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Home My WebLink About241365 01/22/15 CITY OF CARMEL, INDIANA VENDOR: 358593 ONE CIVIC SQUARE REPUBLIC WASTE SERVICES OF INDIA11WECK AMOUNT: $"*'`*1,998.65' r° CARMEL, INDIANA 46032 PO BOX 9001099 CHECK NUMBER: 241365 LOUISVILLE KY 40290-1099 CHECK DATE: 01/22/15 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1207 4350101 32102 002308461 105.65 3-0761-0035460 651 5023990 002310144 1,893.00 3-0761-1163292 gm V)REPUBLIC 44 SERVICES CITY OF CARMEL BROOKSHIRE GOLF Invoice 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 Date Description Reference Amount 12/04 Payment-Thank You 239352 -$399.66 • 12/22 Payment-Thank You 240423 -$51.29 Account Number 3-0761-0035460 Current Invoice Charges Invoice Date December 31,2014 Invoice Number 0761-002308461 Brookshire Golf Course Ro/FI 12120 Brookshire Pkwy (L1)CSA 002765 Previous Balance $450.95 Carmel,IN Payments/Adjustments -$450.95 Unpaid Balance $0.00 1 -Front Load(8 Yd) Scheduled Service (S1) Current Invoice Charges $105.65 Date Description Reference Quantity Unit Price Amount 12/31 Basic Service 01/01/15-01/31/15 $105.65 $105.65 Current Invoice Charges $105.65 $105.65 r N Gue By: 01/20/15 cn o • • • i Customer Service (317)917-7300 0 w w N Z Z 0 • • • Z Z Effective 4/16/2012:SERVICE INTERRUPTION Z POLICY CHANGE All accounts with a balance over 60 Zdays will experience a service interruption unless prior Z arrangements are made Z Z Z Z Z 0 o_ 0 0 0 N V 03V CURRENT., 30 DAYS. 60 DAYS 90+DAYS Manage your account online 24/7, 105.65 0.00 0.00 0.00 co 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 Visit republiconline.com touch of a button.Visit republiconline.com to get started. 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 When we use information from your check to make an electronic fund transfer, funds may be withdrawn from your account as soon as the same day we receive your payment and you will not receive your check back from your financial institution.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.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 0 N V W V N 0000 000986 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)) 12/31/14 0761-002308461 Trash $105.65 1 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 VOUCHER NO. WARRANT NO. ALLOWED 20 Republic Services #761 IN SUM OF $ P. O. Box 9001099 Louisville, KY 40290-1099 $105.65 ON ACCOUNT OF APPROPRIATION FOR Brookshire Golf Club PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members 32102 10761-002308461 I 43-501.01 I $105.65 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 Wednesday, January 14, 2015 Director, Brookshire G lub Title Cost distribution ledger classification if claim paid motor vehicle highway fund %,-41EPIIBLIC CARMEL UTILITIES HHW Invoice 0�� 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. Payments/Adjustments A division of REPUBLIC SERVICES ; Date Description Reference Amount 12/04 Payment-Thank You 239352 -$1,577.50 Account Summary Account Number 3-0761-1163292 Current Invoice Charges Invoice Date December 31,2014 Carmel Utilities Hhw 901 N Rangeline Rd (L1)CSA 3292121010 Invoice Number 0761-002310144 Carmel,IN Previous Balance $2,681.75 f Payments/Adjustments -$1,577.50 tj1 -Ho`klift(30 Yd) Scheduled Service (S1) Comingled Unpaid Balance $1,104.25 ; Date Description Reference Quantity Unit Price Amount Current Invoice Charges $1,893.00 12/02 Basic Service 1.0000 $157.75 $157.75 Receipt Number 69690 12/04 Basic Service 1.0000 $157.75 $157.75 t' .Receipt Number 69690 12/09 `Basic Service 1.0000 $157.75 $157.75 Pay This Amount Receipt Number 69690 $2,997.25 12/11 Basic Service 1.0000 $157.75 $157.75 r Receipt Number 69690 D Due By: 01/20/15 12/18 Basic Service 1.0000 $157.75 $157.75 n f Receipt Number 69690 oContact • • 4{ 12/30 Basic Service 1.0000 $157.75 $157.75 M Customer Service (317)917-7300 ` Receipt Number 69690 o 1 -Recycle Rolloff(30yd) Scheduled Service (S3) Comingled Date Description Reference Quantity Unit Price Amount 12/02 Basic Service 1.0000 $157.75 $157.75 z t Receipt Number 48393 z • • • • 1�12/09 Basic Service 1.0000 $157.75 $157.75 z z Effective 4/16/2012 SERVICE INTERRUPTION ,t ?Receipt Number 48393 z POLICY CHANGE All accounts with a balance over 60 z 12/16 Basic Service 1.0000 $157.75 $157.75 z days will experience a service interruption unless prior z arrangements are made. 1 I Receipt Number 48393 z 12/18!I Basic Service 1.0000 $157.75 $157.75 z ! Receipt Number 48393 z 12/23 i Basic Service 1.0000 $157.75 $157.75 o Receipt Number 48393 0 12/30j Basic Service 1.0000 $157.75 $157.75 N O O A N w CURRENT - '.-30 DAYS' 60 DAYS 90+DAYS Manage your account online 24/7, 1,893.00 1,104.25 0.00 0.00 on an device with M Resource. Past Due Balance $1,104.25 Y Y DA 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. 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 billingcycle. This y 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 0 A A 0000 000987 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 12/29/2014 Invoice Invoice Description Date Number (or note attached invoice(s) or bill(s)) Amount 12/29/201, 0761002310' $1,893.00 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 Date Officer i VOUCHER # 146505 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 J Board members PO# INV# ACCT# AMOUNT Audit Trail Code 07610023101 01-736H-08 $1,893.00 Voucher Total $1,893.00 Cost distribution ledger classification if claim paid under vehicle highway fund