250548 10/20/1 5 CITY OF CARMEL, INDIANA VENDOR: 366093
® ONE CIVIC SQUARE REPUBLIC WASTE SERVICE-TRASH COL(ENCK AMOUNT: S"'101,055.23'
CARMEL, INDIANA 46032 ATTN:NANCY COLLINS CHECK NUMBER: 250548
94j�roi�°% 832 LANGSDALE AVE CHECK DATE: 10/20/15
INDIANAPOLIS IN 46202-1150
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
601- 5023990 10/3-10/16 101,055.23 OTHER EXPENSES
Republic Services
832 Langsdale Ave
Indianapolis, IN 46202-1150
ATTN: Nancy Collins
Account# 3-0761-9761020
$$$$ Collected By Carmel Utilities
Oct 3 to Oct 16 $103,199.98 2015 Rate
Less Administrative Fee 2015 $ (2,684.75)
10,739 Payments
Cart Deliveries $ 540.00
Payment to Republic $101,055.23
Prescribed by State Boardof Accounts
Form No.301 (Rev.1995) ACCOUNTS PAYABLE VOUCHER
ADDRESS U3� -�N�S�gL��v4 �✓�DY T�� `[4�o1<<tso
Invoice Date- Invoice Number Item Amount
C17�1( - 112LPJ14 1cr *u rc)-/4 oI oss a3
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 correc and I have audited same in accordance
with IC 5-11-10-1.6.
19
ffi r Title
r'
Voucher No. Warrant No.
ACCOUNTS PAYABLE I DETAILED ACCOUNTS
l l
MUNICIPAL WATER DEPT. i ACCT
CARMEL, INDIANA
o Favor Of Isa.w Cwa.,A
� 9 3 F
^ I
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
I
Customers Deposits
it
I
6
Total
I
Allowed f
I
i
r
Board of Control f
Filed 1
I;
Official Title
i
1
BOYCE FORMS•SYSTEMS 1-800-382.8702 325