250971 11/03/15 ,1+u1,C�q�f
,/ ,� CITY OF CARMEL, INDIANA VENDOR: 366093
ONE CIVIC SQUARE REPUBLIC WASTE SERVICE-TRASH COIJ%ftCK AMOUNT: $***100,430.23*
r =� CARMEL, INDIANA 46032 ATTN:NANCY COLLINS CHECK NUMBER: 250971
;«aN�` 832 LANGSDALE AVE CHECK DATE: 11/03/15
INDIANAPOLIS IN 46202-1150
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
601 5023990 10/17-10/31 100,430.23 TRASH SERVICE
Republic Services
832 Langsdale Ave
Indianapolis, IN 46202-1150
ATTN: Nancy Collins
Account# 3-0761-9761020
$$$$ Collected By Carmel Utilities
Oct 17 to Oct 30 $103,112.73 2015 Rate
Less Administrative Fee 2015 $ (2,682.50)
10,730 Payments
Payment to Republic $100,430.23
Prescribed by State Board of Accounts
Form No.301 (Rev.1995) ACCOUNTS PAYAB E VOUCHER
ADDRESS
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
i nature Title
I hereby cern that the attached invoice(s), or bill(s), is (are)true and correct and I have audited same in accordance
certify
with IC 5-11-10-1.6.
, 19 koh
Officer Title
Voucher No. Warrant No.
ACCOUNTS PAYABLE i DETAILED ACCOUNTS
MUNICIPAL WATER DEPT. ACCT.
NO.
CARMEL, INDIANA
�4�rS�.c- 3CoCvc9S�
Favor Of 11.6L.Lq
I
'
Total Amount of Voucher $ i
Deductions
f
rcrt7TO ro-3 rc�4 3
Amount of Warrant g1�43D 3
Month of l�qJ9'��
VOUCHER RECORD Acct.
No. I,
Source of Supply
i
Water Treatment
Transmission and Dist. `.
Customer Accounts
Administrative and General
b
Operation-Maintenance i
I
1
Utility Plant in Service i
Constr.Work in Progress
Materials and Supplies
1
Customers Deposits
Total
Allowed
i
i
Board of Control ;
Filed
Official Title
BOYCE FORMS•SYSTEMS 1-800-382.8702 325