HomeMy WebLinkAbout243315 3 /18/2015 CITY OF CARMEL, INDIANA VENDOR: 358593
® 1 ONE CIVIC SQUARE REPUBLIC WASTE SERVICES OF INDIAPWECK AMOUNT: $.....2,955.29*
CARMEL, INDIANA 46032 Po BOX 9001099 CHECK NUMBER: 243315
LOUISVILLE KY 40290-1099 I CHECK DATE: 03/18/15
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1205 4350101 0034742 140.33 0761002366764
2201 4350100 0034751 171.40 307610034751
1207 4350101 0035460 105.65 307610035460
651 5023990 0058847 100.00 307610058847
601 5023990 0059974 82.59 307610059974
601 5023990 0060187 73.13 307610060187
601 5023990 0062694 116.39 307610062694
651 5023990 1163292 1,419.75 307611163292
651 5023990 1410955 746.05 307611410955
X44 REPUBLIC SERVICES CITY OF CARMEL STREET DEPT 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 46202-115060 the App Store or Google Play.
Payments/Adjustments
Date Description Reference Amount
02116 Payment-Thank You 242078 -$171.40
Account Number 13-0761-0034751 Current Invoice Charges
Invoice Date February 25;2015 Street Department 3400 W 131st St (1-1)CSA 002764
Invoice Number - 0761-002366766 Carmel,IN
Previous Balance $171.40
Payments/Adjustments -$171.40 2-Front Load(4 Yd) Scheduled Service (S1)
Unpaid Balance $0.00 Date Description Reference Quantity Unit Price Amount
Current Invoice Charges $171.40 02/25 Basic Service 03/01/15-03/31/15 $171.40 $171.40
Current Invoice Charges $171.40
$171.40 -
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to get started. . Please see reverse side for terms and conditions.
CITY OF CARMEL STREET DEPT 3-0761-0034751 Page 2 of 2
Check Processing: In accordance with Federal Reserve Board guidelines, when you provide a check as payment, you
authorize us to use information from your check to make a one-time electronic fund transfer from your account or to
process the payment as a check transaction. When we use information from your check to make an electronic fund
transfer, funds may be withdrawn from your account as soon as the same day we receive your payment and you will not
receive your check back from your financial institution. For further information visit: www.electronicpayments.org and click
on the Check Conversion tab.
If service is canceled during a billing cycle, the customer will remain responsible for all charges, fees and taxes through the
end of the billing cycle. There will be no proration of billing, and the customer will not be entitled to a refund for the period
between the notice of termination and the end of the current billing cycle. This provision will not apply if it is contrary to a
current franchise agreement, municipal contract, or other written contract applicable to this account or is otherwise
prohibited by law.
The Company reserves the right to require that payment for services be made only by check, credit card or money order,
unless otherwise required by contract or applicable law.
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0000 000986
VOUCHER NO. WARRANT NO.
Republic Services ALLOWED 20
IN SUM OF$
PO Box 9001099
Louisville, KY 40290-1099
$171.40
ON ACCOUNT OF APPROPRIATION FOR
Carmel Street Department
PO#/Dept. INVOICE NO. I ACCT#!TITLE AMOUNT Board Members
2201 10761-002366766 I 43-501.001 $171.40 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
6
March 13, 2015
Street Commissioner
Street Commissioner
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund j
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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))
02/25/15 0761-002366766 $171.40
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
REPUBLIC CITY OF CARMEL UTILITIES Invoice
1f►� 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 of REPUBLIC SERVICES
Date Description Reference Amount
Account Summary 02/16 Payment-Thank You 242078 -$80.18
Account Number 3-0761-0059974 Current Invoice Charges
Invoice Date February 25,2015 City Of Carmel Utilities 5484 E 126th St (L1)CSA 2753
Invoice Number 0761-002367394 Carmel,IN
Previous Balance $80.111
Payments/Adjustments -$80.18 1-Front Load(6 Yd) Scheduled Service (S1)
Unpaid Balance $0.00 Date Description Reference Quantity Unit Price Amount
Current Invoice Charges $82.59 02/25 Basic Service 03/01/15-03/31/15 $82.59 $82.59
Current Invoice Charges $82.59
AmountPay This
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to get started. . Please see reverse side for terms and co6ditions.
