HomeMy WebLinkAbout251248 11/04/15 qr
CITY OF CARMEL, INDIANA VENDOR: 00352673
�) ONE CIVIC SQUARE SHRED-IT USA LLC CHECK AMOUNT: $*******320.29*
CARMEL, INDIANA 46032 Po Box 101007 CHECK NUMBER: 251248
PASADENA CA 91189-1007 CHECK DATE: 11104/15
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
601 5023990 9407843230 21.98 OTHER EXPENSES
651 5023990 9407843230 21.98 OTHER EXPENSES
1110 4350101 9407883699 80.03 TRASH COLLECTION
1701 4341999 9407883742 196.30 OTHER PROFESSIONAL FE
Shred-it USA LLC
DBA Shred-it Indianapolis
50 Koweba Lane
Indianapolis IN 46201
FEIN#:980157899 Customer Invoice
Invoice #: 9407883699
002523 000002112 Billing Date: October 15, 2015
Service Order#: 8018921099
Account#: 11667207
CARMEL POLICE DEPT Billing Currency: USD
3 CIVIC SQ Payment Terms: Net due in 30 days
' CARMEL IN 46032-2584
Can we help you?
23
Website:www.shredit.com
E-mail:indianapolis@shredit.com
Customer Service: 317-632-7720
Shredding Service
Service Date: October 15, 2015
Service Location: Carmel Police Dept,3 Civic Sq, Carmel IN 46032-2584
Thank you for your business.
ON-SITE REGULAR SERVICE
Minimum Order Value 76.58
Fuel Surcharge 3.45
By recycling your confidential
Net Value Before Taxes 80.03 documents using Shred-it's secure
service,you're making a difference
to the environment.
Y<
Amount Due on November 14, 2015 80.03
t
i
CERTIFICATE OF DESTRUCTION
Shred-it is committed to the secure
destruction of its customers'
confidential information. This
certification will affirm that
Shred-it destroys the customers' ;
confidential material,pursuant to
our customers'request and
Please Remit To: SHRED-IT USA instructions.
P.O.Box 101007 Following services are NAID
Pasadena CA 91189-1007 certified:
Hard Drive Destruction
Mobile Destruction
Offsite Destruction
i"
PLEASE ENSURE THE INVOICE NUMBERS YOU ARE PAYING ARE CLEARLY STATED Following services are not NAID
ON YOUR CHECK REMITTANCE certified:
Non-Paper Destruction
Shred-it US]V LLC Page 1 df_:1
FEIN #46-5506074 Making sure it's secure:Tm
U1101715013121 ZRUS 01.xm1-2523-000002112
Form W_9 Request for Taxpayer Give Form to the
(Rev.December 7.0i4) identification Number and Certification requester.Do not
DepWrnent of the Treasury send to the IRS.
r InterncdRevenueService
I Name(as shown on your income lax return).Name is required on this line:do not leave this line blank.
SHRED-IT US JV LLC
N 2 Business name!disrcgarded entity name,if different from above
` SHRED-IT USA LLC
3 Check appropriate box for federal tax classification;check only one of the following seven boxes: 4 Exemptions(codes apply only to
oremain entities,not individuals:see
rn ❑individual/sole proprietor or ❑ C Corporation ❑S Corporation ❑ Partnership ❑ i rusvestate instructions on page 3):
a a single-member LLC
23
Limited liability company.Enter the tax classification(C=C corporation,S=S corporation,P=partnership)► p Exempt payee Code fir any) 05
U
p Note.For a single-member LLC that is disregarded.do not check LLC;check the appropriate box in the line above for Exemption from FATCA reporting
m the tax classification of the single-member ovincr. code(if any) NIA
— c
i o ❑Ohher(see instructions)► (ApeliClfOi LomV;rtrom/arniYlnul..vlfrNIVSL;7
5 Address(number,street,and apt.or suite no.) Requester's name and address(optional)
0
11311 CORNELL PARK DRIVE,SUITE 125
a)
m 6 CitY,state,and ZIP code
in BLUE ASH, OH 45242
7-List-account-number(sy he re-(optio naq—
"REMIT TO ADDRESS"-SHRED-IT USA LLC, P.O.BOX 101007,PASADENA,CA 91189-1007
Taxpayer Identification Number(TIN)
Enter your TIN in the appropriate box_The TIN provided must match the name given on line 1 to avoid. I Social security number
backup aien.withholding.For individuals,This is generally your e Part
security tion o (Sag).However,for a
resident alien,sole proprietor,or disregarded entity,see the part I instructions on page 3.For other
entities,it is your employer identification number(EIN).If you do not have a number,see Now to get a
71N on page 3. or
Note.If the account is in more than one name,see the instructions for line 1 and the chart on page 4 for I Employer identification number
guidelines on whose number to enter.
