HomeMy WebLinkAbout251709 11/18/15 CITY OF CARMEL, INDIANA VENDOR: 358593
® ! ONE CIVIC SQUARE REPUBLIC WASTE SERVICES OF INDIA(A-IECK AMOUNT: $... 5,210.88
i = CARMEL, INDIANA 46032 PO BOX 9001099 CHECK NUMBER: 251709
LOUISVILLE KY 40290-1099 CHECK DATE: 11/18/15
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1120 4350101 2654441 37.50 0761002578459
1120 4350101 2654441 37.50 0761002654441
1110 4350101 2654450 165.00 TRASH COLLECTION
1120 4350101 2654451 265.68 TRASH COLLECTION
1205 4350101 2654452 140.33 0761002654452
1115 4350101 2654453 43.90 0761002654453
2201 4350100 2654454 171.40 BUILDING REPAIRS & MA
1091 4350101 2654507 446.62 TRASH COLLECTION
110 4350101 2655708 75.00 TRASH COLLECTION
1125 4350101 2659769 150.00 TRASH COLLECTION
651 5023990 2659771 267.56 0761022659771
651 5023990 2659772 1,424.91 OTHER EXPENSES
1207 4350101 32102 2664027 366.55 0761002664027
651 5023990 2664170 319.09 0761002664170
651 5023990 2666692 1,299.84 0761022666692
REPUBLIC
SERVICES CITY OF CARMEL FIRE DEPT Invoice
Managing your account is now easier than ever with the My Resource App.Free download on Page 1 of 2
832 Langsdale Ave the App Store or Google Play.
Indianapolis IN 46202.115050
Payments AWjustments
Account Summary 1� R Description Reference Amount
08/21 Payment-Thank You 248503 -S37.50
Account Number 3-0761-0034441 urrennvoice Gharges
Invoice Date August 25,2015 Training Facility 510 3rd Ave SW (1-1)CSA 002792
Invoice Number 0761-002578459 Carmel,IN
Previous Balance $37.50
PaymentsfAdjustments 437,50 1-Front Load(2 Yd) Scheduled Service (S1)
Unpaid Balance $0.00 ROSS Descritp ion Reference Quantity Unit Price Amount
Current Invoice Charges $37.50 08125 Basic Service 09101115-09130115 537.50 537.50
Current Invoice Charges $37.50
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Contact Information
Customer Service (317)917-7300
Important
Effective x11612012:SERVICE INTERRUPTION
POLICY C-NGE All accounts wen a balance over 60
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'41.4REPUBLIC SERVICES CITY OF CARMEL FIRE DEPT Invoice
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 RE.PUBLIC SERVICES
Date Description Reference Amount
'Account Summary J 10/22 Payment-Thank You 250547 -$37.50
Account Number 3-0761-0034x41 Current Invoice Charges
Invoice Date October 25,2015 Training Facility 510 3rd Ave SW (1-1)CSA 002792
Invoice Number 0761-002654441 Carmel,IN
Previous Balance $75.00
Payments/Adjustments -$37.50 1-Front Load(2 Yd) Scheduled Service (S1)
Unpaid Balance $37.50 Date Description Reference Quantity Unit Price Amount
Current Invoice Charges $37.50 10/25 Basic Service 11/01/15-11/30/15 $37.50 $37.50
Current Invoice Charges $37.50
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'10 REPUBLIC SERVICES CITY OF CARMEL FIRE DEPT Invoice
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
Date Description Reference Amount
10/22 Payment-Thank You 250547 -$265.68
Account Number 3-0761-0034703 Current Invoice Charges
Invoice Date October 25,2015 Fire Station 41 2 Civic Sq (L1)CSA 002757
Invoice Number 0761-002654451 Carmel,IN
Previous Balance $265.68
Payments/Adjustments -$265.68 1-Front Load(8 Yd) Scheduled Service (S1)
Unpaid Balance $0.00 Date Description Reference Quantity Unit Price Amount
Current Invoice Charges $265.68 10/25 Basic Service 11/01/15-11/30/15 $162.83 $162.83
Fire Station 42 3610 W 106th St (11-2)CSA 002758
Carmel,IN
1 -Front Load(2 Yd) Scheduled Service (S3)
iml • Date Description Reference Quantity Unit Price Amount
$265.68 10/25 Basic Service 11/01/15-11/30/15 $60.00 $60.00
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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))
0761-002654441 $37.50
0761-002578459 $37.50
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
VOUCHER NO. WARRANT NO.
