HomeMy WebLinkAbout249409 09/09/15 *f CITY OF CARMEL, INDIANA VENDOR: 358593
® tl ONE CIVIC SQUARE REPUBLIC WASTE SERVICES OF INDIANWECK AMOUNT: S"'""5,667.86"
�. ,= CARMEL, INDIANA 46032 PO BOX 9001099 CHECK NUMBER: 249409
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DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1110 4350101 2578468 165.00 TRASH COLLECTION
1120 4350101 2578469 165.69 TRASH COLLECTION
1205 4350101 2578470 140.33 TRASH COLLECTION
1115 4350101 2578471 43.90 TRASH COLLECTION
2201 4350100 2578472 171.40 BUILDING REPAIRS & MA
1091 4350101 2578526 823.93 TRASH COLLECTION
601 5023990 2579058 82.59 OTHER EXPENSES
601 5023990 2579062 73.13 OTHER EXPENSES
601 5023990 2579121 298.20 OTHER EXPENSES
1125 4350101 2579763 75.00 TRASH COLLECTION
1125 4350101 2583813 150.00 TRASH COLLECTION
651 5023990 2583815 267.56 OTHER EXPENSES
651 5023990 2583816 3,211.13 OTHER EXPENSES
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SERVICES
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Indianapolis IN 46202-115050 the App Store or Google Play.
Payments/Adjustments
division of REPUBLIC SERVICES.
Date Description Reference Amount
08/21 Payment-Thank You 248503 -$171.40
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Account Number 3-0761-0034751 Current Invoice Charges
Invoice Date August 25,2015 Street Department 3400 W 131st St (1-1)CSA 002764
Invoice Number 0761-002578472 Carmel,IN
Previous Balance $171.40
Payments/Adjustments -$171.40 2-Front Load(4 Yd) Scheduled Service (S1)
Unpaid Balance $0.00 Date Description Reference Quantity Unit Price Amount
Current Invoice Charges $171.40 08/25 Basic Service 09/01/15-09/30/15 $171.40 $171.40
Current Invoice Charges $171.40
AmountPay This
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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))
08/25/15 0761-002578472 $171.40
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
IN SUM OF $
PO Box 9001099
Louisville, KY 40290-1099
$171.40
ON ACCOUNT OF APPROPRIATION FOR
Carmel Street Department
PO#/Dept. INVOICE NO. I ACCT#/TITLE I AMOUNT Board Members
2201 10761-002578472 I 43-501.00j $171.40 1 hereby certify that the attached invoice(s), or
bill(s) is (are) true and correct and that the
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SERVICES CARMEL WASTWATER UTILITY 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
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Date Description Reference Amount
'Account Summary - 08/21 Payment-Thank You 248503 -$646.05
Account Number 3-0761-141]2015
Current Invoice Charges
Invoice Date August 25, Carmel Utilities 9609 Hazel Dell Pkwy (L1)
Invoice Number 0761-00258Carmel,IN
Previous Balance $6Payments/Adjustments -$6 14-Front Load(2 Yd) Scheduled Service (S1)
Unpaid Balance Date Description Reference uantit Unit Price Amount
Current Invoice Charges $3,2 08/25 Basic Service 09/01/15-09/30/15 $727.00 $727.00
1 -Rolloff(30 Yd) On Call Service (S2) Special Waste
Date Description Reference Quantity Unit Price Amount
07/23 Disposal/Recycling 959456 19.1200Tons $549.32
AmountPal This Receipt Number 68842
07/23 Basic Service Duane 1.0000 $303.24 $303.24
$3,211.13 Receipt Number 68842
N 07/28 Disposal/Recycling 959791 19.2700Tons $553.63
X Due By: 09/14i'i5 Receipt Number 71832
n 07/28 Basic Service Jeff 1.0000 $303.24 $303.24
.,,,,Contact Information
Receipt Number 71832
Customer Service (317)917-7300 08/03 Disposal/Recycling 960269 16.4100Tons $471.46
Receipt Number 75062
04 08/03 Basic Service Jeff/Levi 1.0000 $303.24 $303.24
Receipt Number 75062
Z Important InformationCurrent Invoice Charges $3,211.13
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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 9/1/2015
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
9/1/2015 0761-002583 $3,211.13
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
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Date Officer
VOUCHER # 156196 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
0761-0025831 01-7360-02 $2,484.13
0761-002583£ 01-7362-05 $727.00
Voucher Total $3,211.13
Cost distribution ledger classification if
claim paid under vehicle highway fund
7Langsdale
UBLICCITY OF CARMEL UTILITIES Invoice