4 fi - 5 5 0 6 0 7 4
OMW Certification
Under penalties of perjury,I certify that;
1. The number shown on this form is my correct taxpayer identification number(or I am waiting for a number to be issued to me);and
2. 1 am not subject to backup withholding because:(a)I am.exempt from backup withholding,or(b)I have not been notified by the Internal Revenue
Service(IRS)that I am subject to backup withholding as a result of a failure to report all interest or dividends,or(c)the IRS has notified me that I ar11
no longer subject to backup withholding;and
3. 1 am a U.S.citizen or other U.S.person(defined below);and
4.The FATCA code(s)entered on this form(if any)indicating that I ani exempt from FATCA reporting is correct.
Certification instructions.You must cross out item 2 above if you have been notified by the IRS that you are currently subject to backup withholding
because you have failed to report all interest and dividends on your tax return.For real estate transactions,item 2 does not apply.For mortgage
interest paid,acquisition or abandonment of secured property,cancellation of debt,contributions to an individual retirement arrangement(IRA),and
generally,payments other than interest and d' idends,you are not required to sign the certification,but you must provide your correct TIN.See the
instructions on page 3.
Sign Signature of
Here U.S.person► Date►
General Instructions Form 1098(home mortgage interest),1098-E(student loan interest),1096-T
(tuition)
Section references are to Ilia Internal Revenue Code unless otherwise noted. •Form 1099-C(canceled debt)
Future developments.Information about developments affecting Form W-9;such •Form 1099-A(acquisition or abandonment of secured property)
as legislation enacted after we release it)is at www.frs.gcv1rw9.
Use Form W-9 only if you are a U.S.person(including a resident alien),to
Purpose of Form provide your correct TIN,
An Individual or entity(f=orm W9 requester)who is required to file an information 1r you do not return Form.W-9 to the requesterwith a TIN,you inight be subject
return with the IRS must obtain your correct taxpayer identification number(TTN) to backup wirivioiding.See lM1at is backup withholding?on page 2.
which.may be your social security number(SSN),individual taxpayer Identification By signing the filled-out form,you:
number()TIN),adoption taxpayer identification number(ATIN),or employer 1.Certify that the TIN you are giving is correct(or you arc waiting for a number
identifiralion number(EIN),to report on an information return the amount paid to to be issued),
you,or other amount.reportable on an information return.Examples of information
returns include,but are not limited to,the following: 2.Certify that you are not subject to backup withholding,or
•Form 1099-INT(interest earned or paid) 3.Claim exemption from backup withholding if you are a U.S.exempt payee.If
•Form 1 C99-DIV(dividends,including those from stocks or'mutual funds) applicable.you are also certifying that as a U.S.person.your allocable share of
any partnership income from a U.S.trade or business is not subject to the
•Form 1099-MISC(various types of income,prizes,awards,or gross proceeds) withholding lax on foreign partners'share of effectively connected interne,and
•Form 1099-8(stock or mutual fund sales and certain other transactions by 4.Certify that FATCA cadets)entered on this form(if any)indicating that you are
brokers) exempt from the FArCA reporting,is correct.See Whaf is FATCA reporting?on
•farm 1099-S(proceeds from real estate transactions) page 2 for father information.
•Fonn 1099-K(merchant card and third party network transactions)
Cat.No_10231X Form W-9(Rev.12.2014)
I30980-1-0026
ACTION REQUIRED: ADDRESS AND BANK ACCOUNT CHANGE
Dear Valued Customer,
This letter is a follow-up to remind you that Shred-it USA LLC has changed its address and bank account
for customer payments. Please check your records and amend, if necessary, to ensure all future payments
are made using the address and banking information listed below. We have attached a copy of our W-9
should you require it to update your records. Your assistance is greatly appreciated.
