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230586 03/26/14
ur.C.1A'M `$,. F� CITY OF CARMEL, INDIANA VENDOR: 358593 b it ONE CIVIC SQUARE REPUBLIC WASTE SERVICES OF INDIAIIG�'I, -IECK AMOUNT: $**"**2,654.33* d., ? CARMEL, INDIANA 46032 PO BOX 9001099 CHECK NUMBER: 230586 ?y,,oN.`o, LOUISVILLE KY 40290-1099 CHECK DATE: 03/26/14 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1207 4350101 20010 1958739 102.08 1 YEAR TRASH SERVICE 651 5023990 1958946 255.00 OTHER EXPENSES 651 5023990 1960223 2,297.25 OTHER EXPENSES �R"A REPUBLIC CARMEL UTILITIES WWTP Invoice fy14 SERVICES Page 1 of 2 832 Langsdale Ave Indianapolis,IN 46202-1150 Payments/Adjustments ° Date Description Reference Amount 10/28 Payment-Thank You 225642 -$515.92 © Account Number 13-0761-0058847 Current Invoice Charges Invoice Date February 28,2014 Carmel Utilities Wwtp 9609 Hazel Dell Pkwy (L1) CSA 002915 Invoice Number 0761-001958946 Indianapolis,IN Previous Balance $515.92 Payments/Adjustments -$515.92 1 -Rolloff(20 Yd) On Call Service (S2) Unpaid Balance $0.00 Date Description Reference Quantity Unit Price Amount Current Invoice Charges $255.00 02/17 Basic Service 2/14 or 2/17 1.0000 $255.00 $255.00 Receipt Number 82371 Current Invoice Charges $255.00 Due By: 03/20/14 Customer Service (317)917-7300 0 • 0 • Your next Invoice may reflect a rate adjustment,if you have any questions after receiving your next invoice please contact us. Effective 4/16/2012:SERVICE INTERRUPTION POLICY CHANGE All accounts with a balance over 60 days will experience a service interruption unless prior arrangements are made. �tf+:t3F1Y5,. € 255.00 0.00 0.00 0.00 To pay on-line or sign up for convenient auto pay, go to: D A • Visit our website,www.disposal.com to make your payment electronically WWw.disposal.com or to sign up for our convenient automatic payment plan. __ __-_ —! -Please see.reverse side for terms and conditions_ CARMEL UTILITIES WWTP 3-0761-0058847 Page 2 of 2 Check Processing: In accordance with Federal Reserve Board guidelines, when you provide a check as payment, you authorize us to use information from your check to make a one-time electronic fund transfer from your account or to process the payment as a check transaction. When we use information from your check to make an electronic fund transfer, funds may be withdrawn from your account as soon as the same day we receive your payment and you will not receive your check back from your financial institution. For further information visit: www.electronicpayments.org and click on the Check Conversion tab. If service is canceled during a billing cycle, the customer will remain responsible for all charges, fees and taxes through the end of the billing cycle. There will be no proration of billing, and the customer will not be entitled to a refund for the period between the notice of termination and the end of the current billing cycle. This provision will not apply if it is contrary to a current franchise agreement, municipal contract, or other written contract applicable to this account or is otherwise prohibited by law. The Company reserves the right to require that payment for services be made only by check, credit card or money order, unless otherwise required by contract or applicable law. I VOUCHER # 137590 WARRANT # ALLOWED 358593 IN SUM OF $ REPUBLIC WASTE SERVICES OF INDI PO BOX 9001099 LOUISVILLE, KY 40290-1099 Carmel Wastewater Utility ON ACCOUNT OF APPROPRIATION FOR Board members i PO# INV# ACCT# AMOUNT Audit Trail Code 30761005884 01-7362-06 $255.00 i .y I Voucher Total $255.00 i Cost distribution ledger classification if claim paid under vehicle highway fund a r 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 358593 REPUBLIC WASTE SERVICES OF INDIANA Purchase Order No. PO BOX 9001099 Terms LOUISVILLE, KY 40290-1099 Due Date 3/17/2014 Invoice Invoice Description Date Number (or note attached invoice(s) or bill(s)) Amount 3/17/2014 3076100588,e $255.00 