HomeMy WebLinkAbout233581 06/11/14 ��'� �,qM� CITY OF CARMEL, INDIANA VENDOR: 358593
i; ® ONE CIVIC SQUARE REPUBLIC WASTE SERVICES OF INDIAPDOECK AMOUNT: $"`"2,336.46'
?q; CARMEL, INDIANA 46032 PO BOX 9001099 CHECK NUMBER: 233581
9M,�ioN LOUISVILLE KY 40290-1099 CHECK DATE: 06111/14
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
2201 4350100 307610034751 383.04 BUILDING REPAIRS & MA
1207 4350101 20010 307610035460 310.71 1 YEAR TRASH SERVICE
1091 4350101 307610036974 800.95 TRASH COLLECTION
1125 4350101 307611410948 150.00 TRASH COLLECTION
651 5023990 307611410954 259.77 OTHER EXPENSES
1120 4350101 761002050270 53.00 TRASH COLLECTION
1120 4350101 761002050281 378.99 TRASH COLLECTION
9
W "AUBLIC SERVICES CITY OF CARMEL STREET DEPT Invoice
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Ave Page 1 of 2
46202-715050
Current Invoice Charges
A division of REPUBLIC SERVICES Street Department 3400 W 131st St (1-1)CSA 002764
Carmel,IN
Account2-Front Load(4 Yd) Scheduled Service (S1)
Account Number $-0761-0034751 Date Description Reference Quantity Unit Price Amount
Invoice Date May 25,2014 05/25 Basic Service 06/01/14-06/30/14 $191.52 $191.52
Invoice Number 0761-002050284 Current Invoice Charges $191.52
Previous Balance $191.52
Payments/Adjustments $0.00
Unpaid Balance $191.52
Current Invoice Charges $191.52
Pay This Amount
$383.04
N Due By: 06/14/14
C0 Contact Information
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e' Past Due Balance 191.52
on an device with M Resource.
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Visit republiconline.com touch of a button.Visit republiconline.com to get started.
. Please see reverse side for terms and conditions.
CITY OF CARMEL STREET DEPT 3-0761-0034751 Page 2 of 2
Check Processing: In accordance with Federal Reserve Board guidelines, when you provide a check as payment, you
authorize us to use information from your check to make a one-time electronic fund transfer from your account or to
process the payment as a check transaction. When we use information from your check to make an electronic fund
transfer, funds may be withdrawn from your account as soon as the same day we receive your payment and you will not
receive your check back from your financial institution. For further information visit: www.electron icpavments.org and click
on the Check Conversion tab.
If service is canceled during a billing cycle, the customer will remain responsible for all charges, fees and taxes through the
end of the billing cycle. There will be no proration of billing, and the customer will not be entitled to a refund for the period
between the notice of termination and the end of the current billing cycle. This provision will not apply if it is contrary to a
current franchise agreement, municipal contract, or other written contract applicable to this account or is otherwise
prohibited by law.
The Company reserves the right to require that payment for services be made only by check, credit card or money order,
unless otherwise required by contract or applicable law.
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0000 000986
VOUCHER NO. WARRANT NO.
