIP REF 1: NS SHIP REF 2: • - SH1P 10: TEST AMERICA DAYTON DESCRIPTION OF GOODS: 4738 GAIEWAY C1R - DAYTON ON 45440.1724 BUSINESS (937) 294.6856 SHIPMENT CHARGES: NE91 DAY AIR EARLY AM CON $122,00 SERVICE OPTIONS $0,00 FUEL SURCHARGE $12.81 SHIPPED THROUGH: ADD'L HANDLING $12.50 THE UPS STORE 12587 CMS PROCESSING FEE $0.26 CRRMEL,IN 46032.2812 (317) 574.0570 TOTAL $147,51 COMPLETE ONLINE TRACKING: ENTER THIS ADDRESS IN YOUR WED BROWSER TO TRACK, HIT D,//THEUPSST0AE-CON (SELECT THIS ENTER YOUR ID •) SHIPMENT QUESTIONS? CONTACT SHIPPED THROUGH ABOVE. SHIPMENTID: MHPCVKXPBTBFG 1 111111 II III II 111111 III IIIIIIII 1 11111 111 111 IN 101021d 1y 06:8(AM The UPS Rom 20 06 30 All Pacific Tine N sE[r+otrc[ottRErER««plaeK ws,m.v.,�a�naarabu«la rbeniry'Mwe tlRiweE Or ww,mrvx wuw.,.,wsm><Ib I«wmmaq ae•a b..�n.«va am �,R«DbH.ttupma Awn n•us,wpp-cenmes RW nR�«,-aua.oRmasey«wma.•w.•�n�a mM,are us m«mdr�:.wm me eo«aemmm,w� Rega«MV d.esbn<ontrsry b law b gMi01iM. i :-' REORDER ,'?U c©ette C., 2. `"ease -e`P `n i l _ Shipper agrees `c ',he i! ', found at vvww.up .,uui ,, ul of ' an ultimate destination r, sto , i departure,the Convention cn `c ;ttten;a2ion2:irate,;:u,taiiu the Montreal Convention nia" .,,,i,I liability for loss or damage to Lo `:'i soleh; by road :nto or from a --ojr the Contract for the IntcirdII's nsl C,. 1: subject to the provisions m tht ( \4: contrary in the UPS Tarr- �: ,r-mot stopping places vvnicn are agre2c upt-i shipment and UPS reserves th^ deems approx'ate. I' I t VOUCHER # 136846 WARRANT # ALLOWED 3350914 IN SUM OF $ UPS STORE 484 E. Carmel Drive Carmel, IN 46032 Carmel Wastewater Utility ON ACCOUNT OF APPROPRIATION FOR Board members PO# INV# ACCT# AMOUNT Audit Trail Code 22238 01-7362-05 $147.51 Voucher Total $147.51 Cost distribution ledger classification if claim paid under vehicle highway fund 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 3350914 UPS STORE Purchase Order No. 484 E. Carmel Drive Terms Carmel, IN 46032 Due Date 11/13/2013 Invoice Invoice Description Date Number (or note attached invoice(s) or bill(s)) Amount 11/13/201: 22238 $147.51 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 Date Officer