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Home My WebLink About227713 1/8/2014 CITY OF CARMEL, INDIANA VENDOR: 093000 Page 1 of 1 ONE CIVIC SQUARE FEDEX-SHIPPING CHARGES CHECK AMOUNT: $78.86 CARMEL, INDIANA 46032 PO BOX 94515 s•, PALATINE IL 60094-4515 CHECK NUMBER: 227713 CHECK DATE: 1/8/2014 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1160 R4342100 31595 2-500-83346 78 . 86 SHIPPING CHARGES FedEx. Invoice Number Invoice Date Account Number Page 2-500-83346 Dec 18, 2013 1 of FedEx Tax ID: 71-0427007 Billing Address: Shipping Address: CITY OF CARMEUMAYOR'S OFC CITY OF CARMEL SHARON KIBBE 1 CIVIC SQ Invoice Questions? 1 CIVIC SQ CARMEL IN 46032-2584 Contact FedEx Revenue Services CARMEL IN 46032-2584 Phone: (800)622-1147 M-Sa 7-6(CST) Fax: (800)548-3020 Invoice Summary Dec 18,2013 Internet: www.fedex.com FedEx Express Services Transportation Charges 69.69 Special Handling Charges 9.17 Total Charges USD $78.86 TOTAL THIS INVOICE USD $78.86 Other discounts may apply. Detailed descriptions of surcharges can be located atfedex.com Invoice Number Invoice Date Account Number Page 2-500-83346 Dec 18, 2013 2of4 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. .nl, Requestor Name l 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 1 I Date W/ W/ W t'. a Phone WWU I I I I I I I I I Fax# I I I I WWW I I I I I c t, E-mail Address Q Yes,I wantto update account contactwith the above information. R, Tracking Number Bill to Account $Amount e'IIIIIIIIIIIIIIII IIIIIIIIII IIIIII• W b'IIIIIIIIIIIIIIII IIIIIIIIII IIIIII • W ;j;;; llllllllllllllll IIIIIIIIII IIIIII • W lllllllllllllllll IIIIIIIIII IIIIII • W SLIIIIIIIIIIIIIII IIIIIIIIII 111111 • W CAD R-Address Correction INW-Incorrect Weight OVS- Oversize Surcharge For all Service failures or other o DVC- Declared Value INS- Incorrect Service RSU- Residential Delivery surcharges please use our web e IAN- 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) CTracking Number Code $Amount LBS L W H r! a 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• W L-1—I I I I x! I I I X1 I I I , Il I I I I I I I I I I I I I I J WWW I I I I I I • W I I I II I I Ix I I I I x I I I I t l 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 • W �—�I I I Ix I I I I x I I I I S 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 - W x I I I I x I I I I IIIIIIIIIIIIIIIIIIIIIIIIII • WW X Fed, -a K. Invoice Number Invoice Date Account Number Page 2-500-83346 Dec 18 2013 3 of 4 FedEx Express Shipment Summary By Reference FedEx Express Shipments(Original) Rated ` Special Weight, Transportation Handling Ret Chg/Tax Reference Shipments lbs Charges'; Charges Crerljts/Other Discounts Total Charges' NO REFERENCE INFORMATION 1 35.0 69.69 9.17 78.86 Tota(FedEx Express _ f 35.© Sfi9 69; $9:17 578 86 Total This Invoice USD $78.86 1368-01-00-0075131-0001-0182228 Invoice Number Invoice Date Account Number Page 2-500-83346 Dec 18, 2013 11 4of4 FedEx Express Shipment Detail By Reference (Original) Dropped off Dec 09 20113 Gust.Ref..NO REFERENCE INFORMATION Ref.#2; Payor:Shipper Ref#3 • Fuel Surcharge FedEx has applied a fuel surcharge of 9.50%to this shipment. • Weather delay-Ice. • Distance Based Pricing,Zone 4 Automation USAB Sender Recipient Tracking ID 899361345310 MEULOR OFFICE LEN SIMON Service Type FedEx 2Day A.M. CITY OF CARMEL SIMON AND COMPANY Package Type Customer Packaging 1 CIVIC So 1660 L ST NW Zone 04 CARMEL IN 46032-2584 US WASHINGTON DC 20036 US Packages 1 Rated Weight 35.0 lbs,15.9 kgs Declared Value USD 200.00 Delivered Dec 11,2013 10:39 Transportation Charge 69.69 Svc Area Al fuel Surcharge 6.62 Signed by S.MCINTOSH Declared Value Charge 2.55 FedEx Use 034367949/0000008/_ Total Charge USD 578.86 NO REFERENCE INFORMATION Reference Subtotal USD $78.86 Total FedEx Express USD $78.86 1368-01-00-0075131-0001-0182228 VOUCHER NO. WARRANT`NO.wy� ALLOWED 20 FedEx IN SUM OF $ PO Box 94515 Palatine, IL 60094-4515 $78.86 ON ACCOUNT OF APPROPRIATION FOR Mayor's Office PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members Prior Year I hereby certify that the attached invoice(s), or 31595 2-500-83346 43-421.00 $78.86 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 Friday, January 03, 2014 Mayor 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)) 12/18/13 2-500-83346 $78.86 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