HVlCES83Ave Managing your account is now easier than ever with the My Resource App. Free download onPage 1 of 2
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Payments/Adjustments
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Date Description Reference Amount
08/21 Payment-Thank You 248503 -$73.13
Account Number 3-0761-0060187 Current Invoice Charges
Invoice Date August 25,2015 Water District Plant 3450 W 131st St (1-1)CSA 2752
Invoice Number 0761-002579062 Carmel,IN
Previous Balance $73.13
Payments/Adjustments -$73.13 1 -Front Load(6 Yd) Scheduled Service (S1)
Unpaid Balance $0.00 Date Description Reference Quantity Unit Price Amount
Current Invoice Charges $73.13 08/25 Basic Service 09/01/15-09/30/15 $73.13 $73.13
Current Invoice Charges $73.13
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VICES
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Date Description Reference Amount
• 08/21 Payment-Thank You 248503 -$82.59
Account Number 3-0761-0059974 Current Invoice Charges
Invoice Date August 25,2015 City Of Carmel Utilities 5484 E 126th St (L1)CSA 2753
Invoice Number 0761-002579058 Carmel,IN
Previous Balance $82.59
Payments/Adjustments -$82.59 1 -Front Load(6 Yd) Scheduled Service (S1)
Unpaid Balance $0.00 Date Description Reference QuantityUnit Price Amount
Current Invoice Charges $82.59 08/25 Basic Service 09/01/15-09/30/15 $82.59 $82.59
Current Invoice Charges $82.59
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X44 REPUBLIC SERVICES CARMEL UTILITIES Invoice
832 Langsdale 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
Date Description Reference Amount
08/21 Payment-Thank You 248503 -$116.39
Account Number , 3-0761-0062694 Current Invoice Charges
Invoice Date August 25,2015 Water Plant 1 4915 E 106th St (L1)CSA 5387
Invoice Number 0761-002579121 Carmel,IN
Previous Balance $116.39
Payments/Adjustments -$116.39 1 -Front Load(8 Yd) Scheduled Service (S3)
Unpaid Balance $0.00 Date Description Reference Quantity Unit Price Amount
Current Invoice Charges $298.20 07/31 Non-Scheduled Service Jaimie 1.0000 $83.00 $83.00
Receipt Number 74410
08/25 Basic Service 09/01/15-09/30/15 $116.39 $116.39
1 -Front Load Recycling(4 Yd) Scheduled Service (S4) Comingled
•ay • Date Description Reference Quantity Unit Price Amount
08/24 Container Delivery Craig/Sales 1.0000 $50.00 $50.00
$298.20 Receipt Number 87241
N 08/25 Recycling Service 08/20/15-09/30/15 1.0000 $35.00 $48.81
nDue By: 09/14/15
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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 SERVICES#761 Purchase Order No.
PO BOX 9001099 Terms
LOUISVILLE, KY 40290-1099 Due Date 8/31/2015
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
8/31/2015 2579062 $73.13
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
Date Officer
VOUCHER # 152928 WARRANT# ALLOWED
358593 IN SUM OF $
REPUBLIC SERVICES #761
PO BOX 9001099
LOUISVILLE, KY 40290-1099
Carmel Water Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO# INV# ACCT# AMOUNT Audit Trail Code
2579062 01-6360-06 $73.13
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UBLIC CITY OF CARMEL Invoice
VICES
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46202-115050 the App Store or Google Play.
Payments/Adjustments
Adivision of REPUBLIC SERVICES
Date Description Reference Amount
Acc
•unt 08/21 Payment-Thank You 248503 -$43.90 Summary
Account Number 3-0761-0034749 Current Invoice Charges
Invoice Date August 25,2015 Communications Department 31 1st Ave NW (1-1)CSA 002772
Invoice Number 0761-002578471 Carmel,IN
Previous Balance $43.90
Payments/Adjustments -$43.90 1 -Front Load(4 Yd) Scheduled Service (S4)
Unpaid Balance $0.00 Date Description Reference Quantity Unit Price Amount
Current Invoice Charges $43.90 08/25 Basic Service 09/01/15-09/30/15 $43.90 $43.90
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iv t0 get started. Please see reverse side for terms and conditions.
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 Date Invoice# Description Amount
Dept. Fund# (or note attached invoice(s) or bill(s))
08/25/15 1 0761-002578471 I I $43.90
1115 101
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
, 20
Clerk-Treasurer
VOUCHER NO. WARRANT NO.
