248016 07/28/15 CITY OF CARMEL, INDIANA VENDOR: 366093
4 ® ONE CIVIC SQUARE REPUBLIC WASTE SERVICE-TRASH COL(:IdCCK AMOUNT: $'•"*94,002.63'
CARMEL, INDIANA 46032 ATTN:NANCY COLLINS CHECK NUMBER: 248016
832 LANGSDALE AVE CHECK DATE: 07/28/15
INDIANAPOLIS IN 46202-1150
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
601 5023990 7/10-7/23 94,002.63 OTHER EXPENSES
Republic Services
832 Langsdale Ave
Indianapolis, IN 46202-1150
ATTN: Nancy Collins
Account# 3-0761-9761020
$$$$ Collected By Carmel Utilities
July 10 to July 23 $ 96,513.38 2015 Rate
Less Administrative Fee 2015 $ (2,510.75)
10,043 Payments
Payment to Republic $ 94,002.63
Prescribed by State Board of Accounts
Form No.301 (Rev.1995) ACCOUNTS PAYABLE VOUCHER
T0"'?4PU3L1r- - 3C. G013- I�Jtvc�1 lo��t�s
ADDRESS d 3 a Lp Ay5JA1-4. 4,,1
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
. Uc-g d3 A.-C")
Signature Title
I hereby certify that the attached invoice(s), or bill(s), is (are)Irue and correct and I have audited same in accordance
with IC 5-11-10-1.6.
19 jlok
fficer Title
Voucher No. Warrant No.
ACCOUNTS PAYABLE DETAILED ACCOUNTS
MUNICIPAL WATER DEPT. ACCT.
NO.
CARMEL, INDIANA
f 05L-IL -3GG513 Favor Of tjAa.cv
B15'a L�wuSO�'-i �ui
L,\Lzt
Total Amount of Voucher $
Deductions
-/o -a voila �3
Amount of Warrant $94 Ooa ,3
Month of
I
VOUCHER RECORD Acct. i
No.
Source of SupplyI
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
�I
Total
Allowed I
Board of Control
Filed
Official Title
BOYCE FORMS•SYSTEMS 1-800-382-8702 325