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 c�RW REPUBLIC CARMEL UTILITIES HHW Invoice tf is SERVICES Page 1 of 3 832 Langsdale Ave Indianapolis,IN 46202-1150 Payments/Adjustments i;JcflG Date Description Reference Amount - 03/01 Payment-Thank You 229325 -$2,297.25 Account Number 3-0761-1163292 Current Invoice Charges Invoice Date February 28,2014 Carmel Utilities Hhw 901 N Range Line Rd (L1) CSA 3292121010 Invoice Number 0761-001960223 Carmel,IN Previous Balance $2,297.25 Payments/Adjustments -$2,297.25 1 -Hooklift(30 Yd) Scheduled Service (S1) Comingled Unpaid Balance $0.00 Date Description Reference Quantity Unit Price Amount Current Invoice Charges $2,297.25 02/04 Basic Service 1.0000 $153.15 $153.15 Receipt Number 48391 02/06 Basic Service 1.0000 $153.15 $153.15 Receipt Number 48391 NEWUM0 02/11 Basic Service 1.0000 $153.15 $153.15 Receipt Number 48391 $2,297.25 02/13 Basic Service 1.0000 $153.15 $153.15 Receipt Number 48391 Due By: 03/20/14 02/18 Basic Service 1.0000 $153.15 $153.15 Receipt Number 48391 CG)90 0 02/20 Basic Service 1.0000 $153.15 $153.15 Receipt Number 48391 Customer Service (317)917-7300 02/26 Basic Service 1.0000 $153.15 $153.15 Receipt Number 48391 02/27 Basic Service 1.0000 $153.15 $153.15 Receipt Number 48391 00 o a 1 -Recycle Rolloff(30yd) Scheduled Service (S3) Comingled Effective 4/16/2012:SERVICE INTERRUPTION Date Description Reference Quantity Unit Price Amount POLICY CHANGE All accounts with a balance over 02/04 Basic Service 1.0000 $153.15 $153.15 60 days will experience a service interruption unless Receipt Number 48393 prior arrangements are made. 02/11 Basic Service 1.0000 $153.15 $153.15 Receipt Number 48393 02/13 Basic Service 1.0000 $153.15 $153.15 Receipt Number 48393 02/18 Basic Service 1.0000 $153.15 $153.15 Receipt Number 48393 CURRENT. X30 L?AY,S "' 60,C3it1YS xr,„ ,, .; 90+ONY-SY ,.. 2,297.25 0.00 0.00 0.00 To pay on-line or sign up for convenient auto pay, go to: D A • Visit our website;_wvw.disposal.com Ao make your payment electronically _wv.w.disposalaaom_ _ _ __ or to sign up for our convenient automatic payment plan.` Please see'reverse side For teres and-conditions- CARMEL UTILITIES HHW 3-0761-1163292 Page 2 of 3 Check Processing: In accordance with Federal Reserve Board guidelines, when you provide a check as payment, you authorize us to use information from your check to make a one-time electronic fund transfer from your account or to process the payment as a check transaction. When we use information from your check to make an electronic fund transfer, funds may be withdrawn from your account as soon as the same day we receive your payment and you will not receive your check back from your financial institution. For further information visit: www.electronicpayments.orq and click on the Check Conversion tab. If service is canceled during a billing cycle, the customer will remain responsible for all charges, fees and taxes through the end of the billing cycle. There will be no proration of billing, and the customer will not be entitled to a refund for the period between the notice of termination and the end of the current billing cycle. This provision will not apply if it is contrary to a current franchise agreement, municipal contract, or other written contract applicable to this account or is otherwise prohibited by law. The Company reserves the right to require that payment for services be made only by check, credit card or money order, unless otherwise required by contract or applicable law. 000998-000002-000002-001996 2328150 2240ST03 1 3 0 Page 3 of 3 CARMEL UTILITIES HHW Republic Services #761 R Account Number 3-0761-1163292 IN "AREPUBLIC Invoice Date February 28,2014 832 Langsdale Ave SERVICES Invoice Number 0761-001960223 Indianapolis, IN 46202-1150 Current Invoice Charges Date Description Reference Quantity Unit Price Amount 02/20 Basic Service 1.0000 $153.15 $153.15 Receipt Number 48393 02/25 Basic Service 1.0000 $153.15 $153.15 