Check Payments:
Blease-send-your-cheek payments-to-the-address-below-(-also-listed-on-the-invoice)-and-either-reference
the applicable invoice numbers or include a copy of the invoices being paid. If you can't include the
invoice details with your check payment, please send the payment advice separately as an attachment to
AccountsReceivable@shredit.com and we will ensure the payment is applied to your account.
Mailing Address:
Shred-it USA LLC
P.O. Box 101007
Pasadena, CA 91189-1007
Electronic Payments:
For US$ electronic payments that include ACH /WIRE/ EDI notifications, please provide payment details
to: eftus.finance@shredit.com.
Beneficiary Name: Shred-it USA LLC
Beneficiary Account#: 1001639
ACH ABA Transit#: 113025765
Bank Name: Bank of Nova Scotia—New York Agency
Wire Account Number: 1001639
Wire ABA Routing#: 026002532
U/1RF 1; /—Address- NOSCUS33Jor.-credit-to
BNS Houston SWF NOSCUS4H
Credit Card Payments:
Please contact your local branch to process a payment using a credit card. Branch contact details are
included on the invoice.Alternatively, please contact 1-888-647-8843, option 1536 or email
ar.uswest@shredit.com (please do not include credit card information in the email).
If you have any questions, please contact your local branch. For your convenience, contact information is
included on your invoice.
We appreciate your assistance.
US West Communication Final2.docx
30980-1-0021
hred-It
Shred-it
50 Koweba Lane
Indianapolis IN
46201
Phone:317- 632-7720
SERVICE RECORD SUMMARY
CKRTIFICATK OF DESTRUCTION
PLEASE KEEP THIS FOR YOUR RECORDS
(THIS IS NOT AN INVOICE)
Your next service date is scheduled for:11.12.2015
This year your firm has saved 37.3
trees through recycling shredded paper
Customer:0011667207
CARMEL POLICE DEPT
3 CIVIC SQ
CARMEL IN 46032-2584
Order#:8018921099
Order Date: 10.15.2015
Service Type:ON-SITE REGULAR SERVICE.
7—,,-Contact:-ROBERT ROBINSON—-- -- —- - - —-
Time In: 01:16 PM
Number of Equip Serviced: 5
Number of Extra Items Collected: 0
Customer Signature:MILLER
� j i/p/
CSR Signature:JUSTICE CAVAZOS
Shred- it is committed to the secure destruction of its customers'
confidential information. This certification will affirm that
Shred- it destroys the customer confidential material, pursuant to
our customers request and instructions.
The following services are NAID certified:
Hard Drive Destruction
Mobile Destruction
Offsite Destruction
The following services are not NAID certified:
Non-Paper Destruction
VOUCHER NO. WARRANT NO.
ALLOWED 20
Shred-It USA
IN SUM OF$
P.O. Box 101007
Pasadena, CA 91189-1007
$80.03
ON ACCOUNT OF APPROPRIATION FOR
Carmel Police Department
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
1110 I 9407883699 I 43-501.01 I $80.03 1 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
Thursday, O tober 29, 2015
Chief of Police
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund
i
Prescribed by State Board of Accounts City Form No.201(Rev.1995)
ACCOUNTS PAYABLE VOUCHER
CITY OF CARMEL
I
An invoice or bill to be properly itemized must show: kind of service,where performed,dates service rendered, by
whom, rates per day, number of hours, rate per hour, number of units, price per unit, etc.
Payee
Purchase Order No.
