241366 01/22/15 LAA .
'f. CITY OF CARMEL, INDIANA VENDOR: 366093
ONE CIVIC SQUARE REPUBLIC WASTE SERVICE-TRASH COLQ-18CCK AMOUNT: $***117,294.86*
4 CARMEL, INDIANA 46032 ATTN:NANCY COLLINS CHECK NUMBER: 241366
9M�TON L�? 832 LANGSDALE AVE CHECK DATE: 01/22/15
INDIANAPOLIS IN 46202-1150
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
601 5023990 JAN 1-16 117,294.86 OTHER EXPENSES
Republic Services
832 Langsdale Ave
Indianapolis, IN 46202-1150
ATTN: Nancy Collins
Account# 3-0761-9761020
Jan 1 to Jan 16 $120,109.86 2014 Rate
Less Administrative Fee 2014 $ (3,215.00)
12,860 Payments
Cart Deliveries Dec $ 400.00
Payment to Republic $117,294.86
f
Prescribed by State Board of Accounts
Form No.301(Rev.1995) ACCOUNTS PAY VOUCHER
TO "t1 c`/
ADDRESS �34 ��t`IDSQ/IL�/.�I.0 ✓�n4' ( Ytor��' ���U
Invoice Date Invoice Number Item Amount
/cam y ��
I 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
Signature Title
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.
19
ficer Title
Voucher No. Warrant No.
ACCOUNTS PAYABLE DETAILED ACCOUNTS
MUNICIPAL WATER DEPT. ANOT .
CARMEL, INDIANA
LALJbS0,-�,ys
Ft
Total Amount of Voucher $
Deductions
E
Amount of Warrant $
Month of
Acct.
VOUCHER RECORD No.
Source of Supply
Water Treatment
Transmission and Dist.
Customer Accounts
Administrative and General
Operation-Maintenance
I
Utility Plant in Service
Constr.Work in Progress
Materials and Supplies
Customers Deposits t
Total
Allowed
f
Board of Control
Filed
Official Title
BOYCE FORMS•SYSTEMS 1-800-382-8702 325