ALLOWED 20
REPUBLIC WASTE SERVICES OF INDIANA
PO BOX 9001099 IN SUM OF $
LOUISVILLE KY 40290-1099
$43.90
ON ACCOUNT OF APPROPRIATION FOR
PO#/Dept. INVOICE NO. I ACCT#/Fund AMOUNT Board Members
0761-002578471 I 43-501.01 I $43.90 1 hereby certify that the attached invoice(s), or
1115 101
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
Tuesday, September 01, 2015
6,
Terry r ck tt, Director
Cost distribution ledger classification if
claim paid motor vehicle highway fund
REPUBLIC
SERVIWCESCESCITY OF CARMEL Invoice
832 Langsdale 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
Date Description Reference Amount
08/21 Payment-Thank You 248503 -$140.33
Account Number , 3-0761-0034742 Current Invoice Charges
Invoice Date August 25,2015 City Hall 1 Civic Scl (L1)CSA 002763
Invoice Number 0761-002578470 Carmel,IN
Previous Balance $140.33
Payments/Adjustments -$140.33 1 -Front Load(6 Yd) Scheduled Service (S1)
Unpaid Balance $0.00 Date Description Reference Quantity Unit Price Amount
Current Invoice Charges $140.33 08/25 Basic Service 09/01/15-09/30/15 $140.33 $140.33
Current Invoice Charges $140.33
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to et started.
iv g . Please see reverse side for terms and conditions.
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))
08/25/15 0761-002578470 $140.33
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
20
Clerk-Treasurer
VOUCHER NO. WARRANT NO.
ALLOWED 20
Republic Services #761
IN SUM OF $
PO Box 9001099
Louisville, KY 40290-1099
$140.33
ON ACCOUNT OF APPROPRIATION FOR
Administration Department
PO#/Dept. INVOICE NO. I ACCT#/TITLE AMOUNT Board Members
1205 1 0761-0025784701 43-501.01 1 $140.33 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
Wednesday, September 02, 2015
Director, Administra ion
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund
�a�REPUBLIC
SERVICES CITY OF CARMEL FIRE DEPT 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
08/21 Payment-Thank You 248503 -$265.68
Account Number 3-0761-0034703 Current Invoice Charges
Invoice Date August 25,2015 Fire Station 41 2 Civic Sq (L1)CSA 002757
Invoice Number 0761-002578469 Carmel,IN
Previous Balance $165.69
Payments/Adjustments -$265.68 1 -Front Load(8 Yd) Scheduled Service (S1)
Unpaid Balance -$99.99 Date Description Reference Quantity Unit Price Amount
Current Invoice Charges $265.68 08/25 Basic Service 09/01/15-09/30/15 $162.83 $162.83
Fire Station 42 3610 W 106th St (L2)CSA 002758
Carmel,IN
1 -Front Load(2 Yd) Scheduled Service (S3)
• Date Description Reference Quantity Unit Price Amount
$165.69 08/25 Basic Service 09/01/15-09/30/15 $60.00 $60.00
N Fire Station 46 540 W 136th St (L6)CSA 002762
Due By: 09/14/15 Carmel,IN
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Date Description Reference Quantity Unit Price Amount
0 08/25 Basic Service 09/01/15-09/30/15 $42.85 $42.85
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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))
0761-002578469 $165.69
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
20
Clerk-Treasurer
VOUCHER NO. WARRANT NO.
ALLOWED 20
Republic Services
IN SUM OF $
P.O. Box 9001099
Louisville, KY 40290-1099
$165.69
ON ACCOUNT OF APPROPRIATION FOR
Carmel Fire Department
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
1120 0761-002578469 43-501.01 $165.69 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
SEP - 4 2095
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Fire Chief
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund
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REPUBLIC
ICES
SERVICES CITY OF CARMEL POLICE 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
ivisior�of:qEPUBLIC SERVICES
Date Description Reference Amount
08/21 Payment-Thank You 248503 -$165.00
Account Number 3-0761-0034698 Current Invoice Charges
Invoice Date August 25,2015 Police Firing Range 9609 Hazel Dell Pkwy (1-1)CSA 002755
Invoice Number 0761-002578468 Carmel;IN
Previous Balance $165.00
Payments/Adjustments -$165.00 1 -Front Load(8 Yd) Scheduled Service (S4)
Unpaid Balance $0.00 Date Description Reference Quantity Unit Price Amount
Current Invoice Charges $165.00 08/25 Basic Service 09/01/15-09/30/15 $82.50 $82.50
Police Headquarters 3 Civic Sq (L2)CSA 002756
Carmel,IN
1-Front Load(8 Yd) Scheduled Service (S1)
• Date Description Reference Quantity Unit Price Amount
$165.00 08/25 Basic Service 09/01/15-09/30/15 $82.50 $82.50
N Current Invoice Charges $165.00
D Due By: 09/14/15
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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))
08/25/15 0761-002578468 monthly payment $165.00
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
20
Clerk-Treasurer
VOUCHER NO. WARRANT NO.
