227132 12/11/2013 CITY OF CARMEL, INDIANA VENDOR: 314125 Page 1 of 1
ONE CIVIC SQUARE UPS
CARMEL, INDIANA 46032 LOCKBOX 577 CHECK AMOUNT: $18.32
`? CAROL STREAM IL 60132-0577
CHECK NUMBER: 227132
CHECK DATE: 12/11/2013
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
601 5023990 473 18 . 32 OTHER EXPENSES
Delivery Service Invoice
Invoice date November 23, 2013
Shipped from: Invoice number 000076V77A473
CARMEL UTILITIES DISTRIBUTION Shipper number 76V77A
OTM
3450 W 1031ST ST
WESTFIELD,IN 46074 Control ID 6840
Page 1 of 3
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0749A000076V77A4 77366400076057 Visit ups.com/billing
®_ AT 01 056745 41306HI85 A**3DGT For questions about your invoice,call:
(800)811-1648
® Monday-Friday
CARMEL UTILITIES 8:OO am.-9:OOp.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 Thank you for using UPS.
Weekly Payment Plan
Amount Due This Period $18.32 Summary of Charges
Amount Outstanding(prior invoices) $36.52 Page C harge
Total Amount Outstanding $54.84 Outbound
Please include the Return Portion of each outstanding invoice with 3 UPS Internet Shipping $18.32
your payment.See Account Status for details. Amount due this period $18.32
Important news from UPS
Effective December 30,2013,the UPS-Service-Terms and UPS payment terms require payment of this invoice by December
Conditions will require binding arbitration of claims. For details, 4,2613. - "-_-
visit Note:This invoice may contain a fuel surcharge as described at
ups.com/content/us/en/resources/shy/terms/shipping/ind ups.com. The published fuel surcharge is 7.5%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.
MET
Delivery Service Invoice
Invoice date November 23, 2013
Invoice number 000076V77A473
Shipper number 76V77A
Tw
Page 2 of 3
Account Status
Weekly Payment Plan
Payments Applied
Amount
Invoice Number Invoice Date Paid
000076V77A413 10/12/2013 $18.24
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
000076V77A433 10/26/2013 $18.24
000076V77A453 11/09/2013 $18.25
Total $36.52
Outstanding balances reflect any payments received as of
11/22/2013.Please ignore this message if a recent payment has
been made for any outstanding invoices.
Delivery Service Invoice
Invoice date November 23, 2013
OTM Invoice number 000076V77A473
Shipper number 76V77A
Page 3 of 3
Outbound
UPS Internet Shipping
Pickup ZIP Billed
Date Tracking Number Service Code Zone Weight Charge
11/15 iZ76V77A0394663910 Ground Commercial 46202 2 2 8.52
Fuel Surcharge 0.64
Total 9.16
1st ref:weekly fluoride UserlD:CarmelWater
Sender :Michelle Breedlove Receiver:
Caramel Utilities Distributin Indiana State Dept.of Health
3450 w 131 st 550 W.16th Street
Carmel IN 46074 INDIANAPOLIS IN 46202
11/19 1Z76V77A0399574445 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 18.32
Total UPS Internet Shipping 2 Package(s) 18.32
Total Outbound 2 Package(s) 18.32
VOUCHER # 133511 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
473 01-6360-03 $18.32
Voucher Total $18.32
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 12/5/2013
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
12/5/2013 473 $18.32
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