Terms
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s)or bill(s))
10/15/15 9407883699 monthly payment $80.03
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
20
Clerk-Treasurer
0�
Shred-it USA LLC
DBA Shred-it Indianapolis
50 Koweba Lane
Indianapolis IN 46201
FEIN#: 980157899 Customer Invoice
Invoice #: 9407843230
002695 000003515 Billing Date: October 13, 2015
III�IIIII�III'I��I""'��IIIIII���III�I'�lllll��l��ll��l�'I'�'I'� Service Order#: 8018839117
Account#: 11667044
CARMEL UTILITIES Billing Currency: USD
30 W MAIN ST 2ND FL
CARMEL IN 46032-1938 Payment Terms: Net due in 30 days
23 Can we help you?
Website:www.shredit.com
E-mail:indianapolis@shredit.com
Customer Service:317-632-7720
Shredding Service
Service Date: October 12, 2015
Service Location: Carmel Utilities, Floor 2nd, 30 W Main St, Carmel IN
Thank you for your business.
46032
ON-SITE REGULAR SERVICE
Minimum Order Value 42.07
Fuel Surcharge 1.89
By recycling your confidential
Net Value Before Taxes 43.96 documents using Shred-it's secure
service,you're making a difference
to the environment.
Amount Due on November 12, 2015 43.96
�f CERTIFICATE OF DESTRUCTION
1 v�
\ I
Shred-it is committed to the secure
Ydestruction of its customers'
confidential information. This
certification will affirm that
Shred-it destroys the customers'
confidential material,pursuant to
our customers'request and
Please Remit To: SHRED-IT USA instructions.
P.O.Box 101007 Following services are NAID
Pasadena CA 91189-1007 certified:
Hard Drive Destruction
Mobile Destruction
Offsite Destruction
PLEASE ENSURE THE INVOICE NUMBERS YOU ARE PAYING ARE CLEARLY STATED Following services are not NAID
ON YOUR CHECK REMITTANCE certified:
Non-Paper Destruction
Shred-it US]V LLC Page 1 of 1
FEIN #46-5506074 Making sure its secure.Tm _
U1101515013143_ZRUS_01.xm1-2695-000003515
VOUCHER # 156581 WARRANT # ALLOWED
00352673 IN SUM OF $
SHRED IT
PO BOX 101007
PASADENA, CA 91189-1007
Carmel Wastewater Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO# INV# ACCT# AMOUNT Audit Trail Code
9407843230 01-7360-07 $21.98
Voucher Total $21.98
Cost distribution ledger classification if
claim paid under vehicle highway fund
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,
price per unit, etc.
Payee
00352673
SHRED IT Purchase Order No.
PO BOX 101007 Terms
PASADENA, CA 91189-1007 Due Date 10/28/2015
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
III
10/28/201: 9407843230 $21.98
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
/O/30 h5
Date Officer
e
Shred-it USA LLC
DBA Shred-it Indianapolis
50 Koweba Lane
Indianapolis IN 46201
FEIN#:980157899 Customer Invoice
Invoice#: 9407843230
002695 000003515 Billing Date: October 13, 2015
III�IIIII�III'ILII3111'11IIIIII���111�1'�IIIII��I��II��I�'I'�'I'� �: Service Order#: 8018839117
Account#: 11667044
CARMEL UTILITIES Billing Currency: USD
30.W MAIN ST 2ND FL
�+ +'y CARMEL IN 46032-1938 Payment Terms: Net due in 30 days
'
23 Can we help you?
Website:www.shredit.com
E-mail:indianapolis@shredit.com
Customer Service:317-632-7720
Shredding Service
Service'Date: October 12, 2015.
Service Location: Carmel Utilities, Floor 2nd, 30 W Main St, Carmel IN
Thank you for your business.
46032
ON-SITE REGULAR SERVICE
Minimum Order Value 42.07
Fuel Surcharge 1.89
By recycling your confidential
Net Value Before Taxes 43.96 documents using Shred-it's secure
service,you're making a difference
to the environment.
Amount Due on November 12, 2015 43.96
r CERTIFICATE OF DESTRUCTION
vL
Shred-it is committed to the secure
destruction of its customers'
confidential information. This
certification will affirm that
Shred-it destroys the customers'
confidential material,pursuant to
our customers'request and
Please Remit To: SHRED-IT USA instructions.
