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249876 09/23/15 CITY OF CARMEL, INDIANA VENDOR: 366093 ONE CIVIC SQUARE REPUBLIC WASTE SERVICE-TRASH COL(;td(!CK AMOUNT: $****93,620.37* CARMEL, INDIANA 46032 ATTN:NANCY COLLINS CHECK NUMBER: 249876 832 LANGSDALE AVE CHECK DATE: 09/23/15 INDIANAPOLIS IN 46202-1150 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 601 5023990 09/05-09/20 93,620.37 OTHER EXPENSES Republic Services 832 Langsdale Ave Indianapolis, IN 46202-1150 ATTN: Nancy Collins Account# 3-0761-9761020 $$$$ Collected By Carmel Utilities Sept 5 to Sept 20 $ 94,657.87 2015 Rate Less Administrative Fee 2015 $ (2,462.50) 9,850 Payments Overage Stickers (435 @ $2.00) $ 870.00 Cart Deliveries $ 555.00 Payment to Republic $ 93,620.37 i Prescribed by State Board of Accounts Form No.301 (Rev.1995) ACCOUNTS PAYAB E VOUCH2ER TO �nV3l�L- J�21LU/9�3 ^� ll1CV Cuc �-,tiJ ADDRESS a C/�1�1 us Oac S r y� aOY Y(pold-I1.;b 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 S� f ctv4es Sig ature 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. -19 4�" Officer Title I Voucher No. Warrant No. ACCOUNTS PAYABLE DETAILED ACCOUNTS MUNICIPAL WATER DEPT. ACCT.NO. NO. CARMEL, INDIANA t?U5"c _'k4Go93, Favor Of (ysav�y ou _S U•ja C/kUVS�/sL4 � , Total Amount of Voucher $ Deductions G3Coao Amount of Warrant $Q3(�ao 3� Month of S�P � VOUCHER RECORD Acct. No. Source of Supply 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 Total Allowed Board of Control Filed Official Title BOYCE FORMS•SYSTEMS 1-800-382-8702 325