ALLOWED 20
Republic Services
IN SUM OF $
P.O. Box 9001099
Louisville, KY 40290-1099
$75.00
ON ACCOUNT OF APPROPRIATION FOR
Carmel Fire Department
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
1120 0761-002654441 43-501.01 $37.50 1 hereby certify that the attached invoice(s), or
1120 0761-002578459 43-501.01 $37.50 bill(s) is (are) true and correct and that the
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which charge is made were ordered and
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Title
Cost distribution ledger classification if
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Fl.dianapolis
UBLICCITY OF CARMEL STREET DEPTInvoice
VICESve Managing your account is now easier than ever with the My Resource App. Free download on Page 1 of 2
46202-115050 the App Store or Google Play.
Payments/Adjustments
Date Description Reference Amount
Account
10/22 Payment-Thank You 250547 -$171.40
Account Number 3-0761-0034751 Current Invoice Charges
Invoice Date October 25,2015 Street Department 3400 W 131st St (1-1)CSA 002764
Invoice Number 0761-002654454 Carmel,IN
Previous Balance $171.40
Payments/Adjustments -$171.40 2-Front Load(4 Yd) Scheduled Service (S1)
Unpaid Balance $0.00 Date Description Reference Quantity Unit Price Amount
Current Invoice Charges $171.40 10/25 Basic Service 11/01/15-11/30/15 $171.40 $171.40
Current Invoice Charges $171.40
AmountPay This
$171.40
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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))
10/25/15 0761-002654454 $171.40
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
VOUCHER NO. WARRANT NO.
ALLOWED 20
Republic Services
IN SUM OF $
PO Box 9001099
Louisville, KY 40290-1099
$171.40
ON ACCOUNT OF APPROPRIATION FOR
Carmel Street Department
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
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2201 10761-002654454 I 43-501.001 $171.40 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 November 12, 2015
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Street Commissioner
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Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund
Fangsdale
UBLICCITY OF CARMEL POLICE Invoice
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46 20 2-1 1 5 0 50 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 -$165.00
Account Number 3-0761-0034698 Current Invoice Charges
Invoice Date October 25,2015 Police Firing Range 9609 Hazel Dell Pkwy (L1)CSA 002755
Invoice Number 0761-002654450 Carmel,IN
Previous Balance $165.00
Payments/Adjustments -$165.00 1 -Front Load(8 Yd) Scheduled Service (S4)
Unpaid Balance $0.00 Date Description Reference Quantity Unit Price Amount
Current Invoice Charges $165.00 10/25 Basic Service 11/01/15-11/30/15 $82.50 $82.50
Police Headquarters 3 Civic Sq (L2)CSA 002756
Carmel,IN
1 -Front Load(8 Yd) Scheduled Service (S1)
AmountPay' This Date Description Reference Quantity Unit Price Amount
$165.00 10/25 Basic Service 11/01/15-11/30/15 $82.50 $82.50
Due By: 11/14/15 Current Invoice Charges $165.00
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to et started.
iv g . Please see reverse side for terms and conditions.
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))
10/25/15 0761002654450 Trash Collection $165.00
1 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
J20-
Clerk-Treasurer
20Clerk-Treasurer
VOUCHER NO. WARRANT NO.
Republic Services #761 ALLOWED 20
IN SUM OF $
P.O. Box 9001099
Louisville, KY 40290-1099
$165.00
ON ACCOUNT OF APPROPRIATION FOR
Carmel Police Department
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
1110 0761002654450 43-501.01 $165.00
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
Tuesday, November 03, 2015
Chief of Police
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund
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'1'REPUBLIC
SERVICES CARMEL CLAY PARK'S Invoice
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
10/22 Payment-Thank You 250547 -$150.00
Account Summary
Account Number 3-0761-1410948 Current Invoice Charges
Invoice Date October 25,2015 Carmel Clay Park's 1411 E 116th St (L1)CSA 94811711
Invoice Number 0761-002659769 Carmel,IN
Previous Balance $150.00
Payments/Adjustments -$150.00 2-Front Load(8 Yd) Scheduled Service (S1)
Unpaid Balance $0.00 Date Description Reference QuantityUnit Price Amount
Current Invoice Charges $150.00 10/25 Basic Service 11/01/15-11/30/15 $150.00 $150.00
Current Invoice Charges $150.00
Pay This • RECEIVED
$150.00NAV - 2 2015
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REPUBLIC
SERVICES CARMEL CLAY PARKS Invoice
832 Langsdale Ave Managing your account is now easier than ever with the My Resource App. Free download on Pagel of 2
Indianapolis IN 46202-115050 the App Store or Google Play.
