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227518 12/17/2013 CITY OF CARMEL, INDIANA VENDOR: 314125 Page 1 of 1 o. *� ONE CIVIC SQUARE UPS CARMEL, INDIANA 46032 LOCKBOX 577 CHECK AMOUNT: $1.23 CAROL STREAM IL 60132-0577 CHECK NUMBER: 227518 CHECK DATE: 12/17/2013 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1207 4342100 AA5702483 1 . 23 POSTAGE Delivery Service Invoice Invoice date November 30, 2013 Invoice number OOOOAA5702483 Shipper number AA5702 n Control ID V321 Page 1 of 3 Sign up for electronic billing today! _ 0749A000OAA57027 77366500060202 Visit ups.com/billing AT 01 046196 435621-1152 A**3DGT For questions about your invoice,call: 11111�1��1�1!'�I�l�'III�I"III�II"'III�I�I��I�I���IL�II�I��J� (800)811-1648 Monday-Friday _ BROOKSHIRE GOLF CLUB S:OOam.-9:OOp.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 Weekly Payment Plan Thank you for using UPS. Amount Due This Period $1,23 Summary of Charges Amount Outstanding(prior invoices) $100.08 Page Charge Total Amount Outstanding $101.31 3 Fees $1.23 Please include the Return Portion of each outstanding invoice with Amount due this period $1.23 your payment.See Account Status for details. New rates for 2014. UPS payment terms require payment of this invoice by December Effective December 30,_2013, rates for UPS Ground,Air and 11,2013. International,as well as UPS air freight,within and between the payments not received by December 25,2013 are subject to a late U.S., Canada and Puerto Rico will increase an average net 4.9 fee of 6% of the Amount Due This Period.(Details in UPS Tariff, percent. For additional information,and to review these new available at ups.com) rates,visit ups.com/rates Note:This invoice may contain a fuel surcharge as described at ups.com. The published fuel surcharge is 7.5910 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 30, 2013 Invoice number OOOOAA5702483 Shipper number AA5702 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 OOOOAA5702463 11/1 6/2013 $79.57 Total $100.08 Outstanding balances reflect any payments received as of 11/29/2013.Please ignore this message if a recent payment has been made for any outstanding invoices. I Delivery Service Invoice Invoice date November 30, 2013 Invoice number OOOOAA5702483 Shipper number AA5702 n Page 3 of 3 Fees WeekEnding Unpaid Billed Date Balance Rate Charge 11/02 Late Payment Fee 20.51 6.00% 1.23 Pursuant to the UPS Tariff, a late payment fee has been assessed. Total Fees 1.23 _._-... - ......... _ .. - 046196 2/2 VOUCHER NO. WARRANT NO. ALLOWED 20 United Parcel Service IN SUM OF $ Lockbox 577 Carol Stream, IL 60132-0577 $1.23 ON ACCOUNT OF APPROPRIATION FOR Brookshire Golf Club PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members 1207 I OOOOAA57024831 43-421.00 I $1.23 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, December 10, 2013 Director, Brookshir olf 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)) 11/30/13 I OOOOAA5702483 I Postage I $1.23 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 20 Clerk-Treasurer