ALLOWED 20
Republic Services #761
IN SUM OF $
P.O. Box 9001099
Louisville, KY 40290-1099
$165.00
ON ACCOUNT OF APPROPRIATION FOR
Carmel Police Department
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
1110 1 0761-0025784681 43-501.01 1 $165.00 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
Wednesday, S ptember 02, 2015
Chief of Police
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund
REPUBLIC
SERVICES CARMEL CLAY PARKS
Invoice
832 Langsdale 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
Date Description Reference Amount
08/21 Payment-Thank You 248503 -$75.00
Account Number 3-0761-00786. Current Invoice Charges _
Invoice Date August 25,2015 Founders Park 11675 Hazel Dell Pkwy (L1)
Invoice Number 0761-002579763 Carmel,IN
Previous Balance $75.00
Payments/Adjustments -$75.00 1-Front Load(4 Yd) Scheduled Service (S1)
Unpaid Balance $0.00 Date Description Reference Quantity Unit Price Amount
Current Invoice Charges $75.00 08/25 Basic Service 09/01/15-09/30/15 $45.00 $45.00
1-Front Load Recycling(4 Yd) Scheduled Service (S2) Corrugated Only
Date Description Reference Quantity Unit Price Amount
08/25 Recycling Service 09/01/15-09/30/15 $30.00 $30.00
' • Current Invoice Charges $75.00
$75.00
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Z Effective 4/16/2012 SERVICE INTERRUPTION
Z POLICY CHANGE All accounts with a balance over 60
Z
Z days will experience a service interruption unless prior
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%ROTUBLIC
VICES CARMEL CLAY PARK'S SEP � 3 2015 Invoice
ve Managing your account is now easier than ever with the My Resource App. Free download on Page 1 of 2
46202-115050 the App Store or Google Play. = -_
Payments/Adjustments
A division of REPUBLIC SERVICES:
111- 1 Date Description Reference Amount
Ac"C•unt Summary 07/27 Inv#002552325 Dated 07/27/15 $15.00
Re:Service Interrupt Fee
Account Number 3-0761-1410948 08/06 Inv#000552582 Dated 07/27/15 -$15.00
Invoice Date August 25,2015 Re:Service Interrupt Fee
Invoice Number 0761-002583813 08/21 Payment-Thank You 248503 -$150.00
Previous Balance $278.08 08/07 Inv#002479303 Dated 05/25/15 -$10.63
Payments/Adjustments -$278.08 For Site 00001 Service Group 01
Unpaid Balance $0.00 Re: Basic Service
Current Invoice Charges $150.00 08/18 Inv#002479303 Dated 05/25/15 -$117.45
For Site 00001 Service Group 01
Re:Basic Service
unt Current Invoice Charges
•ay • Carmel Clay Park's 1411 E 116th St (L1)CSA 94811711
$150.00 Carmel,IN
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Due 13y: 09/14/15 2-Front Load(8 Yd) Scheduled Service (S1)
D DateDescription Reference Quantity Unit Price Amount
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08/25 Basic Service 09/01/15-09/30/15 $150.00 $150.00
XCustomer Service (317)917-7300 Current Invoice Charges $150.00
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Z Important
Z
ZEffective 4/16/2012 SERVICE INTERRUPTION
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Z POLICY CHANGE All accounts with a balance over 60
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REPUBLIC
SERVICES CARMEL CLAY PARKS 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
08/21 Payment-Thank You 248503 -$750.93
Account Number 13-0761-0036974 Current Invoice Charges
Invoice Date August 25,2015 Monon Center 1235 Central Park Dr E (L1)CSA 6974053112
Invoice Number 0761-002578526 Carmel,IN
Previous Balance $750.93
Payments/Adjustments -$750.93 1 -Front Load(4 Yd) Scheduled Service (S1)
Unpaid Balance $0.00 Date Description Reference QuantityUnit Price Amount
Current Invoice Charges $823.93 08/25 Basic Service 09/01/15-09/30/15 $84.13 $84.13
1 -Front Load(10 Yd) Scheduled Service (S2)
Date Description Reference Quantity Unit Price Amount
08/25 Basic Service 09/01/15-09/30/15 $569.31 $569.31
• 1 -Front Load Recycling(6 Yd) Scheduled Service (S3) Corrugated Only
823.93 Date Description Reference Quantity Unit Price Amount
07/28 Non-Scheduled Service Ashley/Sales 1.0000 $73.00 $73.00
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Due By:D 09/14/15 Receipt Number 71430
D 08/25 Recycling Service 09/01/15-09/30/15 $41.82 $41.82
• • • 1 -Front Load Recycling(8 Yd) Scheduled Service (S4) Comingled
Customer Service (317)917-7300 Date Description Reference Quantity Unit Price Amount
N 08/25 Recycling Service 09/01/15-09/30/15 $55.67 $55.67
Current Invoice Charges $823.93
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N to get started. . Please see reverse side for terms and conditions.
