248637 08/25/15f � �
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CITY OF CARMEL, INDIANA VENDOR: 366463
ONE CIVIC SQUARE, 96TH STREET TRANSFER AND RECYCL�CK AMOUNT: $********57.88*
CARMEL, INDIANA 46032 15809 COLLECTIONS CENTER DRIVE CHECK NUMBER: 248637
CHICAGO IL 60693 CHECK DATE: 08/25/15
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1125 4350000 313610000906 57.88 EQUIPMENT REPAIRS & M
REPUBLIC
'96th Street Recycling & �� SERVICES INVOICE
Transfer Invoice Date 07/31/2015
4935 Robison Rd Invoice No 3136-100009064
Indianapolis, IN 46268 Customer No 4-3136-1005000
L2RSTSDTDL 000019 Page No 1 of 2
I'llllllllllrlrl'I'I'111'I"I'lllllll'lllll"IIIIIIIIIIII"I'll" Due Date 08/30/2015
' Carmel Clay Parks & Recreation
' 1411 E. 116th Street Current Charges Total Amount Due
Carmel, IN 46032 RE\,—F,1 ED
AUG 110 2015Please Pay Total Amount Due
BY: Billing Questions? Call 317-917-7300
As of.2015;your invoice may reflect.a price increase:
If you have:any questions;please call 317-917-7300 '
Da+P.-,,r—o:'.Ce ,-: Dgc_r,'ri4ti0!1,` - >-Reference=—Rate .Quantit
N _
co
07/23 CA C&D 01 943712 55.50 0.40 TN 42.00
01 07/23 (1 ENVIRONMENTAL FEE 1 SC81716 15.00 1.00 15.00
( 15.00/Ticket)ENVIRONMENTAL FEE 1
g 07/23 11 FUEL RECOVERY FEE SC81717 0.88 1.00 0.88
(2.10%/Ticket)FUEL RECOVERY FEE
Z ----------Material Summary----------
z C&D 0.40
z z
z ___________> $
Z „:>> . Charges
_:Total Current 52:88
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ACCOUNT STATUS
N Current.,.. 31-60 Days 61=66 Days,;;. Over 60:Days Total Amount_Due_'::::,
$57.88 0.00 0.00 0.00 $57.88
V
y y Please return this portion below with your payment.Do not attach check to stub. y y
`e<------------------------------------------------------------------------------------------------------------------------' .._-
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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
7/31/15 3136100009064 Dispose of Wood and brush from outdoor parks xx2596 $ 57.88
Total $ 57.88
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
120
Clerk-Treasurer
Voucher No. Warrant No.
366463 96th St Transfer and Recycling Allowed
15809 Collections Center Drive 20
Chicago, IL 60693
In Sum of$
$ 57.88
ON ACCOUNT OF APPROPRIATION FOR
101 -General Fund
PO#or
Dept# INVOICE NO. CCT#/TITL AMOUNT Board Members
1125 31361000o906 4350000 $ 57.88 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
August 20, 2015
PANPWXVU
Signature
$ 57.88 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund