HomeMy WebLinkAbout237174 09/16/14 CITY OF CARMEL, INDIANA VENDOR: 358593
J® l ONE CIVIC SQUARE REPUBLIC WASTE SERVICES OF INDIAI1WECK AMOUNT: $"""'2,569.50*
�9M ice; CARMEL, INDIANA 46032 PBOX 9001099
00 1 0 940 2 90-1 099 CHECK NUMBER: 237174
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CHECK DATE: 09/16/14
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1207 4350101 20010 307610035460 361.00 1 YEAR TRASH SERVICE
651 5023990 307611163292 2,208.50 OTHER EXPENSES
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14.6 SERVICES CARMEL UTILITIES HHW Invoice
�� SERVICES
832 Langsdale Ave Managing your account is now easier than ever with the My Resource App.Free download on Page 1 of 3
Indianapolis IN 46202-115050 the App Store or Google Play.
A division of REPUBLIC SERVICES Payments/Adjustments
Date Description Reference Amount
Account Summary 08/22 Payment-Thank You 236188 -$31155.00
Account Number 3-0761-1163292 Current"Invoice Charges
Invoice Date' August 31,2014 Carmel Utilities Hhw 901 N Rangeline Rd (L1)CSA 3292121010
Invoice Number " 0761-002168633 Carmel,IN "
Previous Balance $3,155.00
Payments/Adjustments -$3,155.00 1-Hooklift(30 Yd) Scheduled Service (S1) Comingled
Unpaid Balance $0.00 Date Description Reference Quantity Unit Price Amount
Current Invoice Charges $2,208.50 08/05 Basic Service 1.0000 $157.75 $157.75
Receipt Number 69690
08/07 Basic Service 1.0000 $157.75 $157.75
Receipt Number 69690
Pay This Amount 08/12 Basic Service 1.0000 $157.75 $157.75
Receipt Number 69690
L$2,208.50 08/14 Basic Service 1.0000 $157.75 $157.75
Receipt Number 69690 _ _ __
^' 08/19 Basic Service 1.0000 $157.75 $157.75
Receipt Number 69690
• • •
0 08/21 Basic Service 1.0000 $157.75 $157.75
m Customer Service (317)917-7300 Receipt Number 69690
0 08/26 Basic Service 1.0000 $157.75 $157.75
m Receipt Number 69690 -
0 08/28 Basic Service 1.0000 $157.75 $157.75
Z • • • • Receipt Number 69690
z1-Recycle Rolloff(30yd) Scheduled Service (S3) Comingled
z Effective 4/16/2012:SERVICE INTERRUPTION Date Description Reference Quantity Unit Price Amount
POLICY CHANGE All accounts with a balance over 60
z 08/05 Basic Service 1.0000 $157.75 $157.75
z days will experience a service interruption_unless prior
z arrangements are made. Receipt Number 48393
z 08/07 Basic Service 1.0000 $157.75 $157.75
z - Receipt Number 48393
z 08/12 Basic Service 1.0000 $157.75 $157.75
C?_ Receipt Number 48393
0 08/14 Basic Service 1.0000 $157.75 $157.75
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CURRENT 30€.DAYS �60DAYS',; ": '90+DAYS, <;
Manage your account online 24/7, 2,208.50 0.00 0.00 0.00
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o� Visit republiconline.com touch of a button.Visit republiconline.com to get started.
. Please see reverse side for terms 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.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 oris 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 # 145503 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
07610021686 01-736H-08 $2,208.50
I
Voucher Total $2,208.50
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 9/11/2014
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
9/11/2014 0761002168E $2,208.50
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 icer
REPUBLIC CITY OF CARMEL BROOKSHIRE GOLF Invoice
SERVICES
832 Langsdale Ave Managing your account is now easier than ever with the My Resource App.Free download on, Page 1 of 2
Indianapolis IN 46202-115050 the App Store or Google Play.
Payments/Adjustments
A division ot REPUBLIC SERVICES
Date Description Reference Amount
Account08/22 Payment-Thank You 236008 -$361.00
Account Number 3-0761-0035460 Current Invoice Charges
Invoice Date August 31,2014 Lutokshire Golf Course Ro/FI 12120 Brookshire Pkwy (L1)CSA 002765
Invoice Number 0761-002166867 Carmel,IN
Previous Balance $361.00
Payments/Adjustments -$361.00 1-Front Load(8 Yd) Scheduled Service (S1)
Unpaid Balance $0.00 Date Description Reference Quantity Unit Price Amount
Current Invoice Charges $361.00 08/31 Basic Service 09/01114-09/30/14 $185.00 $185.00
Brookshire Golf Course Pt 12120 Brookshire Pkwy (1-2)
Carmel,IN
AmountPay This
2-Portable Unit Scheduled Service (S2)
Date Description Reference Quantity Unit Price Amount
$361.00 08/31 Portable Service 08/01/14-08/31/14 $176.00 $176.00
N Current Invoice Charges $361.00
g Due By: 09/20/14
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p Customer Service (317)917-7300
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ZImportant • •
Z
Z
Z Effective 4/16/2012:SERVICE INTERRUPTION
z
Z POLICY CHANGE All accounts with a balance over 60
Z days will experience a service interruption unless prior
Z arrangements are made.
Z
Z
Z
Z
Z
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CURRENT 30 DAYS "" 60 DAYS :' 90+'DAYS
Manage your account online 24/7, 361.00.= 0.00 0.00 0.06-
N on any device with My Resource. D A . With My Resource you can schedule a pickup,pay your bill and discover new services-all with a
w Visit republicon Iinexom touch of a button.Visit republiconline.com to get 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.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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0000 000986
VOUCHER NO. WARRANT NO.
ALLOWED 20
Republic Services#761
IN SUM OF$
P. O. Box 9001099
Louisville, KY 40290-1099
$361.00
ON ACCOUNT OF APPROPRIATION FOR
Brookshire Golf Club
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
20010 1 0761-0021668671 43-501.01 1 $361.00 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
Tuesday, September 09, 2014
Director, Brooks h r Golf 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))
08/31/14 0761-002166867 Trash Removal $361.00
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