Payments/Adjustments
Date Description Reference Amount
10/22 Payment-Thank You 250547 -$75.00
Account Number 3-0761-0078655 Current Invoice Charges
Invoice Date October 25,2015 Founders Park 11675 Hazel Dell Pkwy (L1)
Invoice Number 0761-002655708 Carmel,IN
Previous Balance $75.00
Payments/Adjustments -$75.00 1-Front Load(4 Yd) Scheduled Service (S1)
Unpaid Balance $0.00 Date Description Reference Quantity Unit Price Amount
Current Invoice Charges $75.00 10/25 Basic Service 11/01/15-11/30/15 $45.00 $45.00
1-Front Load Recycling(4 Yd) Scheduled Service (S2) Corrugated Only
Date Description Reference Quantity Unit Price Amount
10/25 Recycling Service 11/01/15-11/30/15 $30.00 $30.00
• Current Invoice Charges $75.00
$75.00
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Fl.dianapolis
MCESICCARMEL CLAY PARKS Invoice
VICESve Managing your account is now easier than ever with the My Resource App. Free download on Page 1 of 2
46202-115050 the App Store or Google Play.
Payments/Adjustments
A division of REPUBLIC SERVICES'.
Date Description Reference Amount
Account Summary 10/22 Payment-Thank You 250547 -$246.53
Account Number 3-0761-0036974 Current Invoice Charges
Invoice Date October 25,2015 Monon Center 1235 Central Park Dr E (L1)CSA 6974053112
Invoice Number 0761-002654507 Carmel,IN
Previous Balance $246.53
Payments/Adjustments -$246.53 1 -Front Load(4 Yd) Scheduled Service (S1)
Unpaid Balance $0.00 Date Description Reference QuantityUnit Price Amount
Current Invoice Charges $446.62 10/25 Basic Service 11!01115-11/30/15 $84.13 $84.13
1 -Front Load(10 Yd) Scheduled Service (S2)
Date Description Reference Quantity Unit Price Amount
10/25 Basic Service 11/01/15-11/30/15 $265.00 $265.00
Pay This Amount1 -Front Load Recycling(6 Yd) Scheduled Service (S3) Corrugated Only
446.62 Date Description Reference Quantity Unit Price Amount
r 10/25 Recycling Service 11;01/15-11/30/15 $41.82 $41.82
D Due By: 11/14/15 1 -Front Load Recycling(8 Yd) Scheduled Service (S4) Comingled
> Date Description Reference Quantity Unit Price Amount
Contact • • 10/25 Recycling Service 11/01/15-11/30/15 $55.67 $55.67
yCustomer Service (317)917-7300
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ACCOUNTS PAYABLE VOUCHER
CITY OF CARMEL
An invoice of 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.
358593 Republic Services # 761 Terms
P.O. Box 9001099
Louisville, KY 40290-1099
Invoice Invoice Description
Date Number (or note attached invoice(s)or bill(s)) PO# Amount
10/25/15 761002659769 Trash pickup AO Nov'15 $ 150.00
10/25/15 761002655708 Trash pickup Wilfong Nov'15 $ 75.00
10/25/15 761002654507 Trash pickup MCC Nov'15 $ 446.62
Total $ 671.62
1 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
120
Clerk-Treasurer
Voucher No. Warrant No.
358593 Republic Services#761 Allowed 20
P.O. Box 9001099
Louisville, KY 40290-1099
In Sum of$
$ 671.62
ON ACCOUNT OF APPROPRIATION FOR
101 General/ 109 MCC/110 Facilities
PO#or
Dept# INVOICE NO. CCT#/TITL AMOUNT Board Members
1125 761002659769 4350101 $ 150.00_ I hereby certify that the attached invoice(s), or
110 761002655708 4350101 $ 75.00 bill(s)is (are)true and correct and that the
1091 761002654507 4350101 $ 446.62_ materials or services itemized thereon for
which charge is made were ordered and
received except
_ November 3, 2015
Signature
$ 671.62 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund
1
Fl.dianapolis
UBLICCITY OF CARMEL Invoice
VICESve Managing your account is now easier than ever with the My Resource App. Free download on Page 1 of 2
46202-115050 the App Store or Google Play.
