HomeMy WebLinkAbout235040 7 /22/2014 +or_CAAb
CITY OF CARMEL, INDIANA VENDOR: 358593
ONE CIVIC SQUARE REPUBLIC WASTE SERVICES OF INDIAN�HECK AMOUNT: $*******272.73*
�� ���, CARMEL, INDIANA 46032 PO BOX 9001099 CHECK NUMBER: 235040
9 ijTON-�'o� LOUISVILLE KY 40290-1099 CHECK DATE: 07/22/14
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
651 5023990 2097524 272.73 OTHER EXPENSES
X44 REPUBLIC CES CARMEL UTILITIES WWTP Invoice
832 Langsdale Ave Page 1 of 2
Indianapolis IN 46202-115050
Payments/Adjustments
A division of REPUBLIC SERVICES
Date Description Reference Amount
03/29 Payment-Thank You 230586 -$255.00
Account Number 3-0761-0058847 Current Invoice Charges
Invoice Date . .lune 30,2014 Carmel Utilities Wwtp 9609 Hazel Dell Pkwy (1-1)CSA 002915
Invoice Number 0761-002097524 Indianapolis,IN
Previous Balance $255.00
Payments/Adjustments -$255.00 1-Rolloff(20 Yd) On Call Service (S2)
Unpaid Balance $0.00• Date Description Reference Quantity Unit Price Amount
Current Invoice Charges $272.73 06/17 Basic Service Jeff 1.0000 $272.73 $272.73
Receipt Number 46222
Current Invoice Charges $272.73
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Due By: 07/20/14
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CURRENT.' 30 DI4YS 60 DAYS 90+;;GAYS °'
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to get started. . Please see reverse side for terms and conditions.
CARMEL UTILITIES WWTP 3-0761-0058847 Page 2 of 2
Check Pro cessin : In accordance with Federal Reserve Board guidelines, when you provide a check as payment, you
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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transfer, funds may be withdrawn from your account as soon as the same day we receive your payment and you will not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.
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VOUCHER # 145057 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
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I'! 0761-002097: 01-7362-05 $272.73
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Voucher Total $272.73
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Cost distribution ledger classification if
claim paid under vehicle highway fund
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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 7/15/2014
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
7/15/2014 0761-002097 $272.73
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