CITY OF CARMEL UTILITIES 3-0761-0059974 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.
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REPUBLIC CARMEL UTILITIES Invoice
SERVICES
832 Langsdale Ave Managing your account is now easier than ever with th�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
02116 Payment-Thank You 242078 -$116.39
Account Number ,3-0761-0062694 Current Invoice Charges -
Invoice,Date February 25,2015 Water Plant 1 4915 E 106th St (L1)CSA 5387
Invoice Number 0761-002367461 Carmel,IN
Previous Balance $116.39
Payments/Adjustments $116.39 1-Front Load(8 Yd) Scheduled Service (S3)
Unpaid Balance $0.00 Date Description Reference Quantity Unit Price Amount
Current Invoice Charges $116.39 02/25 Basic Service 03/01/15-03/31/15 $116.39 $116.39
Current Invoice Charges $116.39
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to get started. . Please see reverse side for terms and conditions.
CARMEL UTILITIES 3-0761-0062694 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.
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0000 000986
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CES CITY OF CARMEL UTILITIES Invoice
832 Langsdale Ave Managing your account is now easier than ever with theMy Resource App.Free download on Page 1 of 2
Indianapolis IN 46202-115050 the App Store or Google Play.
Payments/Adjustments
A division of REPUBLIC SERVICES —J Date Description Reference Amount
Account 02/16 Payment-Thank You 242078 -$71.00
-
Account Number 3-0761-0060187 Current Invoice Charges
Invoice Date February 25,2015 Water District Plant 3450 W 131st St (L1)CSA 2752
Invoice Number 0761-002367398 Carmel,IN
Previous Balance $71.00
Payments/Adjustments -$71.00 1-Front Load(6 Yd) Scheduled Service (S1)
Unpaid Balance $0.00 Date Description Reference Quantity Unit Price Amount
Current Invoice Charges $73.13 02/25 Basic Service 03/01/15-03131/15 $73.13 $73.13
Current Invoice Charges $73.13
AmountPay This
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to get started. . Please see reverse side for terms and conditions.
CITY OF CARMEL UTILITIES 3-0761-0060187 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.
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0000 000986
VOUCHER # 151160 WARRANT# ALLOWED
358593 IN SUM OF $
REPUBLIC SERVICES #761 }
PO BOX 9001099
LOUISVILLE, KY 40290-1099
Carmel Water Utility
ON ACCOUNT OF APPROPRIATION FOR }
Board members
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PO# INV# ACCT# AMOUNT Audit Trail Code
2367394 01-6360-03 $82.59
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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 SERVICES#761 Purchase Order No.
