241583 1 /27/2015 CITY OF CARMEL, INDIANA VENDOR: 366093
® ONE CIVIC SQUARE REPUBLIC WASTE SERVICE-TRASH COLgldCCK AMOUNT: S""43,373.27•
CARMEL, INDIANA 46032 ATTN:NANCY COLLINS CHECK NUMBER: 241583
sM,TON 832 LANGSDALE AVE CHECK DATE: 01/27/15
INDIANAPOLIS IN 46202-1150
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
601 5023990 1/17-1/25 43,373.27 TRASH
Republic Services
832 Langsdale Ave
Indianapolis, IN 46202-1150
ATTN: Nancy Collins
Account# 3-0761-9761020
Jan 17 to Jan 25 $ 44,771.77 2014 Rate
Less Administrative Fee 2014 $ (1,398.50)
4,794 Payments
Payment to Republic $ 43,373.27
I
Prescribed by State Board of Accounts
Form No.301 (Rev.1995) ACCOUNTS PAYAB E VOUCHER
TO
u6L1c — os7- � 1C Y C0LLAl .
ADDRESS L/a is U5/24" & - livor -IG(
Invoice Date Invoice Number Item Amount
�ty AJ�y �� -r � -��� ((3 3�3.,5,?l
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) rue and correct and I have audited same in accordance
with IC 5-11-10-1.6.
19
icer Title
Voucher No. Warrant No.
ACCOUNTS PAYABLE DETAILED ACCOUNTS
MUNICIPAL WATER DEPT. ACCT.
NO.
CARMEL, INDIANA
0c,6oc- 3
Total Amount of Voucher $
Deductions
M 93 P
Amount of Warrant $ 43 3�3 a)
Month of Of
Acct.
VOUCHER RECORD No.
Source of Supply
Water Treatment
Transmission and Dist.
Customer Accounts
Administrative and General
Operation-Maintenance
Utility Plant in Service
Constr.Work in Progress
Materials and Supplies i
Customers Deposits r
i
Total
I
Allowed
i
f
Board of Control
Filed
.I
Official Title
BOYCE FORMS•SYSTEMS 1-800-382-8702 325