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251359 11/04/15 (9, CITY OF CARMEL, INDIANA VENDOR: 358593 ONE CIVIC SQUARE REPUBLIC WASTE SERVICES OF INDIANS IECK AMOUNT: S*******307.11 CARMEL, INDIANA 46032 PO BOX 9001099 CHECK NUMBER: 251359 LOUISVILLE KY 40290-1099 CHECK DATE: 11/04/16 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 601 5023990 2655030 82.59 OTHER EXPENSES 601 5023990 2655034 73.13 OTHER EXPENSES 601 5023990 2655091 151.39 OTHER EXPENSES REPu CARMEL UTILITIES SERVICES CARMEL 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 A division of REPUBLIC SERVICES Date Description Reference Amount Account Summary 10/16 Payment-Thank You 250517 -$175.39 Account Number 3-0761-0062694 Current Invoice Charges Invoice Date October 25,2015 Water Plant 1 4915 E 106th St (L1)CSA 5387 Invoice Number 0761-002655091 Carmel,IN Previous Balance $175.39 Payments/Adjustments -$175.39 1-Front Load(8 Yd) Scheduled Service (S3) Unpaid Balance $0.00 Date Description Reference Quantity Unit Price Amount Current Invoice Charges $151.39 10/25 Basic Service 11/01/15-11/30/15 $116.39 $116.39 1-Front Load Recycling(4 Yd) Scheduled Service (S4) Comingled Date Description Reference Quantity Unit Price Amount 10/25 Recycling Service 11/01115-11/30/15 $35.00 $35.00 AmountPay This Current Invoice Charges $151.39 $151.39 Due By: 11/14/15 Contact Information 0 Customer Service (317)917-7300 0 0 m m Z Z Important • • Z Z Effective 4/16/2012:SERVICE INTERRUPTION Z Z POLICY CHANGE All accounts with a balance over 60 Z days will experience a service interruption unless prior n Zarrangements are made. Z Z Z Z Z 0 0 0 0 o_ N W CURRENT .. 30:DAYS 's "".64-DAYS. ,� ' 90+;DAYS W Manage your account online 2417, 151.39 O.00 4.00 0.00 N on any device with My Resource. AA . With My Resource you can schedule a pickup,pay your bill and discover new services-all with a Visit republiconline.com touch of a button.Visit republiconline.com to get started. to get started. . Please see reverse side for terms and conditions. CARMEL UTILITIES 3-0761-0062694 Page 2 of 2 Check Processing: In accordance with Federal Reserve Board guidelines, when you provide a check as payment, you authorize us to use information from your check to make a one-time electronic fund transfer from your account or to process the payment as a check transaction. When we use information from your check to make an electronic fund transfer, funds may be withdrawn from your account as soon as the same day we receive your payment and you will not receive your check back from your financial institution. For further information visit: www.electronicpavments.org and click on the Check Conversion tab. If service is canceled during a billing cycle, the customer will remain responsible for all charges,fees and taxes through the end of the billing cycle. There will be no proration of billing, and the customer will not be entitled to a refund for the period between the notice of termination and the end of the current billing cycle. This provision will not apply if it is contrary to a current franchise agreement, municipal contract, or other written contract applicable to this account or is otherwise prohibited by law. The Company reserves the right to require that payment for services be made only by check, credit card or money order, unless otherwise required by contract or applicable law. 0 N W N N 0000 000986 F11dianapolis UBLIC WCES CITY OF CARMEL UTILITIES Invoice �'WA Ave Managing your account is now easier than ever with the My Resource App.Free download on Pagel of 2 46202-115050 the App Store or Google Play. Payments/Adjustments Date Description Reference Amount 10/16 Payment-Thank You 250517 -$82.59 Account Number 3-0761-0059974 Current Invoice Charges Invoice Date October 25,2015 City Of Carmel Utilities 5484 E 126th St (L1)CSA 2753 Invoice Number 0761-002655030 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 Quantity Unit Price Amount Current Invoice Charges $82.59 10/25 Basic Service 11/01/15-11/30/15 $82.59 $82.59 Current Invoice Charges $82.59 AmountPay This $82.59 r- n Due By: 11/14/15 n co Contact • • v Customer Service (317)917-7300 0 0 m in A Z Z Important • • Z z Effective 4/16/2012:SERVICE INTERRUPTION Z POLICY CHANGE All accounts with a balance over 60 Z days will experience a service interruption unless prior Zarrangements are made. Z Z Z \SIC) Z Z 0 0 0 0 N W 60 DAYS90+PAYS _ ; :. A Manage your account online 24/7, 82.59 0.00 0.00 0.00 Non any device with My Resource. A A . With My Resource you can schedule a pickup,pay your bill and discover new services-all with a Visit republiconline.com touch of a button.Visit republiconline.com to get started. to get started. . Please see reverse side for terms and