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Home My WebLink About228159 1/14/2014 CITY OF CARMEL, INDIANA VENDOR: 314125 Page 1 of 1 ONE CIVIC SQUARE UPS CHECK AMOUNT: $18.24 CARMEL, INDIANA 46032 LOCKBOX 577 oN`o CAROL STREAM IL 60132-0577 CHECK NUMBER: 228159 CHECK DATE: 1/14/2014 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 601 5023990 76V77A523 18 .24 CONT SERVICES OTHER Delivery Service Invoice Invoice date December 28, 2013 Shipped from: Invoice number 000076V77A523 CARMEL UTILITIES DISTRIBUTION Shipper number 76V77A 3450 W 1031ST ST Control ID 2P12 TM WESTFIELD,IN 46074 Page 1 of 3 Sign up for electronic billing today! 0749A000076V77A4 77366400066846 Visit ups.com/billing AT 01 047599 550861-1155 C**3DGT For questions about your invoice,call: "11111'1'Ill"II'��II�IIIII�I�II�I"'�I"'ll"�1'�'�'llll'll��l (800)811-1648 Monday-Friday CARMEL UTILITIES 8:00 am.-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 Thank you for using UPS. Weekly Payment Plan Amount Due This Period $18.24 Summary of Charges Amount Outstanding(prior invoices) $99.13 Page Charge Total Amount Outstanding $117.37 Outbound Please include the Return Portion of each outstanding invoice with 3 UPS Internet Shipping $18.24 your payment.See Account Status for details. Amount due this period $18.24 New rates for 2014 _ Effective December 30,201 3, rates for UPS Ground, Air and -- UPS payment terms require payment of this invoice-by January 81_ International, as well as UPS air freight,within and between the 2014. U.S., Canada and Puerto Rico will increase an average net 4.9 Note:This invoice may contain a fuel surcharge as described at percent. For additional information, and to review these new ups.com. The published fuel surcharge is 7.0%for UPS Ground _ rates,visit ups.com/rates Services and 1a5%for UPS Air Services,UPS 3 Day Select,and International services.For more information, visit ups.com. lIJ Delivery Service Invoice Invoice date December 28, 2013 Invoice number 000076V77A523 Shipper number 76V77A n Page 2 of 3 Account Status Weekly Payment Plan Payments Applied Amount Invoice Number Invoice Date Paid 000076V77A453 11/09/2013 $18.28 000076V77A473 11/23/2013 $18.32 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 000076V77A503 12/14/2013 $99.13 Total $99.13 Outstanding balances reflect any payments received as of 12/27/2013.Please ignore this message if a recent payment has been made for any outstanding invoices. i Delivery Service Invoice Invoice date December 28, 2013 Invoice number 000076V77A523 Shipper number 76V77A UTM Page 3 of 3 Outbound UPS Internet Shipping Pickup ZIP Billed Date Tracking Number Service Code Zone Weight Charge 12/19 iZ76V77A0390259972 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 12/26 1Z76V77A0399126250 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 Total for Internet-ID:CarmelWater 18.24 Total UPS Internet Shipping 2 Package(s) 18.24 Total Outbound 2 Package(s) 18.24 VOUCHER # 133786 WARRANT # ALLOWED 314125 IN SUM OF $ UPS LOCKBOX 577 CAROL STREAM, IL 60132 Carmel Water Utility ON AC NT OF APPROPRIATION FOR j Board members 1` PO# INV# ACCT# AMOUNT Audit Trail Code 523 01-6360-03 $18.24 ;I Voucher Total $18.24 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 12/30/2013 Invoice Invoice Description Date Number (or note attached invoice(s) or bill(s)) Amount 12/30/201: 523 $18.24 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