PO BOX 9001099 Terms
LOUISVILLE, KY 40290-1099 Due Date 3/10/2015
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
3/10/2015 2367394 $82.59
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
Date Officer
REPUBLIC
SERRVIVICESCESCITY 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
02/21 Payment-Thank You 242177 -$105.65
AccounfNumber ,3-0761-0035460 Current Invoice Charges
Invoice.Date, February 28 2015 Brookshire Golf Course Ro/FI 12120 Brookshire Pkwy (L1)CSA 002765
Invoice Number 0761-002375963 Carmel,IN
Previous Balance $105.65
Payments/Adjustments -$105.65 1-Front Load(8 Yd) Scheduled Service (S1)
Unpaid Balance $0.00 Date Description Reference Quantity Unit Price Amount
Current Invoice Charges $105.65 02/28 Basic Service 03/01/15-03/31/15 $105.65 $105.65
Current Invoice Charges $105.65
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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.orq 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
$105.65
ON ACCOUNT OF APPROPRIATION FOR
Brookshire Golf Club
PO#/Dept. INVOICE NO. I ACCT#/TITLE AMOUNT Board Members
1207 ' 0761-002375983 43-501.01 ' $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
Monday, March 09, 2015
1
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Director, Brooksh7fe`Golf Club
Title
Cost distribution ledger classification if
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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))
02/28/15 0761-002375983 Trash $105.65
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
�R�REPUBLIC
SERVICES CITY OF CARMEL Invoice
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832 Langsdale Ave Managing your account is now easier than ever with tie 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
•
02/16 Payment-Thank You 242078 -$140.33
Account Number 3-0761-0034742 Current Invoice Charges
invoice Date February 25,2015 City Hall 1 Civic Sq (1-1)CSA 002763
Invoice Number 0761-002366764 Carmel,IN
Previous Balance $140.33
Payments/Adjustments -$140.33 1-Front Load(6 Yd) Scheduled Service (S1)
Unpaid Balance $0.00 Date Description Reference Quantity Unit Price Amount
Current Invoice Charges $140.33 02/25 Basic Service 03/01/15-03/31/15 $140.33 $140.33
Current Invoice Charges $140.33
$'1 .0.33
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CITY OF CARMEL 3-0761-0034742 Page 2 of 2
Check Processing: In accordance with Federal Reserve Board guidelines, when you provide a check as payment, you
authorize us to use information from your check to make a one-time electronic fund transfer from your account or to
process the payment as a check transaction. When we use information from your check to make an electronic fund
transfer, funds may be withdrawn from your account as soon as the same day we receive your payment and you will not
receive your check back from your financial institution. For further information visit: www.electronicpayments.om and click
on the Check Conversion tab.
If service is canceled during a billing cycle, the customer will remain responsible for all charges, fees and taxes through the
end of the billing cycle. There will be no proration of billing, and the customer will not be entitled to a refund for the period
between the notice of termination and the end of the current billing cycle. This provision will not apply if it is contrary to a
current franchise agreement, municipal contract, or other written contract applicable to this account or is otherwise
prohibited by law.
The Company reserves the right to require that payment for services be made only by check, credit card or money order,
unless otherwise required by contract or applicable law.
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0000 000986
VOUCHER NO. WARRANT NO.
ALLOWED 20
Republic Services#761
IN SUM OF$
PO Box 9001099
Louisville, KY 40290-1099
$140.33
ON ACCOUNT OF APPROPRIATION FOR
Administration Department
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
1205 1 0761-0023667641 43-501.01 1 $140.33 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
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received except
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Monday, March 16, 2015
I
Director, Administ ation
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))
02/25/15 0761-002366764 $140.33
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
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f!►� SERVICES
832 Langsdale Ave Managing your account is now easier than ever with tie My Resource App.Free download on Page 1 of 2
Indianapolis IN 46202-115050 the App Store or Google Play.
Payments/Adjustments,
A division of REPUBLIC SERVICES
Date Description Reference Amount
02121 Payment-Thank You 242177 -$1,893.00
Account
Summary
AccounNumber.. 3-0761-1163292 Current Invoice,'Charges
Invoice Date February 28,2015 Carmel Utilities Hhw 901 N Rangeline Rd (L1)C A 3292121010
Invoice Number 0761-002377649 Carmel,IN
Previous Balance $1,893.00
Payments/Adjustments -$1,893.00 1-Hooklift(30 Yd) Scheduled Service (S1) Comingled
Unpaid Balance $0.00 Date Description Reference Quantity Unit Price Amount
Current Invoice Charges $1,419.75 02/05 Basic Service 1.0000 $157.75 $157.75
Receipt Number 69690
02/10 Basic Service 1.0000 $157.75 $157.75
Receipt Number 69690
02/12 Basic Service 1.0000 $157.75 $157.75
AmountPay This Receipt Number 69690
$1,419.75 02/18 Basic Service ii 1.0000 $157.75 $157.75
Receipt Number 79620
Due By: 03/20/15 02/19 Basic Service 1.0000 $157.75 $157.75
g Receipt Number 69690
oContact Informal • 02/26 Basic Service 1.0000 $157.75 $157.75
z Receipt Number 69690
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0 1-Recycle Rolloff(30yd) Scheduled Service (S13) Comingled
w Date Description Reference Quantity Unit Price Amount
02/03 Basic Service 1.0000 $157.75 $157.75
z Receipt Number 48393
zImportant • • 02/10 Basic Service 1.0000 $157.75 $157.75
Effective 4/16/2012:SERVICE INTERRUPTION
z Receipt Number 48393
z POLICY CHANGE All accounts with a balance over 60 02/24 Basic Service 1.0000 .. $157.75 $157.75
z days will experience a service interruption unless prior
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Visit republiconline.com touch of a button.Visit republiconline.com to get started.
