HomeMy WebLinkAbout249007 08/26/15 �,
`� CITY OF CARMEL, INDIANA VENDOR: 358593
® 1 ONE CIVIC SQUARE REPUBLIC WASTE SERVICES OF INDIAN7�1-IECK AMOUNT: $'""*1,503.91"
,. CAA ?4 CARMEL, INDIANA 46032 PO BOX 9001099 CHECK NUMBER: 249007
9M��ON L-0` LOUISVILLE KY 40290-1099 CHECK DATE: 08/26/15
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1207 4350101 32102 2553632 366.55 TRASH COLLECTION
651 5023990 2555667 1,137.36 OTHER EXPENSES
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REPUBLIC CITY OF CARMEL BROOKSHIRE GOLF Invoice
SERVICESngsdale Ave Managing your account is now easier than ever with the My Resource App. Free download on Page 1 of 2
polis IN 46202-115050 the App Store or Google Play.
Payments/Adjustments
A clivisiorv6f REPUBLIC SERVICES
Date Description Reference Amount
Acc
07/23 Payment-Thank You 247455 -$366.55
•
Account Number 3-0761-0035460 Current Invoice Charges
Invoice Date July 31,2015 Brookshire Golf Course Ro/Fl 12120 Brookshire Pkwy (11_1)CSA 002765
Invoice Number 0761-002553632 Carmel,IN
Previous Balance $366.55
Payments/Adjustments -$366.55 1 -Front Load(8 Yd) Scheduled Service (S1)
Unpaid Balance $0.00 Date Description Reference Quantity Unit Price Amount
Current Invoice Charges $366.55 07/31 Basic Service 08/01/15-08/31/15 $190.55 $190.55
Brookshire Golf Course Pt 12120 Brookshire Pkwy (L2)
Carmel,IN
2-Portable Unit Scheduled Service (S3)
• Date Description Reference Quantity Unit Price Amount
$366.55 07'31 Portable Service 07/01/15-07/31/15 $176.00 $176.00
N Current Invoice Charges $366.55
n Due By: 08/20/15
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Zontact Information
< Customer Service (317)917-7300
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Z Important
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Z Your next Invoice may reflect a rate adjustment,if you
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Z have any questions after receiving your next invoice
Z please contact us
Z
Z Effective 411612012 SERVICE INTERRUPTION
Z POLICY CHANGE All accounts with a balance over 60
Z days will experience a service interruption unless prior
Z
Z arrangements are made
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CURRENT 30 DAYS::. 60 DAYS 90+DAYS
^' Manage your account online 241', 366.55 0.00 0.00 0.00
on an device with M Resource.
C1, y y 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.
CITY OF CARMEL BROOKSHIRE GOLF 3-0761-0035460 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.electronicpayments.org 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.
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0000 000986
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 service rendered, by
whom, rates per day, number of hours, rate per hour, number of units, price per unit, etc.
Payee
Purchase Order No.
Terms
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
07/31/15 10761-002553632 I Trash Collection I $366.55
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
20
Clerk-Treasurer
VOUCHER NO. WARRANT NO.
ALLOWED 20
Republic Services#761
IN SUM OF $
P. O. Box 9001099
Louisville, KY 40290-1099
$366.55
ON ACCOUNT OF APPROPRIATION FOR
Brookshire Golf Club
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
r
32102 1 0761-0025536321 43-501.01 1 $366.55 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
Monday, August 10, 2015
Director, Brooks e Golf Club
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund
I I
REPUBLICICESCARMEL UTILITIES HHW Invoice
SERVICES
8321-angsdale Ave Managing your account is now easier than ever with the My Resource App. Free download on Pagel of 2
Indianapolis IN 46202-115050 the App Store or Google Play.
Payments/Adjustments
A division of REPUBLIC SERVICES
Date Description Reference Amount
Acc
07/31 Payment-Thank You 248015 -$1,577.50
•
Account Number 3-0761-1163292 Current Invoice Charges
Invoice Date July 31,2015 Carmel Utilities Hhw 901 N Rangeline Rd (L1)CSA 3292121010
Invoice Number 0761-002555667 Carmel,IN
Previous Balance $1,577.50
Payments/Adjustments -$1,577.50 1 -Hooklift(30 Yd) Scheduled Service (S1) Comingled
Unpaid Balance $0.00 Date Description Reference Quantity Unit Price Amount
Current Invoice Charges $1,137.36 07/03 Basic Service 1.0000 $162.48 $162.48
Receipt Number 57739
07/09 Basic Service 1.0000 $162.48 $162.48
Receipt Number 69690
07/14 Basic Service 1.0000 $162.48 $162.48
Amount'Pa' y This Receipt Number 69690
$1,137.36 07/21 Basic Service 1.0000 $162.48 $162.48
Receipt Number 69690
n Due By: 08/20/15 07/23 Basic Service 1.0000 $162.48 $162.48
y 1. 1 Receipt Number 69690
co ° ° ° 1 -Recycle Rolloff(30yd) Scheduled Service (S3) Comingled
< Customer Service (317)917-7300 Date Description Reference Quantity Unit Price Amount
$ 07/14 Basic Service 1.0000 $162.48 $162.48
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m Receipt Number 48393
ca
07/28 Basic Service 1.0000 $162.48 $162.48
z Receipt Number 48393
z Irbportant Information
zCurrent Invoice Charges $1,137.36
z Effective 4/16,12012 SERVICE INTERRUPTION
z POLICY CHANGE All accounts with a balance over 60
z days will experience a service interruption unless prior
zarrangements are made
z
z
z
z
z
0
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0
0
0
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v
tO CURRENT 30 DAYS 60 DAYS 90+DAYS
Manage your account online 24/7,
1,137.36 0.00 0.00 0.00
on an device with M Resource.
LinY Y D A . With My Resource you can schedule a pickup,pay your Will 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 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.electronicpayments.org 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
00
0
0
O()M 000986
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 8/20/2015
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
8/20/2015 0761002555E $1,137.36
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
-- )I,/
Date fficer
VOUCHER # 156146 WARRANT # ! ALLOWED
358593 IN SUM OF $
REPUBLIC WASTE SERVICES OF INDI
PO BOX 9001099
LOUISVILLE, KY 40290-1099
Carmel Wastewater Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO# INV# ACCT# AMOUNT Audit Trail Code
07610025556 01-736H-08 $1,137.36
Voucher Total $1,137.36
Cost distribution ledger classification if
claim paid under vehicle highway fund