Republic Services ALLOWED 20
IN SUM OF$
PO Box 9001099
Louisville, KY 40290-1099
$383.04
ON ACCOUNT OF APPROPRIATION FOR
Carmel Street Department
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
2201 10761-002050284 I 43-501.001 $383.04 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
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�fi�aat' bl�t'r��:J:J7
Street Commissioner
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))
05/25/14 0761-002050284 $383.04
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
F
UBLICCARMEL CLAY PARKS Invoice
RVICESve Page 1 of 2
46202-115050
Payments/Adjustments
A division of REPUBLIC SERVICES
Date Description Reference Amount
Account 05/16 Payment-Thank You 232424 -$446.62
Account Number 3-0761-0036974 Current Invoice Charges
Invoice Date May 25,2014 Monon Center 1235 Central Park Dr E (1-1)CSA 6974053112
Invoice Number 0761-002050348 Carmel,IN
Previous Balance $446.62
Payments/Adjustments $446.62 1-Front Load(4 Yd) Scheduled Service (S1)
Unpaid Balance $0.00 Date Description Reference Quantity Unit Price Amount
Current Invoice Charges $844.84 05/25 Basic Service 06/01/14-06/30/14 $84.13 $84.13
1-Front Load(10 Yd) Scheduled Service (S2)
Date Description Reference Quantity Unit Price Amount
05/25 Rate Adjustment 05/27/14-06/30/14 1.0000 $607.00 $398.22-
Pay This
Amount05/25 Basic Service 06/01/14-06/30/14 $265.00 $265.00
1-Front Load Recycling(6 Yd) Scheduled Service (S3) Corrugated Only
$844.84 Date Description Reference Quantity Unit Price Amount
N 05/25 Recycling Service 06/01/14-06/30/14 $41.82 $41.82
n Due By: 06/14/14
a 1-Front Load Recycling(8 Yd) Scheduled Service (S4) Comingled
0 • InformationDate Description Reference Quantity Unit Price Amount
Customer Service (317)917-7300 05/25 Recycling Service 06/01/14-06/30/14 $55.67 $55.67
Current Invoice Charges $844.84
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t0 aet started. . Please see reverse side for terms and conditions.
CARMEL CLAY PARKS 3-0761-0036974 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.electron icpayments.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.
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0000 000986
Dawn Koepper
From: Causey, Bric <BCausey@republicservices.com>
Sent: Thursday, June 05, 2014 1:50 PM 7JU
To: Dawn Koepper
Subject: RE: Hood cover Damage 5 2014
B`9':
Dawn,
The rate was higher by$37.69, 1 have adjusted back to the normal seasonal rate of$569.311 have also is a credit on the
current invoice of$43.89 for the increase difference and the prorated potion of the charges.
I will keep you posted on the hood as soon as I talk to Rob.
Thanks!
-----Original Message-----
From:Dawn Koeppe.r [mailto:dkoepper@carmelclavparks.com]
Sent:Thursday,June 05, 2014 8:29 AM
To: Causey, Bric
Subject: RE: Hood cover Damage
Okay then our rate should still be the same during this time as last year and I do not believe it's accurate. Can you let
me know who I can speak with in your Accounting department?
Thank you,
Dawn Koepper
Purchasing Administrator
Carmel Clay P
1
FIndianapolis
UBLICCARMEL CLAY PARK'S Invoice
RVICESve Page 1 of 2
6202-115050
Payments/Adjustments
division Date Description Reference Amount
Account 05/16 Payment-Thank You 232424 -$150.00
Account Number 3-0761-1410948 Current Invoice Charges
Invoice Date May 25,2014 Carmel Clay Park's 1411 E 116th St (1-1)CSA 94811711
Invoice Number 0761-002055492 Carmel,IN
Previous Balance $150.00
Payments/Adjustments -$150.00 2-Front Load(8 Yd) Scheduled Service (S1)
Unpaid Balance $0.00 Date Description Reference Quantity Unit Price Amount
Current Invoice Charges $150.00 05/25 Basic Service 06/01/1406/30/14 $150.00 $150.00
Current Invoice Charges $150.00
Pay This Amount
$150.00
Due By: 06/14/14 Contact Information
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a on any device with My Resource. AA . With My Resource you can schedule a pickup,pay your bill and discover new services-.all with a
arO Visit republiconline.com touch of a button.Visit republiconline.com to get started.
t0 aet started. . Please see reverse side for terms and conditions.
CARMEL CLAY PARK'S 3-0761-1410948 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.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.
0
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0000 000986
ACCOUNTS PAYABLE VOUCHER
CITY OF CARMEL
An invoice of 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.
