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Home My WebLink About231857 4 /23/2014 �.cngM > F, CITY OF CARMEL, INDIANA VENDOR: 358593 ONE CIVIC SQUARE REPUBLIC WASTE SERVICES OF INDIANWECK AMOUNT: $"""2,399.33' f. ? CARMEL, INDIANA 46032 PO BOX 9001099 CHECK NUMBER: 231857 LOUISVILLE KY 40290-1099 CHECK DATE: 04/23/14 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 651 5023990 07610019937 2,297.25 OTHER EXPENSES 1207 4350101 20010 761001992056 102.08 1 YEAR TRASH SERVICE e4REPUBLICCITY OF CARMEL BROOKSHIRE GOLF Invoice 401A SERVICES 832 Langsdale Ave Page 1 Of 2 Indianapolis,IN 46202-1150 Payments/Adjustments Qm Date Description Reference Amount 03!29 Payment-Thank You 230586 -$102.08 Account Number 3-0761-0035460 Current Invoice Charges Invoice Date March 31,2014 Brookshire Golf Course Ro/FI 12120 Brookshire Pkwy (1-1) CSA 002765 Invoice Number 0761-001992056 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 03/31 Basic Service 04/01/14-04/30/14 $102.08 $102.08 Current Invoice Charges $102.08 Due By: 04/20/14 0 0 0 Customer Service (317)917-7300 00 o a 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. 102.08 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- - --- - 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 When we use information from your check to make an electronic fund transfer, funds may be withdrawn from your account as soon as the same day we receive your payment and you will not receive your check back from your financial institution.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. i 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)) 03/31/14 0761-001992056 Trash $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 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 0761-0019920561 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 Friday, April 11, 2014 > � a,- Director, Brookshirl Golf Club Title Cost distribution ledger classification if claim paid motor vehicle highway fund REPUBLIC CARMEL UTILITIES HHW Invoice SERVICES Page 1 of 3 832 Langsdale Ave Indianapolis,IN 46202-1150 Payments/Adjustments -- Date Description Reference Amount 0 03/29 Payment-Thank You 230586 -$2,297.25 Account Number 3-0761-1163292 Current Invoice Charges Invoice Date March 31,2014 Carmel Utilities Hhw 901 N Range Line Rd (1-1) CSA 3292121010 Invoice Number 0761-001993723 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 03/04 Basic Service 1.0000 $153.15 $153.15 Receipt Number 48391 03/06 Basic Service 1.0000 $153.15 $153.15 Receipt Number 48391 0 03/11 Basic Service 1.0000 $153.15 $153.15 Receipt Number 48391 $2,297.25 03/13 Basic Service 1.0000 $153.15 $153.15 Receipt Number 48391 Due By: 04/20/14 03/18 Basic Service 1.0000 $153.15 $153.15 Receipt Number 48391 0 0 0 03/20 Basic Service 1.0000 $153.15 $153.15 Receipt Number 48391 Customer Service (317)917-7300 03/25 Basic Service 1.0000 $153.15 $153.15 Receipt Number 48391 03/27 Basic Service 1.0000 $153.15 $153.15 Receipt Number 48391 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 03/04 Basic Service 1.0000 $153.15 $153.15 60 days will experience a service interruption unless Receipt Number 48393 prior arrangements are made. 03/06 Basic Service 1.0000 $153.15 $153.15 Receipt Number 48393 03/11 Basic Service 1.0000 $153.15 $153.15 Receipt Number 48393 03/18 Basic Service 1.0000 $153.15 $153.15 Receipt Number 48393 ;... . .CURRENT.: ::,.. ;: :=`<.�v,30 DAYS `&O DAYS. ... :. ..',,,90+DAYS:" � ' 2,297.25 0.00 0.00 0.00 �.__ Tn:na�_nre_len�.nmcinnar�rnnfnr 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.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. 000461-000002-000002-000922 2329365 2240ST03 1 3 0 Page 3 of 3 R CARMEL UTILITIES HHW Republic Services #761 Account Number 3-0761-1163292 & "AREPUBLIC Invoice Date March 31,2014 832 Langsdale Ave 4W SERVICES Invoice Number 0761-001993723 Indianapolis, IN 46202-1150 Current Invoice Charges Date Description Reference Quantity Unit Price Amount 03/20 Basic Service 1.0000 $153.15 $153.15 Receipt Number 48393 03/25 Basic Service 1.0000 $153.15 $153.15 Receipt Number 48393 03/27 Basic Service 1.0000 $153.15 $153.15 Receipt Number 48393 Current Invoice Charges $2,297.25 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 4/15/2014 Invoice Invoice Description Date Number (or note attached invoice(s) or bill(s)) Amount 4/15/2014 0761001993 $2,297.25 hereby certify that the attached invoice(s), or bill(s) is (are) true and correct and I have audited same in accordance withIC5-11-10-1.6 Date Officer VOUCHER # 137823 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 07610019937 01-736H-08 $2,297.25 Voucher Total $2,297.25 Cost distribution ledger classification if claim paid under vehicle highway fund