226846 12/03/2013 CITY OF CARMEL, INDIANA VENDOR: 314125 Page 1 of 1
ONE CIVIC SQUARE UPS CHECK AMOUNT: $97.85
CARMEL, INDIANA 46032 LOCKBOX 577
.oH io CAROL STREAM IL 60132-0577 CHECK NUMBER: 226846
CHECK DATE: 12/3/2013
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
601 5023990 76V77A453 18 . 28 OTHER EXPENSES
1207 4342100 AA5702463 79 . 57 POSTAGE
Delivery Service Invoice
Invoice date November 9, 2013
Shipped from: Invoice number 000076V77A453
CARMEL UTILITIES DISTRIBUTION Shipper number 76V77A
3450 W 1031ST ST Control ID 3N92
OTM WESTFIELD,IN 46074
Page 1 of 3
Sign up for electronic billing today!
0749A000076V77A4 77366200079426 Visit ups.com/billing
AT 01 058305 355631-1190 A**3DGT For questions about your invoice,call:
IIIIIIIII'll,1,lllllllllllllllll'll'lllllllllll"'lllll'I'llll"I (800)811-1648
®_ Monday-Friday
CARMEL UTILITIES 8:00 a.m.-9:00 p.m.E.T.
3450 W 131ST ST or write:
CARMEL, IN 46074-8267 UPS
P.O. Box 7247-0244
Philadelphia,PA 19170-0001
Account Status Summary
Weekly Payment Plan Thank you for using UPS.
Amount Due This Period $18.28 Summary of Charges
Amount Outstanding(prior invoices) $36.48 age Charge
Total Amount Outstanding $54.76 Outbound
Please include the Return Portion of each outstanding invoice with 3 UPS Internet Shipping $18.28
your payment.See Account Status for details. Amount due this period $18.28
Important news from UPS
Effective Decerrber-30-2013,the-LI PS Service Terms and UPS payment terms require payment of this invoice by November
Conditions will require binding arbitration of claims. For details, 20,2013.
visit Note:This invoice maycontain a fuel surcharge as described at
ups.com/content/us/en/resources/ship/terms/shipping/ind ups.com. The published fuel surcharge is 7.591.for UPS Ground
ex.html?WT.svl=Footer Services and 10.5%for UPS Air Services,UPS 3 Day Select,and
International services.For more information, visit ups.com.
Delivery Service Invoice
Invoice date November 9, 2013
Invoice number 000076V77A453
Shipper number 76V77A
Tw
Page 2 of 3
Account Status
Weekly Payment Plan
Amount Outstanding(prior invoices):
Please include the Return Portion of each outstanding invoice
with your payment.
Balance
Invoice Number Invoice Date Due
000076V77A413 10/12/2013 $18.24
000076V77A433 10/26/2013 $18.24
Total $36.48
Outstanding balances reflect any payments received as of
11/0812013.Please ignore this message if a recent payment has
been made for any outstanding invoices.
Delivery Service Invoice
Invoice date November 9, 2013
Invoice number 000076V77A453
Shipper number 76V77A
n
Page 3 of 3
Outbound
UPS Internet Shipping
Pickup ZIP Billed
Date Tracking Number Service Code Zone Weight Charge
10/28 iZ76V77A0397056035 Ground Commercial 46202 2 2 8.52
Fuel Surcharge 0.60
Total 9.12
1st ref:weekly fluoride UserlD:CarmelWater
Sender :Michelle Breedlove Receiver:
Carmel Utilities Distributin Indiana State Dept.of Health
3450 w 131 st 550 W. 16th Street
Carmel IN 46074 INDIANAPOLIS IN 46202
11/05 1Z76V77A0394617701 Ground Commercial 46202 2 2 8.52
Fuel Surcharge 0.64
Total 9.16
1st ref:Weekly Fluoride UserlD:CarmelWater
Sender :Michelle Breedlove Receiver:
Carmel Utilities Distributin Indiana State Dept.of Health
3450 w 131 st 550 W. 16th Street
Carmel IN 46074 INDIANAPOLIS IN 46202
Total for Internet-ID:CarmelWater 18.28
Total UPS Internet Shipping 2 Package(s) 18.28
Total Outbound 2 Package(s) 18.28
I�
VOUCHER # 133427 WARRANT # ALLOWED
314125 IN SUM OF $
UPS
LOCKBOX 577
CAROL STREAM, IL 60132
Carmel Water Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO# INV# ACCT# AMOUNT Audit Trail Code
i
453 01-6360-03 $18.28
7� v77
Voucher Total $18.28
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
314125
UPS Purchase Order No.
LOCKBOX 577 Terms
CAROL STREAM, IL 60132 Due Date 11/21/2013
Invoice Invoice DE)scription
Date Number (or note attached invoice(s) or bill(s)) Amount
11/21/201: 453 $18.28
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
Date Officer
Delivery Service Invoice
Invoice date November 16, 2013
Invoice number OOOOAA5702463
Shipper number AA5702
UWTM Control ID 4S20
Page 1 of 3
Sign up for electronic billing today!
