249008 08/26/15 i
u!C,gMR
CITY OF CARMEL, INDIANA VENDOR: 366093
b it ONE CIVIC SQUARE REPUBLIC WASTE SERVICE-TRASH COLftldECK AMOUNT: $***100,386.08*
CARMEL, INDIANA 46032 ATTN:NANCY COLLINS CHECK NUMBER: 249008
832 LANGSDALE AVE CHECK DATE: 08/26/15
INDIANAPOLIS IN 46202-1150
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
601 5023990 8/8-8/21 100,386.08 OTHER EXPENSES
Republic Services
832 Langsdale Ave
Indianapolis, IN 46202-1150
ATTN: Nancy Collins
Account# 3-0761-9761020
$$$$ Collected By Carmel Utilities
Aug 8 to Aug 21 $100,485.08 2015 Rate
Less Administrative Fee 2015 $ (2,614.00)
10,456 Payments
Overage Stickers (1000 @ $2.00) $ 2,000.00
Cart Deliveries $ 515.00
Payment to Republic $100,386.08
Prescribed by State Board of Accounts
Form No.301(Rev.1995) ACCOUNTS PAYAB,E VOUCHER
aOt)�'c- 3(oCa�93— ��A��cy C���tis
TO _
ADDRESS
Invoice Date Invoice Number Item Amount
L/ ( 2 a-s r-4 4--U N a i oo, 38u. o
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
Signature Title
I hereby certify that the attached invoice(s), or bill(s), is (are) tru and orrect and I have audited same in accordance
with IC 5-11-10-1.6.
19
Officer Title
Voucher No. Warrant No.
ACCOUNTS PAYABLE DETAILED ACCOUNTS
MUNICIPAL WATER DEPT. ANO.
NO.
CARMEL, INDIANA
fPuouc-306#053 Favor Of 11n.,cr o�� NS
f33a (1,'.c,soAtii A�
Total Amount of Voucher $
Deductions
Amount of Warrant $100,3OS
Month of I'VE
VOUCHER RECORD Acct.
No.
Source of Supply
Water Treatment
Transmission and Dist.
Customer Accounts
Administrative and General
Ope ration-Maintenance
Utility Plant in Service
Constr.Work in Progress
Materials and Supplies
Customers Deposits
Total
Allowed
Board of Control
Filed
Official Title
BOYCE FORMS•SYSTEMS 1-800-382-8702 325