358593 Republic Services# 761 Terms
P.O. Box 9001099
Louisville, KY 40290-1099
Invoice Invoice Description
Date Number (or note attached invoice(s)or bill(s)) PO# Amount
5/25/14 761002055492 Dumpster A.O. Jun'14 $ 150.00
5/25/14 761002050348 Trash pickup MCC Jun'14 $ 800.95
Total $ 950.95
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
' 20—
Clerk-Treasurer
I
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Voucher No. Warrant No.
'1
358593 Republic Services#761 Allowed 20
P.O. Box 9001099
Louisville, KY 40290-1099
In Sum of$
l
$ 950.95 r
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ON ACCOUNT OF APPROPRIATION FOR
101 -General/109 Mon on Center
PO#or INVOICE NO. ACCT#/TITLE AMOUNT- Board Members
Dept#
1125 761002055492 4350101 $ 150.00 1 hereby certify that the attached invoice(s), or
1091 761002050348 4350101 $ 800.95 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
6-Jun 2014
I
i
Signature
$ 950.95 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund
i
90
'404 SERVICES CITY OF CARMEL BROOKSHIRE GOLF Invoice
I!►� SERVICES
832 Langsdale Ave Page 1 of 2
Indianapolis IN 46202-115050
Payments/Adjustments
A division of REPUBLIC SERVICES
Date Description Reference Amount
•unt Summary 05/12 Payment-Thank You 231857 -$102.08
05/27 Payment-Thank You 232893 -$262.02
Account Number 3-0761-0035460
Invoice Date May 31,2014 Current Invoice Charges
Invoice Number 0761-002058591 Lutokshire Golf Course Ro/FI 12120 Brookshire Pkwy (L1)CSA 002765
Previous Balance $262.02 Carmel,IN
Payments/Adjustments -$364.10
Unpaid Balance -$102.08 1-Front Load(8 Yd) Scheduled Service (S1)
Current Invoice Charges $412.79 Date Description Reference Quantity Unit Price Amount
05/31 Rate Adjustment 05/13/14-05/31114 1.0000 $185.00 - $51.79
05131 - Basic Service 06/01/14-06/30/14 $185.00 $185.00
Brookshire Golf Course Pt 12120 Brookshire Pkwy (L2)
Pay
®unt Carmel,IN This Am
$310.71 2-Portable Unit Scheduled Service (S2)
Date Description Reference Quantity Unit Price Amount
Due By: 06/20/14 05/31 Portable Service 05/01/14-05/31/14 $176.00 $176.00
Co • Current Invoice Charges $412.79
0
= Customer Service (317)917-7300
0
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z Important • •
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z
z Effective 4/16/2012:SERVICE INTERRUPTION
z POLICY CHANGE All accounts with a balance over 60
z days will experience a service interruption unless prior
zarrangements are made.
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on any device with My Resource. DA . With My Resource you can schedule a pickup,pay your bill and discover new services-all with a
Visit republicon line.com touch of a button.visit republiconline.com to get started.
t0 qet started. . 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 ,a reementmunicipal contract, or other written contract applicable to this account or is otherwise
9 P
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.
0
0
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0000 000986
VOUCHER NO. WARRANT NO.
