244982 05/05/15 CITY OF CARMEL, INDIANA VENDOR: 366093
ONE CIVIC SQUARE REPUBLIC WASTE SERVICE-TRASH COL(ZRCCK AMOUNT: $"""40,705.94•
?a; CARMEL, INDIANA 46032 ATTN:NANCY COLLINS CHECK NUMBER: 244982
832 LANGSDALE AVE CHECK DATE: 05/05/15
INDIANAPOLIS IN 46202-1150
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
601 5023990 4/27-5/3 40,705.94 OTHER EXPENSES
Republic Services
832 Langsdale Ave
Indianapolis, IN 46202-1150
ATTN: Nancy Collins
Account# 3-0761-9761020
$$$$ Collected By Carmel Utilities
Apr 27 to May 3 $ 42.96 2014 Rate
Less Administrative Fee 2014 $ (1.00)
4 Payments
Apr 27 to- May 3 $ 41,749.98 2015 Rate
Less Administrative Fee 2015 $ (1,086.00)
4,344 Payments
Payment to Republic $ 40,705.94
Prescribed by State Board of Accounts
Form No.301 (Rev.1995) ACCOUNTS PAYABLE VOUCHER 2 -
TO 7tPV(3UC-3�a/�eL��3— � (�AULY Cultwl
ADDRESS
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
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
Officer Title
Voucher No. Warrant No.
ACCOUNTS PAYABLE DETAILED ACCOUNTS
MUNICIPAL WATER DEPT. ACCT.
NO.
CARMEL, INDIANA
3UL10113 Favor Of ��c✓Co"'.,s
ilk 4Ltd 0-,-5-D �
Total Amount of Voucher $
Deductions
,-3
Amount of Warrantc�'70aS 4 y
Month of p'4
VOUCHER RECORD Acct.
No.
Source of Supply
Water Treatment
Transmission and Dist.
Customer Accounts
Administrative and General
1
Operation-Maintenance '
Utility Plant in Service
Constr.Work in Progress
Materials and Supplies
Customers Deposits
I
Total
Allowed 1,
I
I
Board of Control
Filed
Official Title 4
I
BOYCE FORMS•SYSTEMS 1-800-382-8702 325
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