245724 06/03/15 1 t 44Nyf
�;Y""� ,... CITY OF CARMEL, INDIANA VENDOR: 366463
® 3. ONE CIVIC SQUARE 96TH STREET TRANSFER AND RECYCLW9CK AMOUNT: $********62.98*
=q; CARMEL, INDIANA 46032 15809 COLLECTIONS CENTER DRIVE CHECK NUMBER: 245724
M,�roN�. CHICAGO IL 60693 CHECK DATE: 06/03/15
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1125 4350000 313610008788 62.98 EQUIPMENT REPAIRS & M
REPUBLIC
96th Street Recycling & �� SERVICES INVOICE
TransferFMAY
` T ; Invoice Date 05/15/2015
4935 Robison Rd Invoice No 3136-100008788
Indianapolis, IN 46268 2015 Customer No 4-3136-1005000
L2RSTSDTB9 000005 � Page No 1 of 2
'I'I"I'll�ll'Ill�l��rr���'Illl�lll'1'��'��I�II"�I�III'�IIIIl1' Due Date 06/14/2015
Carmel Clay Parks & Recreation
1411 E. 116th Street Current Charges Total Amount Due
Carmel, IN 46032 '$62:98 x$62:98
Please Pay Total Amount Due
Billing Questions? Call 317-917-7300
As of 2015,your Invoice may ref,.lect a Rrice increase
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if you have;any;questions, pleasecall,317 917=7300
--�r Rafe :Coae`--x e`senpuon s.<Refe�ence7-'-Ra-t6-
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05/05 CA C&D 01939420 55.50 0.85 47.18
1 05/05 (1 ENVIRONMENTAL FEE 1 SC75754 15.00 1.00 15.00
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( 15.00/Ticket)ENVIRONMENTAL FEE 1
05/05 11 FUEL RECOVERY FEE SC75755 0.80 1.00 0.80
(1.70%/Ticket)FUEL RECOVERY FEE
Z ----Material Summary---------
z C&D 0.85
z H Total Current Charges -_
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ACCOUNT STATUS
o ;Current :31-60 Days 610;;Days Over 90 Days i Total Arrtount Due ;
m $62.98 0.00 0.00 0.00 $62.98
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•6 y Please return this portion below with your payment.Do not attach check to stub. �. J
Carmel Clay Parks & Recreation 4-3136-1005000 Page 2 of 2
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ACCOUNTS PAYABLE VOUCHER
CITY OF CARMEL
An invoice of 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.
366463 96th St Transfer and Recycling Terms
15809 Collections Center Drive
Chicago, IL 60693
Invoice Invoice Description
Date Number (or note attached invoice(s)or bill(s)) PO# Amount
5/15/15 3136100008788 Disposal of old Flowing Well benches xx2197 $ 62.98
Total $ 62.98
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
120
Clerk-Treasurer
Voucher No. Warrant No. Il
366463 96th St Transfer and Recycling Allowed 20
15809 Collections Center Drive
Chicago, IL 60693
I,
In Sum of$
$ 62.98
ON ACCOUNT OF APPROPRIATION FOR
101 -General Fund
d�
130#or INVOICE NO. ACCT#/TITL AMOUNT Board Members
Dept#
I
1125 3136100.00878a 4350000 $ 62.98 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
it
1
May 28, 2015
Signature
$ 62.98 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund
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