ALLOWED 20
Republic Services#761
IN SUM OF $
P. O. Box 9001099
Louisville, KY 40290-1099
$310.71
ON ACCOUNT OF APPROPRIATION FOR
Brookshire Golf Club
PO#/Dept. INVOICE NO. ACCT#/TITLE I AMOUNT
Board Members
20010 10761-002058591 I 43-501.01 I $310.71 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
Monday, June 09, 2014
Director, Brook i Golf Club
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund
� Prescribed by State Board of Accounts ACCOUNTS PAYABLE VOUCHER City Form No.201(Rev.1995)
�
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))
05/31/14 0761-002058591 Trash $310.71
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
, 20
Clerk-Treasurer
F
UBLICCARMEL UTILITIES Invoice
RVICESve Page 1Of2
6202-115050
Payments/Adjustments
A division of REPUBLIC SERVICES
Date Description Reference Amount
Account
05/16 Payment-Thank You 232424 -$259.77
Account Number -3-0761-1410954 Current Invoice Charges
Invoice Date May 25,2014 Carmel Utilities 901 N Rangeline Rd (1-1)
Invoice Number 0761-002055494 Carmel,IN
Previous Balance $259.77
Payments/Adjustments -$259.77 1-Front Load(8 Yd) Scheduled Service (S1)
Unpaid Balance $0.00 Date Description Reference Quantity Unit Price Amount
Current Invoice Charges $259.77 05/25 Basic Service 06/01/14-06/30/14 $185.47 $185.47
1-Front Load(2 Yd) Scheduled Service (S2) r
Date Description Reference Quantity Unit Price Amount
05/25 Basic Service 06/01/14-06/30/14 $74.30 $74.30
AmountPay This Current Invoice Charges $259.77
$259.77
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Due
FBy: 06/14/14
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o Contact • •
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Z
Z Effective 4/16/2012:SERVICE INTERRUPTION
Z POLICY CHANGE All accounts with a balance over 60
Z days will experience a service interruption unless prior
Zarrangements are made.
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Z
Z
Z
Z
0
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CURRENT 30 DAYS fiO:DAYS °90+DAYS
OD Manage your account online 24/7, 259.77 0.00 0.00 0.00
g on any device with My Resource. AA . With My Resource you can schedule a pickup,pay your bill and discover new services-all with a
Visit republiconline.com touch of a button.Visit republiconline.com to get started.
C", et started. . Please see reverse side for terms and conditions.
CARMEL UTILITIES 3-0761-1410954 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.
0
COp
CO
0000 000986 �_
VOUCHER # 138154 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
07610020554 01-736H-08 $259.77
Voucher Total $259.77
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 6/3/2014
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
6/3/2014 07610020554 $259.77
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
A; "AREPUBLIC Please Return This Portion Pay This Amount $378.99
11►4 SERVICES With Payment Account Number 3-0761-0034703
832 Langsdale Ave Invoice Date May 25,2014
Invoice Number 0761-002050281
Indianapolis IN 46202-115050 Payment Due Date June 14,2014
TOTAL ENCLOSED
For Bihing Address Changes,
Check Box and Compiete Reverse.
Address Service Requested
Make Checks Payable To:
L2RAASDTC7 047230
I II IIII II 1 1 II II null I I III I I II I I I I
CITY OF CARMEL FIRE DEPT
DENISE SNYDER 'III'I111111111�111111'I"11'IIIIIIIII'll'll'lll'llll'I'lllll'lll
2 CIVIC SQ REPUBLIC SERVICES#761
CARMEL IN 46032-2584 PO BOX 9001099
LOUISVILLE KY 40290-1099
30761003470300000020502810000378990000378996
I
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14 SERVICES CES CITY OF CARMEL FIRE DEPT Invoice
i►�i� SE
832 Langsdale Ave Page 1 of 2
Indianapolis IN 46202-115050
Payments/Adjustments
Date Description Reference Amount
• 05/16 Payment-Thank You 232424 -$378.99
Account Number 3-0761-0034703 Current Invoice Charges
Invoice Date May 25,2014 Fire Station 41 2 Civic Sq (L1)CSA 002757
Invoice Number 0761-002050281 Carmel,IN
Previous Balance $378.99
Payments/Adjustments -$378.99 1-Front Load(8 Yd) Scheduled Service (S1)
