246659 06/29/15 (9, )
CITY OF CARMEL, INDIANA VENDOR: 358593
ONE CIVIC SQUARE REPUBLIC WASTE SERVICES OF INDIAIIWECK AMOUNT: $*"""*"*971.97CARMEL, INDIANA 46032 PO BOX 9001099 CHECK NUMBER: 246659
LOUISVILLE KY 40290-1099 CHECK DATE: 06/29/15
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1120 4350101 2474037 450.89 TRASH COLLECTION
1091 4350101 2474095 521.08 TRASH COLLECTION
qR-AREPUBLIC
;W SERVICES CARMEL CLAY PARKS 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
A division of REPUBLIC SERVICES 01
Date Description Reference Amount
Account Summary 05/15 Payment-Thank You 245032 -$446.62
Account Number 3-0761-0036974 Current Invoice Charges
Invoice Date May 25,2015 Monon Center 1235 Central Park Dr E (11-1)CSA 6974053112
Invoice Number 0761-002474095 Carmel,IN
Previous Balance $446.62
Payments/Adjustments -$446.62 1-Front Load(4 Yd) Scheduled Service (S1)
Unpaid Balance $0.00 Date Description Reference Quantity Unit Price Amount
Current Invoice Charges $521.08 05/25 Basic Service 06/01/15-06/30/15 $105.25 $105.25
1-Front Load(10 Yd) Scheduled Service (S2)
Date Description Reference Quantity Unit Price Amount
05/25 Basic Service 06/01/15-06/30/15 $318.34 $318.34
AmountPay This 1-Front Load Recycling(6 Yd) Scheduled Service (S3) Corrugated Only
$521.08 Date Description Reference Quantity Unit Price Amount
05/25 Recycling Service 06/01/15-06/30/15 $41.82 $41.82
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Due.By: 06/14/15 1-Front Load Recycling(8 Yd) Scheduled Service (S4) Comingled
CA) Date Description Reference Quantity Unit Price Amount
-moContact Information
i 05/25 Recycling Service 06/01/15-06/30/15 $55.67 $55.67
03
Customer Service (317)977-7300 Current Invoice Charges $521.08
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CURRENT_ 80 PAYS .,•` 60 DAYS. .' .. 90+.D'AYS:' :`
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iv g Please see reverse side for terms and conditions.
CARMEL CLAY PARKS 3-0761-0036974 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 fr1anchise.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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�— 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.
358593 Republic Services#761 Terms
P.O. Box 9001099
Louisville, KY 40290-1099
Invoice Invoice Description
Date Number (or note attached invoice(s)or bill(s)) PO# Amount
5/25/15 761002474095 Trash pickup MCC Jun'15 $ 521.08
Total $ 521.08
1 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
Voucher No. Warrant No.
358593 Republic Services#761 Allowed 20
P.O. Box 9001099
Louisville, KY 40290-1099
In Sum of$
521.08
1
ON ACCOUNT OF APPROPRIATION FOR
109 Monon Center f
Po#or I Board Members
Dept# INVOICE NO. ACCT#/TITLE AMOUNT
1091 761002474095 4350101 $ 521.08 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
j received except
I
June 25, 2015
NM&MhUA)
Signature
$ 521.08 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund
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1.4 SERVICES CITY OF CARMEL FIRE DEPT Invoice
�� SERVICES
832 Langsdale Ave Managing your account is now easier than ever with the My Resource App.Free download on Page 1 of 3
Indianapolis IN 46202-115050 the App Store or Google Play.
Payments/Adjustments
Date Description Reference Amount
05/15 Payment.-Thank You 245032 -$303.18
Account Number 3-0761-0034703 Current Invoice Charges
Invoice Date May 25,2015 Fire Station 41 2 Civic Sq (1-1)CSA 002757
Invoice Number 0761-002474037 Carmel,IN
Previous Balance $303.18
Payments/Adjustments -$303.18 1-Front Load(8 Yd) Scheduled Service (S1)
Unpaid Balance $0.00 Date Description Reference Quantity Unit Price Amount
Current Invoice Charges $450.89 05/25 Basic Service 06/01/15-06/30/15 $162.83 ,$162.83
Fire Station 42.3610 W 106th St (L2)CSA 002758
Carmel,IN
1-Front Load(2 Yd) Scheduled Service (S3)
• Date Description Reference Quantity Unit Price Amount
$450.89 05/25 Basic Service 06/01/15-06/30/15 $60.00 $60.00
N Fire Station 43 3242 E 106th St (L3)CSA 002759
Due By: 06/14/15 Carmel,IN
• • • 1-Front Load(2 Yd) On Call Service (S1)
v Customer Service (317)917-7300 Date Description Reference Quantity Unit Price Amount
0 05/21 Container Removal Craig/Sales 1.0000 $100.00 $100.00
0 Receipt Number 29738
t 05/25 Basic Service 05/20/15-06/30/15 1.0000 $37.50 -$52.29
z 05/25 Basic Service 06/01/15-06/30/15 $37.50 $37.50
zImportant InformationFire Station 44 5032 E 131st St (L4)CSA 002760
z Effective 4116/2012:SERVICE INTERRUPTION Carmel,IN
z POLICY CHANGE All accounts with a balance over 60
days will experience a service interruption unless prior
z arrangements are made. 1-Front Load(4 Yd) On Call Service (S3)
z
z Date Description Reference Quantity Unit Price Amount
z 05/04 Container Removal Craig/Sales 1.0000 $100.00 $100.00
z Receipt Number 15491
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Fire Station 46 540 W 136th St (1-6)CSA 002762
o Carmel,IN
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1-Front Load(3 Yd) Scheduled Service (S5)
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"' .1CURRENT:�` . 30iDAYS. :�'.r. >. 60:DAYS�.�' ,.� �.,."7,,'7,.'.90+,DAYS:: .
N Manage your account online 24/7, 450.89 0.00 0.00 0.00
9 on any device with My Resource. A A . With M Resource you can schedule a pickup, a
My y p' p pay your bill and discover new services-all with a
a Visit republiconline.com touch of a button.Visit republiconline.com to get started.
to get started. . Please see reverse side for terms and conditions.
CITY OF CARMEL FIRE DEPT 3-0761-0034703 Page 2 of 3
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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Page 3 of 3
CITY OF CARMEL FIRE DEPT Republic Services#761
REpVBt.l�i Account Number 3-0761-0034703 832 Langsdale Ave
SERVICES Invoice Date May 25,2015 Indianapolis IN 46202-115050
Invoice Number 0761-002474037
Current Invoice Charges
Date Description Reference Quantity Unit Price Amount
05/25 Basic Service 06/01/15-06/30/15 $42.85 $42.85
Current Invoice Charges $450.89
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VOUCHER NO. WARRANT NO.
ALLOWED 20
Republic Services
IN SUM OF$
P.O. Box 9001099
Louisville, KY 40290-1099
$450.89
ON ACCOUNT OF APPROPRIATION FOR
Carmel Fire Department
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
1120 0761-002474037 43-501.01 $450.89 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
SUN 2 9 2U15
Fire Chief
Title
i
Cost distribution ledger classification if
claim paid motor vehicle highway fund
I
i
Prescribed by State Board of Accounts City Form No.201(Rev.1995)
i
i 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))
0761-002474037 $450.89
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