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.
358593 Republic Services # 761 Terms
P.O. Box 9001099 Date Due
Louisville, KY 40290-1099
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
8/25/15 761002579763 Trash Pickup Wilfong Sept15' 25-Jul $ 75.00
8/25/15 761002583813 Trash Pickup AO MO Sept15' 25-Jul $ 150.00
8/25/15 761002578526 Trash Pickup MCC Sept15' 25-Jull $ 823.93
Total $ 1,048.93
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.
358593 Republic Services#761 Allowed 20
P.O. Box 9001099
Louisville, KY 40290-1099
In Sum of$
$ 1,048.93
ON ACCOUNT OF APPROPRIATION FOR
101 General/ 109 Monon Center
PO#or INVOICE NO. ACCT#/ AMOUNT Board Members
Dept# TITLE
1125 761002579763 4350101 $ 75.00 1 hereby certify that the attached invoice(s), or
1125 761002583813 4350101 $ 150.00 biil(s)is(are)true and correct and that the
1091 761002578526 4350101 $ 823.93 materials or services itemized thereon for
which charge is made were ordered and
received except
September 8, 2015
Signature
$ 1,048.93 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund
'44 REPUBLIC SERVICES CARMEL UTILITIES Invoice
832 Langsdale 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
Date Description Reference Amount
• 08/21 Payment-Thank You 248503 -$267.56
Account Number 3-0761-1410954 Current Invoice Charges
Invoice Date August 25,2015 Carmel Utilities 901 N Rangeline Rd (L1)
Invoice Number 0761-002583815 Carmel,IN
Previous Balance $267.56
Payments/Adjustments -$267.56 1 -Front Load(8 Yd) Scheduled Service (S1)
Unpaid Balance $0.00 Date Description Reference Quantity Unit Price Amount
Current Invoice Charges $267.56 08/25 Basic Service 09/01/15-09/30/15 $191.03 $191.03
1 -Front Load(2 Yd) Scheduled Service (S2)
Date Description Reference Quantity Unit Price Amount
08/25 Basic Service 09/01/15-09/30/15 $76.53 $76.53
imill W—J111,1111MCurrent Invoice Charges $267.56
$267.56
n Due By: 09/14/15
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Z Effective 4/16/2012 SERVICE INTERRUPTION
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Z
Z
0
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(n CURRENT 30 DAYS 60 DAYS 90t DAYS
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41 t0 get started. Please see reverse side for terms and conditions.
Prescribed by State Board of Accounts '
Form No.301-S(Rev.1997) ACCOUNTS PAYABLE VOUCHER
TO
ADDRESS
Invoice Date Invoice Number Item Amount
�I
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
Mo. Day Yr. Signature Title
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.
A104
Mo. Day Yr. Officer Title
Voucher No. Warrant No.
ACCOUNTS PAYABLE DETAILED ACCOUNTS
MUNICIPAL WASTEWATER UTILITY ACCT.
CARMEL, INDIANA No.
Favor Of
RP�u/o
Total Amount of Voucher $
Deductions
076/6= 52L50/ 56
,2? A 7 ✓3 .0
Amount of Warrant $
Month of Yr
VOUCHER RECORD ANo.
Collection System
Pumping
Treatment&Disposal
Customer Accounts
Administrative&General
Reclaimed Water Treatment
Reclaimed Water Distribution
Total
Allowed
Board Members
Filed
BOYCE FORMS•SYSTEMS 1-800-382-8702 325