Payments/Adjustments
A division of REPUBLIC SERVICES
Date Description Reference Amount
10/22 Payment-Thank You 250547 -$140.33
Account Summary .
Account Number 3-0761-0034742 Current Invoice Charges
Invoice Date October 25,2015 City Hall 1 Civic Scl (L1)CSA 002763
Invoice Number 0761-002654452 Carmel,IN
Previous Balance $140.33
Payments/Adjustments -$140.33 1 -Front Load(6 Yd) Scheduled Service (S1)
Unpaid Balance $0.00 Date Description Reference Quantity Unit Price Amount
Current Invoice Charges $140.33 10/25 Basic Service 11/01/15-11/30/15 $140.33 $140.33
Current Invoice Charges $140.33
AmountPay This
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r, to get started. . Please see reverse side for terms and conditions.
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 Date Invoice# Description Amount
Dept. Fund# (or note attached invoice(s)or bill(s))
10/25/15 I 0761-002654452 I I $140.33
1205 101
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
VOUCHER NO. WARRANT NO.
ALLOWED 20
REPUBLIC WASTE SERVICES OF INDIANA
PO BOX 9001099
IN SUM OF $
LOUISVILLE, KY 40290-1099
$140.33
ON ACCOUNT OF APPROPRIATION FOR
PO#/Dept. INVOICE NO. ACCT#/Fund AMOUNT Board Members
0761-002654452 ( 43-501.01 I $140.33- 1 hereby certify that the attached invoice(s), or
1205 101
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
Monday, November 16, 2015
Steve Engelking, Director
Cost distribution ledger classification if
claim paid motor vehicle highway fund
��-6 REPUBLIC SERVICES CITY OF CARMEL BROOKSHIRE GOLF Invoice
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 Googie Play.
Payments/Adjustments
F A division of REPUBLIC SERVICES,
Date Description Reference Amount
10/08 Payment-Thank You 249875 -$366.55
Account10/22 Payment-Thank You 250547 -$366.55
Account Number 3-0761-0035460
Invoice Date October 31,2015 Current Invoice Charges
Invoice Number 0761-002664027 Brookshire Golf Course Ro/FI 12120 Brookshire Pkwy (L1)CSA 002765
Previous Balance $733.10 Carmel,IN
Payments/Adjustments $733.10
Unpaid Balance $0.00 1 -Front Load(8 Yd) Scheduled Service (S1)
Current Invoice Charges $366.55 Date Description Reference Quantity Unit Price Amount
10/31 Basic Service 11/01/15-11/30/15 $190.55 $190.55
Brookshire Golf Course Pt 12120 Brookshire Pkwy (L2)
Carmel,IN
• 2-Portable Unit Scheduled Service (S3)
$3SC.rJrJ Date Description Reference QuantityUnit Price Amount
- 10/31 Portable Service 10/01/15-10/31/15 $176.00 $176.00
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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))
10/31/15 0761-002664027 Trash $366.55
1 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
VOUCHER NO. WARRANT NO.
ALLOWED 20
Republic Services#761
IN SUM OF $
P. O. Box 9001099
Louisville, KY 40290-1099
$366.55
ON ACCOUNT OF APPROPRIATION FOR
Brookshire Golf Club
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
32102 1 0761-0026640271 43-501.01 1 $366.55 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
Monday, November 09, 2015
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Director, Brookshi Golf Club
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund
FIndianapolis
PUBLICInvoice
ERVICES CARMEL UTILITIES Ave Managing your account is now easier than ever with the My Resource App. Free download on Page 1 of 2
46202-115050 the App Store or Google Play.
Payments/Adjustments
Date Description Reference Amount
10/22 Payment-Thank You 250547 -$267.56
Account Number 3-0761-1410954 Current Invoice Charges
Invoice Date October 25,2015 Carmel Utilities 901 N Rangeline Rd (1-1)
Invoice Number 0761-002659771 Carmel,IN
Previous Balance $267.56
Payments/Adjustments -$267.56 1 -Front Load(8 Yd) Scheduled Service (S1)
Unpaid Balance $0.00 Date Description Reference Quantity Unit Price Amount
Current Invoice Charges $267.56 10/25 Basic Service 11/01/15-11/30/15 $191.03 $191.03
1 -Front Load(2 Yd) Scheduled Service (S2)
Date Description Reference Quantity Unit Price Amount
10/25 Basic Service 11/01/15-11/30/15 $76.53 $76.53
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Current Invoice Charges $267.56
$267.56
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pMCES CARMEL UTILITIES HHW Invoice
ERVICES Ave Managing your account is now easier than ever with the My Resource App. Free download on Page 1 of 2
46202-115050 the App Store or Google Play.
Payments/Adjustments
A division of REPUBLIC SERVICES
Date Description Reference Amount
10/08 Payment-Thank You 249875 -$1,462.32
Account10/22 Payment-Thank You 250547 -$1,299.84
Account Number 3-0761-1163292
Invoice Date October 31,2015 Current Invoice Charges
Invoice Number 0761-002666692 Carmel Utilities Hhw 901 N Rangeline Rd (1-1)CSA 3292121010
Previous Balance $2,762.16 Carmel,IN
Payments/Adjustments -$2,762.16
Unpaid Balance $0.00 1 -Hooklift(30 Yd) Scheduled Service (S1) Comingled
Current Invoice Charges $1,299.84 Date Description Reference Quantity Unit Price Amount
10/01 Basic Service 1.0000 $162.48 $162.48
Receipt Number 69690
10/08 Basic Service 1.0000 $162.48 $162.48
Receipt Number 69690
` • 10/29 Basic Service 1.0000 $162.48 $162.48
$1,299.84 Receipt Number 69690
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X Due By: 11/20/15 Date Description Reference Quantity Unit Price Amount
10/06 Basic Service 1.0000 $162.48 $162.48
o • • • Receipt Number 48393
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Z Effective 4/16/2012.SERVICE INTERRUPTION 10/27 Basic Service 1.0000 $162.48 $162.48
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to get started. . Please see reverse side for terms and conditions.
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
358593
REPUBLIC WASTE SERVICES OF INDIANA Purchase Order No.
PO BOX 9001099 Terms
LOUISVILLE, KY 40290-1099 Due Date 11/12/2015
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
11/12/201! 0761002666( $1,299.84
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
Date fficer
VOUCHER # 156650 WARRANT # ALLOWED
358593 IN SUM OF $
REPUBLIC WASTE SERVICES OF INDI
PO BOX 9001099
LOUISVILLE, KY 40290-1099
Carmel Wastewater Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO# INV# ACCT# AMOUNT Audit Trail Code
07610026666 01-736H-08 $1,299.84
0760N-OcI 7 c 267.56
Voucher Total
Cost distribution ledger classification if
claim paid under vehicle highway fund
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744 REPUBLIC SERVICES CITY OF CARMEL Invoice
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 divisionof REPUBLIC SERVICES
Date Description Reference Amount
10/08 Payment-Thank You 250094 -$43.90
Account Summary .
Account Number 3-0761-0034749 Current Invoice Charges
Invoice Date October 25,2015 Communications Department 31 1st Ave NW (11-1)CSA 002772
Invoice Number 0761-002654453 Carmel,IN
Previous Balance $43.90
Payments/adjustments -$43.90 1 -Front Load(4 Yd) Scheduled Service (S4)
Unpaid Balance $0.00 Date Description Reference Quantity Unit Price Amount
Current Invoice Charges $43.90 10/25 Basic Service 11/01/15-11/30/15 $43.90 $43.90
Current Invoice Charges $43.90
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NO. WARRANT NO. Prescribed by state Board of Accounts City Form No.201 (Rev.1995)
ASTE SERVICES OF INDIANA ALLOWED 20 ACCOUNTS PAYABLE VOUCHER
1099 IN SUM OF $ CITY OF CARMEL
An invoice or bill to be properly itemized must show: kind of service,where performed, dates service rendered, by
KY 40290-1099 whom, rates per day, number of hours, rate per hour, number of units, price per unit, etc.