Receipt Number 48393 02/27 Basic Service 1.0000 $153.15 $153.15 Receipt Number 48393 Current Invoice Charges $2,297.25 _ VOUCHER # 137713 WARRANT # ALLOWED 358593 IN SUM OF $ REPUBLIC WASTE SERVICES OF INDI PO BOX 9001099 LOUISVILLE, KY 40290-1099 Carmel Wastewater Utility ON ACCOUNT OF APPROPRIATION FOR Board members PO# INV# ACCT# AMOUNT Audit Trail Code 07610019602 01-736H-08 $2,297.25 Voucher Total $2,297.25 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 358593 REPUBLIC WASTE SERVICES OF INDIANA Purchase Order No. PO BOX 9001099 Terms LOUISVILLE, KY 40290-1099 Due Date 3/17/2014 Invoice Invoice Description Date Number (or note attached invoice(s) or bill(s)) Amount 3/17/2014 0761001960: $2,297.25 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 4 7;REPUBLIC CITY OF CARMEL BROOKSHIRE GOLF Invoice W SERVICES Page 1 of 2 832 Langsdale Ave Indianapolis,IN 46202-1150 ° Payments/Adjustments Date Description Reference Amount 03/01 Payment-Thank You 229325 -$102.08 Account Number 3-0761-0035460 Current Invoice Charges Invoice Date February 28,2014 Brookshire Golf Course Ro/FI 12120 Brookshire Pkwy (1-1) CSA 002765 Invoice Number 0761-001958739 Carmel,IN Previous Balance $102.08 Payments/Adjustments -$102.08 1 -Front Load(8 Yd) Scheduled Service (S1) Unpaid Balance $0.00 Date Description Reference Quantity Unit Price Amount Current Invoice Charges $102.08 02/28 Basic Service 03/01/14-03/31/14 $102.08 $102.08 Current Invoice Charges $102.08 -- Due By: 03/20/14 0 0 0 Customer Service (317)917-7300 0 0 0 0 ,O. OW Effective 4/16/2012:SERVICE INTERRUPTION POLICY CHANGE All accounts with a balance over 60 days will experience a service interruption unless s prior arrangements are made. C11RRN7sr. .- 34 PAYS; ,"..., .&'. ..6A 1�AY3, .., n 50+,,DAYS, 102.08 0.00 0.00 0.00 To pay on-line or signup for.,- convenient auto pay, go to: DA • Visit our website,www.disposal.com to make your payment electronically www.disposal.com or to sign up for our convenient automatic payment plan. — . Please see reverse side for terms and conditions CITY OF CARMEL BROOKSHIRE GOLF 3-0761-0035460 Page 2 of 2 Check Processing: In accordance with Federal Reserve Board guidelines, when you provide a check as payment, you authorize us to use information from your check to make a one-time electronic fund transfer from your account or to process the payment as a check transaction. When we use information from your check to make an electronic fund transfer, funds may be withdrawn from your account as soon as the same day we receive your payment and you will not receive your check back from your financial institution. For further information visit: www.electronicpayments.org and click on the Check Conversion tab. If service is canceled during a billing cycle, the customer will remain responsible for all charges, fees and taxes through the end of the billing cycle. There will be no proration of billing, and the customer will not be entitled to a refund for the period between the notice of termination and the end of the current billing cycle. This provision will not apply if it is contrary to a current franchise agreement, municipal contract, or other written contract applicable to this account or is otherwise prohibited by law. The Company reserves the right to require that payment for services be made only by check, credit card or money order, unless otherwise required by contract or applicable law. VOUCHER NO. WARRANT NO. ALLOWED 20 Republic Services#761 IN SUM OF $ P. O. Box 9001099 Louisville, KY 40290-1099 $102.08 ON ACCOUNT OF APPROPRIATION FOR Brookshire Golf Club PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members 20010 1 0761-0019587391 43-501.01 1 $102.08 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 Thursday, March 13, 2014 Director, Brookshirelqolf 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)) 02/28/14 1 0761-0019587391 Trash 1 $102.08 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