252391 1 2/08/1 5 CITY OF CARMEL, INDIANA VENDOR: 366093
® ONE CIVIC SQUARE REPUBLIC WASTE SERVICE-TRASH COL(Z1dgCK AMOUNT: $***113,251.94*
CARMEL, INDIANA 46032 ATTN:NANCY COLLINS CHECK NUMBER: 252391
832 LANGSDALE AVE CHECK DATE: 12/08/15
INDIANAPOLIS IN 46202-1150
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
601 5023990 11-14 11-30 113,251.94 OTHER EXPENSES
Republic Services
832 Langsdale Ave
Indianapolis, IN 46202-1150
ATTN: Nancy Collins
Account# 3-0761-9761020
$$$$ Collected By Carmel Utilities
Nov 14 to Nov 30 $116,276.94 2015 Rate
Less Administrative Fee 2015 $ (3,025.00)
12,100 Payments
Payment to Republic $113,251.94
Prescribed by State Board of Accounts
Form No.301(Rev.1995) ACCOUNTS PAYABE VOUCHER
TO
ADDRESS c53a ( 50A" QV
Invoice Date Invoice Number Item Amount
-, 7tia-s
'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
bit
ignature 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
Officer Title
Voucher No. Warrant No.
ACCOUNTS PAYABLE DETAILED ACCOUNTS
MUNICIPAL WATER DEPT. NOT"
CARMEL, INDIANA
4�Uh«,-� VjC4lFavor Of 7U(eOc7 `
Total Amount of Voucher $ ?
Deductions
S� gY
Amount of Warrant $ (13 aS 17
^,tel I
Month of w
Acct.
VOUCHER RECORD 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
i
Total
Allowed
Board of Control
Filed
Official Title
BOYCE FORMS•SYSTEMS 1-800-382-8702 325