P.O. Box 101007 Following services are NAID
Pasadena CA 91189-1007 certified:
Hard Drive Destruction
Mobile Destruction
Offsite Destruction
PLEASE ENSURE THE INVOICE NUMBERS YOU ARE PAYING ARE CLEARLY STATED Following services are not NAID
ON YOUR CHECK REMITTANCE certified:
Non-Paper Destruction
Shred-it US]V LLC Page 1 of 1
FEIN #46-5506074 Making sure it's secure.TM
UI101515013143 ZRUS 01.xml-2695-000003515
1
I
VOUCHER # 153433 WARRANT# ALLOWED
00352673 IN SUM OF $
SHRED IT
po bOX 101007
PASADENA, CA 91189-1007
Carmel Water Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO# INV# ACCT*
AMOUNT Audit Trail Code
9407843230 01-6360-07 $21.98
i
I'
Voucher Total $21.98
Cost distribution ledger classification if
claim paid under vehicle highway fund
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,
price per unit, etc.
Payee
00352673
SHRED IT Purchase Order No.
Terms
po bOX 101007 Due Date 10/28/2015
PASADENA, CA 91189-1007
j Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
10/28/201: 9407843230 $21.98
I hereby certify that the attached invoice(s), or bill(s) is (are)true and
orrect and I have audited same in accordance with IC 5-11-10-1.6
Date Officer
fired-et
Shred-it USA LLC '
DBA Shred-it Indianapolis
50 Koweba Lane
Indianapolis INCT46201
FEIN#:9861,7.899 Customer Invoice
Invoice#: 9407883742
002522 000002113 Billing Date: October 15, 2015
���'1111111'1111'Ill�rrrrl�IIIIIII�'����11�111"Illlrr�rllllrr��� Service Order#: 8018921667
Account#: 11670090
CITY OF CARMEL CLERK-TREASURER Billing Currency: USD
1 CIVIC SQ FL 3 Payment Terms: Net due in 30 days
y ' CARMEL IN 46032-2584
23 Can we help you?
Website:www.shredit.com
E-mail:indianapolis@shredit.com
Customer Service: 317-632-7720
Shredding Service
Service Date: October 15, 2015
Service Location: City Of Carmel Clerk-Treasurer, Floor 3, 1 Civic Sq,
Carmel IN 46032-2584 Thank you for your business.
ON-SITE REGULAR SERVICE 6 Container - Std 103.60
ON-SITE REGULAR SERVICE 5 MediumTote(64G/240L) 84.25
4`
Fuel Surcharge 8.45 r
By recycling your confidential
Net Value Before Taxes 196.30 documents using Shred-it's secure
service,you're making a difference
to the environment.
Amount Due on November 14,2015 196.30
Y
s
S
�f
r
i
CERTIFICATE OF DESTRUCTION j
Shred-it is committed to the secure
destruction of its customers'
confidential information. This k
certification will affirm that t
Shred-it destroys the customers'
confidential material, pursuant to
our customers'request and
Please Remit To: SHRED-IT USA instructions.
P.O.Box 101007 Following services are NAID
Pasadena CA 91189-1007 certified:
Hard Drive Destruction I
Mobile Destruction
Offsite Destruction
PLEASE ENSURE THE INVOICE NUMBERS YOU:ARE PAYING ARE CLEARLY STATED Following services are not NAID j
ON YOUR CHECK REMITTANCE certified: r
Non-Paper Destruction
Shred-it US JV LLC Page 1 of 1
FEIN #46-5506074 Making sure it's secure.TM
U1101715013121_ZRUS_01.xm1-2522-000002113
1
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 service rendered, by
whom, rates per day, number of hours, rate per hour, number of units, price per unit, etc.
Payee
Purchase Order No.
Terms
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
Total
I hereby certify that the attached invoice(s), or bill(s), is (are)true and correct and I have audited same in accor-
dance with IC 5-11-10-1.6.
, 20
Clerk-Treasurer
VOUCHER NO. WARRANT NO.
ALLOWED 20
IN SUM OF $
I
$
ON ACCOUNT OF APPROPRIATION FOR
I
4 tT(q P4-vL
Board Members
PO#or INVOICE NO. ACCT#!TITLE AMOUNT
DEPT.# I hereby certify that the attached invoice(s),
O ?7$ J l`l�'rc I��• or bill(s) is (are) true and correct and that
I
the materials or services itemized thereon
for which charge is made were ordered and
received except
i
20
Signature
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund