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Home My WebLink About248015 07/28/15 +u�.CANM �, CITY OF CARMEL, INDIANA VENDOR: 358593 ONE CIVIC SQUARE REPUBLIC WASTE SERVICES OF INDIAWHECK AMOUNT: $•""'1,996.59• �; CARMEL, INDIANA 46032 PO Box 9001099 CHECK NUMBER: 248015 •,,,._._:� LOUISVILLE KY 40290.1099 CHECK DATE: 07/28/15 ��ON� DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 651 5023990 2519307 419.09 OTHER EXPENSES 651 5023990 2521183 1,577.50 OTHER EXPENSES �4�REPUBLIC c CARMEL UTILITIES WWTP Invoice I 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 • 06/19 Payment-Thank You 246158 -$319.09 Aciotint Number 3-0761-0058847 Current Invoice Charges Invoice Date dune 30,2015 Carmel Utilities Wwtp 9609 Hazel Dell Pkwy (1-1)CSA 002915 Invoice Number 0761-002519307 Indianapolis,IN Previous Balance $319.09 Payments/Adjustments -$319.09 1-Rolloff(30 Yd) On Call Service (S3) Unpaid Balance $0.00 Date Description Reference Quantity Unit Price Amount Current Invoice Charges $419.09 06/11 Container Delivery Jeff Cooper 1.0000 $100.00 $100.00 Receipt Number 43233 06/25 Basic-Service Jeff 1.0000 $319.09 $319.09 Receipt Number 51672 Current Invoice Charges $419.09 $419.09 gDue By: 07/20/15 I - , rn Customer Service (317)917-7300 _o an N CA CAZ Z • • • • Z Z Z Effective 4/1612012:SERVICE INTERRUPTION Z POLICY CHANGE All accounts with a balance over 60 Z days will experience a service interruption unless prior Z arrangements are made. _. .. . Z Z Z Z Z 0 o_ 0 0 0 N f0 V CURRENT 30 DAYS. 60 DAYS :.:90�"DAYS. " , w Manage your account online 24/7, 419.09 0.00 0.00 0.00 Ton any device With My Resource. D A . With My Resource you can schedule a pickup,pay your bill and discover new services-all with 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. CARMEL UTILITIES WWTP 3-0761-0058847 Page 2of2 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 When we use information from your check to make an electronic fund transfer, funds may be withdrawn from your account as soon as the same day we receive your payment and you will not receive your check back from your financial institution.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.orA 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 Q? V N 0000 000986 VOUCHER # 155932 WARRANT # ALLOWED 358593 IN SUM OF $ REPUBLIC WASTE SERVICES OF INDI PO BOX 9001099 LOUISVILLE, KY 40290-1099 Carmel Wastewater Utility �l ON ACCOUNT OF APPROPRIATION FOR j 1 I Board members PO# INV# ACCT# AMOUNT Audit Trail Code 07610025193 01-7362-05 $419.09 I l �I I i �I Voucher Total $419.09 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 7/21/2015 Invoice Invoice Description Date Number (or note attached invoice(s) or bill(s)) Amount 7/21/2015 0761002519: $419.09 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 Date Officer REPUBLIC SERVICES CARMEL UTILITIES HHW 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 06/19 Payment-Thank You 246158 -$1,262.00 Account Number 3-0761-1163292 Current Invoice Charges Invoice Date dune 30,2015 Carmel Utilities Hhw 901 N Rangeline Rd (L1)CSA 3292121010 Invoice Number 0761-002521183 Carmel,IN Previous Balance $1,262.00 Payments/Adjustments -$1,262.00 1-Hooklift(30 Yd) Scheduled Service (S1) Comingled Unpaid Balance $0.00 Date Description Reference Quantity Unit Price Amount Current Invoice Charges $1,577.50 06/04 Basic Service 1.0000 $157.75 $157.75 Receipt Number 69690 06/11 Basic Service 1.0000 $157.75 $157.75 Receipt Number 69690 Pay This Amount 06/18_Basic Service 1.0000 $157.75 $157.75 Receipt Number 69690 -$1,577.50 06/25 Basic.Service 1.0000 $157.75 $157.75 Receipt Number 69690 N 70 Due By: 07/20/15 1-Recycle Rolloff(30yd) Scheduled Service (S3) Comingled Information Date Description Reference Quantity Unit Price Amount 0 Contact 06/02 Basic Service 1.0000 $157.75 $157.75 L Customer service (317)917-7300 Receipt Number 48393 0 06/09 Basic Service 1.0000 $157.75 $157.75 o Receipt Number 48393 06/16 Basic Service 1.0000 $157.75 $157.75 z Receipt Number 48393 z 06/18 Basic Service 1.0000 $157.75 $157.75 z z Effective 4/16/2012:SERVICE INTERRUPTION Receipt Number 48393 POLICY CHANGE All accounts with a balance over 60 z days will experience a service interruption unless prior 06!23 Basic Service 1.0000 $157.75 $157.75 z arrangements are made. Receipt Number 48393 z z 06/30 Basic Service 1.0000 $157.75 $157.75 z Receipt Number 48393 z oCurrent Invoice Charges $1,577.50 0 0 0 m A N CURRENT. 30.DAYS 60 DAYS. 90+iDAYS: ` '' w Manage your account online 24/7, 1,577.50 0.00 0.00 0.00 41 on any device with My Resource. D A . With My Resource you can schedule a pickup,pay your bill and discover new services-all with a' Visit republiconline.com touch of a button.Visit republiconline.com to get started. t0 get started. . Please see reverse side for terms and conditions. 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.electronicpavments.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. 0 A W ODDD 000986 VOUCHER # 155983 WARRANT # ALLOWED 358593 IN SUM OF $ REPUBLIC WASTE SERVICES OF IND[ PO BOX 9001099 LOUISVILLE, KY 40290-1099 Carmel Wastewater Utility ON ACCOUNT OF APPROPRIATION FOR Board members PO# INV# ACCT# AMOUNT Audit Trail Code 07610025211 01-736H-08 $1,577.50 Voucher Total $1,577.50 Cost distribution ledger classification if claim paid under vehicle highway fund Prescribed by State Board of Accounts City Form No.201 (Rev 1995) 4 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 7/23/2015 Invoice Invoice Description Date Number (or note attached invoice(s) or bill(s)) Amount 7/23/2015 0761002521' $1,577.50 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 7 12-7�S Com-•� fv .i Date Officer