241832 02/03/15 .Gqq
CITY OF CARMEL, INDIANA VENDOR: 366093
j ONE CIVIC SQUARE REPUBLIC WASTE SERVICE-TRASH COLTRCCK AMOUNT: S"'"38,435.31
CARMEL, INDIANA 46032 ATTN:NANCY COLLINS CHECK NUMBER: 241832
832 LANGSDALE AVE CHECK DATE: 02/03/15
INDIANAPOLIS IN 46202-1150
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
601 5023990 1/26-1/31 38,435.31 OTHER EXPENSES
Republic Services
832 Langsdale Ave
Indianapolis, IN 46202-1150
ATTN: Nancy Collins
Account# 3-0761-9761020
$$$$ Collected By Carmel Utilities
Jan 26 to Jan 31 $ 39,492.31 2014 Rate
Less Administrative Fee 2014 $ (1,057.00)
4,228 Payments
Payment to Republic $ 38,435.31
Prescribed by State Board of Accounts
Form No.301 (Rev.1995) ACCOUNTS PAYA4E VOUCHER `
To �0060C--3660"3
°3a LatVosbAt6 l� 1 0� ��� `b),U)-f;��
ADDRESS U
Invoice Date Invoice Number Item Amount
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
166) 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
Officer Title
Voucher No. Warrant No.
ACCOUNTS PAYABLE DETAILED ACCOUNTS
MUNICIPAL WATER DEPT. + ANO.
CARMEL, INDIANA '+, No.
Favor Of
�3a
La-USZ)a(,S.
JDIa�Pous�K (; i
licoo ll 1b N�y����,��
Total Amount of Voucher
Deductions
G'
.i
Amount of Warrant ��43
i
Month of�✓ ��
I.
VOUCHER RECORD Acct. I
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
a
11
Total
Allowed ,
�I
Board of Control
;k
Filed
Official Title
j
BOYCE FORMS•SYSTEMS 1-800-382-8702 325 (fj