247120 07/13/15 -
'4� CITY OF CARMEL, INDIANA VENDOR: 366093
ONE CIVIC SQUARE REPUBLIC WASTE SERVICE-TRASH COL(ZHECK AMOUNT: $****98,239.71*
CARMEL, INDIANA 46032 ATTN:NANCY COLLINS CHECK NUMBER: 247120
832 LANGSDALE AVE CHECK DATE: 07/13/15
INDIANAPOLIS IN 46202-1150
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
601 5023990 6/27-7/9 981239.71 3-0761-9761020
Republic Services
832 Langsdale Ave
Indianapolis, IN 46202-1150
ATTN: Nancy Collins
Account# 3-0761-9761020
$$$$ Collected By Carmel Utilities
June 27 to July 9 $ 130.76 2014 Rate
Less Administrative Fee 2014 $ (3.50)
14 Payments
June 27 to July 9 $ 98,684.70 2015 Rate
Less Administrative Fee 2015 $ (2,567.25)
10,269 Payments
Overage Stickers (600 @ $2.50) $ 1,500.00
Cart Deliveries $ 495.00
Payment to Republic $ 98,239.71
Prescribed by State Board of Accounts
Form No.301 (Rev.1995) ACCOUNTS PAYAP-,LE VOUCHER •f _
TO a�D l_f C-',�L�r'a d g 3 I VJ UC Y
ADDRESS �3r� LAt�IGSppLc Q,� �l..4V 1 �� �((,doa-//��
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
31)L14 I ao,s-
Signature Title
I hereby certify that the attached invoice(s), or bill(s), is (are)true and orrect and I have audited same in accordance
with IC 5-11-10-1.6.
19
icer Title
Voucher No. Warrant No.
ACCOUNTS PAYABLE DETAILED ACCOUNTS
MUNICIPAL WATER DEPT. i ACCT.
i N0.
CARMEL, INDIANA I
I jj3V6L,c• Li(aOS Favor Of u,/ °'s
(_/si.ku50/1k_i A"t
ANAN) -'s -_r r_,L(Lvaoa-,f ,v
Total Amount of Voucher $
Deductions
7- 39 l
Amount of Warrant
Month of
Acct.
VOUCHER RECORD 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
Customers Deposits
Total
Allowed
Board of Control I
Filed
Official Title
I
ROYCE FORMS•SYSTEMS 1-800-382.8702 325