conditions. CITY OF CARMEL UTILITIES 3-0761-0059974 Page 2 of 2 Check Processing: In accordance with Federal Reserve Board guidelines, when you provide a check as payment, you authorize us to use information from your check to make a one-time electronic fund transfer from your account or to process the payment as a check transaction. When we use information from your check to make an electronic fund transfer, funds may be withdrawn from your account as soon as the same day we receive your payment and you will not receive your check back from your financial institution. For further information visit: www.electron icpayments.org and click on the Check Conversion tab. If service is canceled during a billing cycle, the customer will remain responsible for all charges, fees and taxes through the end of the billing cycle. There will be no proration of billing, and the customer will not be entitled to a refund for the period between the notice of termination and the end of the current billing cycle. This provision will not apply if it is contrary to a current franchise agreement, municipal contract, or other written contract applicable to this account or is otherwise prohibited by law. The Company reserves the right to require that payment for services be made only by check, credit card or money order, unless otherwise rgquired by contract or applicable law. 0 N W A 0000 000986 1 W1A REPUBLIC CITY OF CARMEL UTILITIES Invoice SERVICES 832Langsdale 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 Account 10/16 Payment-Thank You 250517 -$73.13 Account Number Summary 3-0761-0060187 Current Invoice Charges Invoice Date October 25,2015 Water District Plant 3450 W 131st St (L1)CSA 2752 Invoice Number 0761-002655034 Carmel,IN Previous Balance $73.13 PaymentslAdjustments -$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 10/25 Basic Service 11/01/15-11/30/15 $73.13 $73.13 Current Invoice Charges $73.13 $73.13 N Due By: 11/14/15 Cn oWORT MUM• • Customer Service (317)917-7300 0 0 m N Z Z • • • • Z Z Effective 4/16/2012:SERVICE INTERRUPTION Z POLICY CHANGE All accounts with a balance over 60 Zdays will experience a service interruption unless prior Zarrangements are made. Z Z Z Z C) C? 0 0 o_ N W "' CURRENT30 DAYS . 60 BAYS1 90+::DAY S 0. p Manage your account online 2417, 73.13 0.00 0.00 0.00 Non any device with My Resource. AA . With My Resource you can schedule a pickup,pay your bill and discover new services-all with a Visit republiconline.com touch of a button.Visit republiconline.com to get started. to get started. . Please see reverse side for terms and conditions. CITY OF CARMEL UTILITIES 3-0761-0060187 Page 2 of 2 Check Processing: In accordance with Federal Reserve Board guidelines,when you provide a check as payment, you authorize us to use information from your check to make a one-time electronic fund transfer from your account or to process the payment as a check transaction. When we use information from your check to make an electronic fund transfer, funds may be withdrawn from your account as soon as the same day we receive your payment and you will not receive your check back from your financial institution. For further information visit: www.electronicpavments.org and click on the Check Conversion tab. If service is canceled during a billing cycle,the customer will remain responsible for all charges, fees and taxes through the end of the billing cycle. There will be no proration of billing, and the customer will not be entitled to a refund for the period between the notice of termination and the end of the current billing cycle. This provision will not apply if it is contrary to a current franchise agreement, municipal contract, or other written contract applicable to this account or is otherwise prohibited by law. The Company reserves the right to require that payment for services be made only by check, credit card or money order, unless otherwise required by contract or applicable law. 0 N � W W 0000 000986 VOUCHER# 153488 WARRANT# ALLOWED 358593 IN SUM OF $ REPUBLIC SERVICES #761 PO BOX 9001099 LOUISVILLE, KY 40290-1099 I ' Carmel Water Utility ON ACCOUNT OF APPROPRIATION FOR { Board members PO# INV# ACCT# AMOUNT Audit Trail Code 2655091 01-6360-03 $151.39 ' aa. acs 55o� ���•� -I3 IS 4 l J r Voucher Total Cost distribution ledger classification if claim paid under vehicle highway fund i + 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, P , rice per unit etc. Payee 358593 REPUBLIC SERVICES#761 Purchase Order No. PO BOX 9001099 Terms LOUISVILLE, KY 40290-1099 Due Date 11/3/2015 Invoice Invoice Description Date Number (or note attached invoice(s) or bill(s)) Amount 11/3/2015 2655091 $151.39 I 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 iAlk Date icer