250095 10/06/15 (9,
CITY OF CARMEL, INDIANA VENDOR: 366093
ONE CIVIC SQUARE REPUBLIC WASTE SERVICE-TRASH COLgt!CCK AMOUNT: $****95,468.29*
CARMEL, INDIANA 46032 ATTN:NANCY COLLINS CHECK NUMBER: 250095
832 LANGSDALE AVE CHECK DATE: 10/06/15
INDIANAPOLIS IN 46202-1150
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
601 5023990 9/21-10/2 95,468.29 TRASH
Republic Services
832 Langsdale Ave
Indianapolis, IN 46202-1150
ATTN: Nancy Collins
Account# 3-0761-9761020
$$$$ Collected By Carmel Utilities
Sept 21 to Oct 2 $ 98,018.29 2015 Rate
Less Administrative Fee 2015 $ (2,550.00)
10,200 Payments
Payment to Republic $ 95,468.29
Prescribed by State Board of Accounts
Form No.301(Rev.1995) ACCOUNTS PAYABLE VOUCHER
TO725N [C- -3b(P053^ /VA'i
ADDRESS U3 a L./JW(�SQ4�� M✓� L�af/lnis'c"� T�I�/42�a
Invoice Date Invoice Number Item Amount
j�-s H — Sin ) 2 T- I � �, S, N b,a 5
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)true and correct 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. ACCT.
NO.
CARMEL, INDIANA
12S Juryuc_
(nog3 Favor Of ( u,,v
8->, �a�uSoaK a��
Total Amount of Voucher $
Deductions
Amount of Warrant
Month of
Acct.
VOUCHER RECORD 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
ROYCE FORMS•SYSTEMS 1-800-382-8702 325