0749A000OAA57027 77366300072611 Visit ups.com/billing
AT 01 059075 38273H190 A**3DGT For questions about your invoice,call:
(800)811-1648
Monday-Friday
BROOKSHIRE GOLF CLUB 8:00 a.m.-9:00 p.m.E.T.
12120 BROOKSHIRE PKWY or write:
CARMEL, IN 46033-3314 UPS
P.O. Box 7247-0244
Philadelphia,PA 19170-0001
Account Status Summary Thank you for using UPS.
Weekly Payment Plan
Amount Due This Period $79.57 Summary of Charges
Amount Outstanding(prior invoices) $20.51 Page Charge
Total Amount Outstanding $100.08 Outbound
Please include the Return Portion of each outstanding invoice with 3 UPS Internet Shipping $77.98
your payment.See Account Status for details. 3 Adjustments&Other Charges $ 1.59
Important news from UPS Amount due this period $79.57
Effective December 30, 2013,the UPS Service Terms and - —
Conditions will require binding arbitration of claims. For details, UPS payment terms require payment of this invoice by November
visit 27,2013. _
ups.com/content/us/en/resources/ship/terms/shipping/ind
ex.html?WT.svl=Footer Payments not received by December 11,2013 are subject to a late
fee of 6% of the Amount Due This Period.(Details in UPS Tariff,
available at ups.com)
Note:This invoice may contain a fuel surcharge as described at —
ups.com. The published fuel surcharge is 7.53.for UPS Ground
Services and 10.5%for UPS Air Services,UPS 3 Day Select,and
International services.For more information, visit ups.com.
i
Delivery Service Invoice
Invoice date November 16, 2013
1 Invoice number OOOOAA57O2463
Shipper number AA57O2
n
Page 2 of 3
Account Status
Weekly Payment Plan
Amount Outstanding(prior invoices):
Please include the Return Portion of each outstanding invoice
with your payment.
Balance
Invoice Number Invoice Date Due
OOOOAA5702443 11/02/2013 $20.51
Total $20.51
Outstanding balances reflect any payments received as of
11/1512013.Please ignore this message if a recent payment has
been made for any outstanding invoices.
Delivery Service Invoice
invoice date November 16, 2013
Invoice number OOOOAA5702463
Shipper number AA5702
OT.
Page 3 of 3
Outbound
UPS Internet Shipping
Pickup ZIP Billed
Date Tracking Number Service Code Zone Weight Charge
11/07 1ZAA57020391676928 Ground Commercial 38118 4 63 36.27
Customer entered weight 50
Fuel Surcharge 2.72
Customer Entered Dimensions=36 x 17 x 17 in
Total 38.99
UserlD:Pllister
Sender :Pam Lister Receiver:
Brookshire Golf Club Nike Special Services Departme
12120 Brookshire Parkway 5295 Logistics Drive
Carmel IN 46033 MEMPHIS TN 38118
Message Codes :r
1ZAA57020394840913 Ground Commercial 38118 4 63 36.27
Customer entered weight 50
Fuel Surcharge 2.72
Customer Entered Dimensions=36 x 17 x 17 in
Total 38.99
UserlD:Pllister
Sender :Pam Lister Receiver:
Brookshire Golf Club Nike Special Services Departme
12120 Brookshire Parkway 5295 Logistics Drive
Carmel IN 46033 MEMPHIS TN 38118
Message Codes :r _
_ _.Total for_Internet-ID:_Pllister 77.98 °
Total UPS Internet Shipping 2 Package(s) 77.98
Total Outbound 2 Package(s) 77.98
Adjustments & Other Charges
Shipping Charge Corrections Learn how to avoid future shipping charge corrections.Visit www.ups.com/avoidcharges. _
Pickup Tracking Original Service/ ZIP Billed Adjustment
Date Number Corrected Service Code Zone Weight Charge Amount
11/07 1ZAA57020394840913 Ground 38118 4 63 36.27
Ground 38118 4 66.4 37.75
Audited Dimensions=36 x 18 x 17 in
Customer Entered Dimensions=36 x-17 x-17 in .
Fuel Surcharge 0.11 1.59
Sender :BROOKSHIRE GOLF CLUB Receiver:Nike Special Services Departme
CARMEL IN 46033 MEMPHIS TN 38118
Total Shipping Charge Corrections 1 Package(s) 1.59
Total Adjustments&Other Charges 1.59
Invoice Messaging
Code Message
r Dimensional weight applied
059075 2/2
VOUCHER NO. WARRANT NO.
ALLOWED 20
United Parcel Service
IN SUM OF $
Lockbox 577
Carol Stream, IL 60132-0577
$79.57
ON ACCOUNT OF APPROPRIATION FOR
Brookshire Golf Club
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
1207 OOOOAA5702463I 43-421.00 I $79.57 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 25, 2013
Director, Broo ire Golf Club
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))
11/16/13 I OOOOAA5702463 I Postage I $79.57
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