226660 12/03/2013 CITY OF CARMEL, INDIANA VENDOR: 093000 Page 1 of 1
0 ` ONE CIVIC SQUARE FEDEX-SHIPPING CHARGES CHECK AMOUNT: $11.22
CARMEL, INDIANA 46032 PO BOX 94515
PALATINE IL 60094-4515 CHECK NUMBER: 226660
CHECK DATE: 12/3/2013
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1115 4342100 2-470-94298 11 . 22 POSTAGE
Invoice Number Invoice Date Account Number Page
2-470-94298 Nov 20, 2013 1 of 4
FedEx Tax ID: 71-0427007
Billing Address: Shipping Address:
CARMEL COMMUNICATIONS CARMEL COMMUNICATIONS
31 1 STAVE 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 Nov 20,2013 Internet: www.fedex.com
FedEx Ground Services
Transportation Charges 7.49
Other Handling Charges 3.73
Total Charges USD $11.22
TOTAL THIS INVOICE USD $11.22
Other discounts may apply.
Detailed descriptions of surcharges can be located atfedex.com
Invoice Number Invoice Date
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.
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 WW I I I I I I I I I Fax# I I I I I I I I I I I I I
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t`E-mail Address DYes,I wantto update account contactwith the above information.
R Tracking Number Bill to Account $Amount
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11111111111111111 IIIIIIIIII IIIIII • W
sllllllllllllllll IIIIIIIIII IIIIII• 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- 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
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FedE'x, Invoice Number Invoice Date Account Number Page
2-470-94298 Nov 20 2013 3 of 4
FedEx Ground Shipment Summary By Payor Type
FedEx Ground shipments(Original)
Rated
Weight Transportation; Othei Hantl�ing Re Chg(fax
Date Shipments Ibs Charges' Charges Credits/Oth.er Total Charges';
Ground-Prepaid
11/13 1 2 7.49 3.73 11.22
Ground-Prepaid Subtotal $11.22
TotaL. edEx Graund 1 2:_ $7.49 $3.73 $1122
Total This Invoice USD $11.22
1323-01-00-0041241-0001-0099701
Invoice Number Invoice Date Account Number Page
2-470-94298 Nov 20 2013 11 4 of 4
FedEx Ground Prepaid Detail (Original)
Pickup Date:Nov 13,2D13 Gust.Ref.:47?35 P 0#
Payor.'Shlpper Dept# :!
Tracking ID 321003815000418 Sender Recipient Transportation Charge 7.49
Service Type Ppd,Domestic Greg Bedell RMA#520002913 NDOC P/U-Auto Comm 3.00
Zone 05 Carmel Clay Communications Cen BROTHER MOBILE SOLUTIONS Fuel Surcharge 0.73
Packages 1 31 1st Ave.N.W. 100 TECHNOLOGY DR Total Charge USD S11.22
Actual Weight 1.2 Ibs Carmel IN 46032 STE 250A
Rated Weight 21bs BROOMFIELD CO 80021-349899
Delivered Nov 15,2013
Prepaid Subtotal USD $11.22
Total FedEx Ground USD $11.22
1323-01-00-0041241-0001-0099701
VOUCHER NO. WARRANT NO.
ALLOWED 20
FeclEx
IN SUM OF $
P.O. Box 94515
Palatine, IL 60094-4515
$11.22
ON ACCOUNT OF APPROPRIATION FOR
Carmel Clay Communications
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
1115 I 2-470-94298 I 43-421.00 ` $11.22 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
Tuesday, November 26-
ovem j26;2013
/ Director
Title
Cost distribution ledger classification if
claim paid motor 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 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))
11/20/13 I 2-470-94298 I I $11.22
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