i to get started. . Please see reverse side for terms and conditions.
I
CARMEL UTILITIES HHW 3-0761-1163292 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.electron icpayments.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.
0
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0000 000986
VOUCHER # 155133 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
07610023776 01-736H-08 $1,419.75
i
Voucher Total $1,419.75 ;
i
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 3/13/2015
Invoice Invoice Description
Date Number (or note attached ihvoice(s) or bill(s)) Amount
3/13/2015 0761002377E $1,419.75
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
qf0"A SERVICES CARMEL WASTWATER UTILITY Invoice
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Indianapolis IN 46202-115050 the App Store or Google Play.
Payments/Adjustments
Date Description Reference Amount
02/16 Payment-Thank You 242078
Account Number 3-0761-1410955 Current Invoice Charges
Invoice Date February 25'2015 Carmel Utilities 9609 Hazel Dell Pkwy (L1)
Invoice Number 0761-002371962 Carmel,IN
Previous Balance $646.05
Payments/Adjustments -$646.05 14-Front Load(2 Yd) Scheduled Service (S1)
Unpaid Balance $0.00 Date Description Reference Quantity Unit Price Amount
Current Invoice Charges $746.05 .02/19 Container Exchange Craig/Sales 10.0000 $10.00 $100.00
Receipt Number 78970
02/25 Basic Service 03/01/15-03/31/15 $646.05 $646.05
Current Invoice Charges $746.05
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CARMEL WASTWATER UTILITY 3-0761-1410955 Page 2 of 2
Check Processing: In accordance with Federal Reserve Board guidelines, when you provide a check as payment, you
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process the payment as a check transaction. When we use information from your check to make an electronic fund
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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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Indianapolis IN 46202-115050 the App Store or Google Play.
Payments/Adjustments
Date Description Reference Amount
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02/21. Payment-Thank You 242177 -$272.73
Account Number. 3-0761-0058.847 Current Invoice Charges
Invoice Date February 281-2015 Carmel Utilities Wwtp 9609 Hazel Dell Pkwy (L1)CSA 002915
nvoice Numher "0761-002376142 Indianapolis,IN
Previous Balance $272.73
Payments/Adjustments -$272.73 1-Rolloff(20 Yd) On Call Service (S2)
Unpaid Balance $0.00 Date Description Reference Quantity Unit Price Amount
Current Invoice Charges $100.00 02113 Container Relocation Jeff 1.0000 $100.00 $100.00
Receipt Number 77676
Current Invoice Charges $100.00
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CARMEL UTILITIES WWTP 3-0761-0058847 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.
0
N
A
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0000 000986
VOUCHER # 155113 WARRANT # ALLOWED
358593 IN SUM OF $
REPUBLIC WASTE SERVICES OF INDI
PO BOX 9001099
LOUISVILLE, KY 40290-1099
I
Carmel Wastewater Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO# INV# ACCT# AMOUNT Audit Trail Code
0761-0023715 01-7362-06 $746.05
i
v-7��-
d
i
Voucher Total
Cost distribution ledger classification if
claim paid under vehicle highway fund
Prescribed by State Board of Accounts i 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 3/11/2015
i
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
L
3/11/2015 0761-002371 $746.05
I
i
i
i
f
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