$43.90 Payee
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Purchase Order No.
LINT OF APPROPRIATION FOR
Terms
Date Due
Invoice Date Invoice# Description Amount
VOICE NO. ACCT#/Fund AMOUNT
Board Members Dept. Fund# (or note attached invoice(s) or bill(s))
61-002654453 j 43-501.01 j $43.90 1 hereby certify that the attached invoice(s), or 10/25/15 I 0761-002654453 I I $43.90
101 1115 101
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, November 12, 2015
4,A-,
Terry CrockettV Director
ibution ledger classification if I hereby certify that the attached invoice(s), or bill(s), is (are)true and correct and I have audited same in accordance
motor vehicle highway fund with IC 5-11-10-1.6
, 20
Clerk-Treasurer
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REPUBLIC
SERVICES CARMEL UTILITIES WWTP Invoice
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
10/08 Payment-Thank You 249875 -$638.18
• it 10/22 Payment-Thank You 250547 -$638.18
Account Number 3-0761-0058847
Invoice Date October 31,2015 Current Invoice Charges
Invoice Number 0761-002664170 Carmel Utilities Wwtp 9609 Hazel Dell Pkwy (1-1)CSA 002915
Previous Balance $1,276.36 Indianapolis,IN
Payments/Adjustments -$1,276.36
Unpaid Balance $0.00 1 -Rolloff(20 Yd) On Call Service (S2)
Current Invoice Charges $319.09 Date Description Reference Quantity Unit Price Amount
10/20 Basic Service Dwayne 1.0000 $319.09 $319.09
Receipt Number 26919
Current Invoice Charges $319.09
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Z Effective 4/16/2012 SERVICE INTERRUPTION
Z POLICY CHANGE All accounts with a balance over 60
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to get started. . Please see reverse side for terms and conditions.
Fndi.napolis
CARMEL WASTWATER UTILITY Invoice
Managing your account is now easier than ever with the My Resource App. Free download on Page1 of2
the App Store or Google Play.
Payments/Adjustments
Date Description Reference Amount
10/22 Payment-Thank You 250547 -$727.00
Account Number 3-0761-1410955 Current Invoice Charges
Invoice Date October 25,2015 Carmel Utilities 9609 Hazel Dell Pkwy (1-1)
Invoice Number 0761-002659772 Carmel,IN
Previous Balance $727.00
Payments/Adjustments -$727.00 14-Front Load(2 Yd) Scheduled Service (S1)
Unpaid Balance $0.00 Date Description Reference Quantity Unit Price Amount
Current Invoice Charges $1,424.91 10/25 Basic Service 11/01/15-11/30/15 $727.00 $727.00
1 -Rolloff(30 Yd) On Call Service (S2) Special Waste
Date Description Reference Quantity Unit Price Amount
10/20 Disposal/Recycling 967623 12.1700Tons $373.74
Pay This •unt Receipt Number 26915
10/20 Basic Service Dwayne 1.0000 $324.17 $324.17
$1,424,91 Receipt Number 26915
Due By: 11/14/15 Current Invoice Charges $1,424.91
C: Coritact Information
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Z Effective 4/16/2012.SERVICE INTERRUPTION
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CURRENT 30 DAYS 601 90+DAYS
Manage your account online 24/7, 1,424.91 0.00 0.00 0.00
aon any device with My Resource. AA . With My Resource you can schedule a pickup,pay your bill and discover new services-all with a
N Visit republiconline.com touch of a button.Visit republiconline.com to get started.
N to get started. . Please see reverse side for terms and conditions.
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
358593
REPUBLIC WASTE SERVICES OF INDIANA Purchase Order No.
PO BOX 9001099 Terms
LOUISVILLE, KY 40290-1099 Due Date 11/5/2015
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
11/5/2015 0761-002659 $1,424.91
I hereby certify that the attached invoice(s), or bill(s) is (are) true and
correct and I have audited same in accordance/with IAC' 5-11-10-1.6
Date Officer
VOUCHER # 156594 WARRANT # ALLOWED
358593 IN SUM OF $
REPUBLIC WASTE SERVICES OF INDI
PO BOX 9001099
LOUISVILLE, KY 40290-1099
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Carmel Wastewater Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO# INV# ACCT# AMOUNT Audit Trail Code
0761-0026591 01-7362-06 $1,424.91
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