251710 11/18/15 CITY OF CARMEL, INDIANA VENDOR: 366093
® ONE CIVIC SQUARE REPUBLIC WASTE SERVICE-TRASH COLUMCK AMOUNT: $****88,050.28*
CARMEL, INDIANA 46032 ATTN:NANCY COLLINS CHECK NUMBER: 251710
832 LANGSDALE AVE CHECK DATE: 11/18/15
INDIANAPOLIS IN 46202-1150
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
601 5023990 NOV1-NOV 13 88,050.28 OTHER EXPENSES
Republic Services
832 Langsdale Ave
Indianapolis, IN 46202-1150
ATTN: Nancy Collins
Account# 3-0761-9761020
$$$$ Collected By Carmel Utilities
Nov 1 to Nov 13 $ 90,402.03 2015 Rate
Less Administrative Fee 2015 $ (2,351.75)
9,407 Payments
Payment to Republic $ 88,050.28
Prescribed by State Board of Accounts
Form No.301 (Rev.1995) ACCOUNTS PAYABLE VOUCHER
T07ZLP0/S1t"- -Ilkpbc"9
ADDRESST�oY _1 � �lL�a`if�U
Invoice Date Invoice Number 1 Item Amount
C,`T�/�/I,P-Sr..►. IV,�J �-I� ��j� USS .a�
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 — -� U
Officer Title
Voucher No. Warrant No.
ACCOUNTS PAYABLE DETAILED ACCOUNTS
MUNICIPAL WATER DEPT. ACCT.
NO.
CARMEL, INDIANA
q}Pu0uc 4(040 93 Favor Of Lo-s
t33a c�•t�S�a�S ��
i o,�.+A�oc t Sia ti Udo1-i,cJ
Total Amount of Voucher $
Deductions
t 1-l rD I(- 1'S gf3(950 d8
Amount of Warrant Ob
Month of \�J �� f
VOUCHER RECORD Acct.
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
BOYCE FORMS•SYSTEMS 1-800-382-8702 325