Unpaid Balance $0.00 Date Description Reference Quantity Unit Price Amount
Current Invoice Charges $378.99 05/25 Basic Service 06/01/14-06/30/14 $158.00 $158.00
Fire Station 42 3610 W 106th St (L2)CSA 002768
Carmel,IN
1-Front Load(2 Yd) Scheduled Service (S3)
• Date Description Reference Quantity Unit Price Amount
378.99 05/25 Basic Service 06/01/14-05/30/14 $67.03 $67.03
N Fire Station 43 3242 E 106th St (L3)CSA 002759
Due By: 06/14/14 Carmel,IN
• • • 1-Front Load(2 Yd) Scheduled Service (S1)
Date Description Reference QuantityUnit Price Amount
Customer Service (317)917-7300 05/25 Basic Service 06/01/14-06/30/14 $42.00 $42.00
0
A
w Fire Station 44 5032 E 131st St (L4)CSA 002760
o Carmel,IN
z • • • • 1-Front Load(4 Yd) Scheduled Service (S3)
zDate Description Reference Quantity Unit Price Amount
Effective 4/16/2012:SERVICE INTERRUPTION
z POLICY CHANGE All accounts with a balance over 60 05/25 Basic Service 06/01/14-06/30/14 $64.96 ' $64:96
z days will experience a service interruption unless prior
z arrangements are made. Fire Station 46 540 W 136th St (L6)CSA 002762
z Carmel,IN
z
z 1-.Front Load(3 Yd) Scheduled Service (S5)
oDate Description Reference Quantity Unit Price Amount
05/25 Basic Service 06/01/14-06/30/14 $47.00 $47.00
0
Current Invoice Charges $378.99
0
A
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"' CURRENT. 30 DAYS 60'DAYS 90}iDAYS .
m Manage your account online 24/7, 378.99 0.00 0.00 0.00
on any device with My Resource. AA With My Resource you can schedule a pickup,pay your bill and discover new services-all with a
Visit republiconline.com touch of a button.Visit republiconline.com to get started.
t0 ciet started. . Please see reverse side for terms and conditions.
i
CITY OF CARMEL FIRE DEPT 3-0761-0034703 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
III 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.
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0000 000986
FIndianapolis
UBLICCITY OF CARMEL FIRE DEPTInvoice
RVICESve Page 1 of 2
6202-115050
Payments/Adjustments
A division of REPUBLIC SERVICES
Date Description Reference Amount
Account 05/16 Payment-Thank You 232424 -$53.00
Account Number 3-0761-0034441 Current Invoice Charges
Invoice Date May 25,2014 Training Facility 510 3rd Ave SW (L1)CSA 002792
Invoice Number 0761-002050270 Carmel,IN
Previous Balance $53.00
Payments/Adjustments -$53.00 1-Front Load(2 Yd) Scheduled Service (S1)
Unpaid Balance $0.00 Date Description Reference QuantityUnit Price Amount
Current Invoice Charges $53.00 05/25 Basic Service 06/01/14-06/30/14 $53.00 $53.00
Current Invoice Charges $53.00
AmountPay This
$53.00
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o Contact • •
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zarrangements are made.
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CURRENT 3t1"DAYS > ,SOAYS .=`:I€ 90 'DAYS..
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Visit republiconline.com touch of a button.Visit republiconline.com to get started.
t0 aet started. . Please see reverse side for terms and conditions.
CITY OF CARMEL FIRE DEPT 3-0761-0034441 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.electronicpavments.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.
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N00_000986
VOUCHER NO. WARRANT NO.
ALLOWED 20
Republic Services
IN SUM OF $
P.O. Box 9001099
�I
Louisville, KY 40290-1099
$431.99
ON ACCOUNT OF APPROPRIATION FOR
Carmel Fire Department
PO#/Dept. INVOICE NO. ACCT#IrlTLE AMOUNT Board Members
1120 0761-002050281 43-501.01 $378.99 1 hereby certify that the attached invoice(s), or
1120 0761-002050270 43-501.01 $53.00 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
e
YVI
i
Fire Chief
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
I
Purchase Order No.
i
I
Terms
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s)or bill(s))
0761-002050281 $378.99
0761-002050270 $53.00
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
20
Clerk-Treasurer