HomeMy WebLinkAbout258680 05/13/16 +
CITY OF CARMEL, INDIANA VENDOR: 358593
I ONE CIVIC SQUARE REPUBLIC WASTE SERVICES OF INDIArWECK AMOUNT: $`••*"2,824.00'
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Q CARMEL, INDIANA 46032 PO BOX 9001099 CHECK NUMBER: 258680
.y��TON�°' LOUISVILLE KY 40290-1099 CHECK DATE: 05/13/16
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1205 4350101 07612883585 145.24 30761034742
1115 4350101 07612883586 45.44 307610034749
1091 4350101 07612883635 446.62 TRASH COLLECTION
110 4350101 07612884753 75.00 TRASH COLLECTION
1125 4350101 39440 07612889222 150.00 2016 MONTHLY PARKS TR
1207 4350101 32117 07612892817 288.10 TRASH REMOVAL
651 5023990 07612892963 373.76 307610058847
651 5023990 07612895360 1,299.84 307611163292
Voucher No. Warrant No.
358593 Republic Services#761 Allowed 20
P.O. Box 9001099
Louisville, KY 40290-1099
In Sum of$
$ 671.62
ON ACCOUNT OF APPROPRIATION FOR
101 General/109 MCC 1110 Facilities
PO#or INVOICE NO. ACCT#.[TITLE AMOUNT Board Members
Dept#
39440 p 761002889222 4350101 $ 150.00 1 hereby certify that the attached invoice(s), or
110 671002884753 4350101 $ 75.00 bill(s) is(are)true and correct and that the
1091 761002883635 4350101 $ 446.62 materials or services itemized thereon for
which charge is made were ordered and
received except
May 5, 2016
Signature
$ 671.62 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund
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
4/25/16 761002889222_Trash pickup AO May'16 39440 $ 150.00
4/25/16 671002884753 Trash pickup Wilfong May'16 39423 $ 75.00
4/25/16 761002883635_Trash pickup MCC May'16 39422 $ 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
20
Clerk-Treasurer
���REPUBLIC CARMEL CLAY PARK'S
SEavrCES 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 Descriation Reference Amount
04/20 Payment-Thank You 257638 -$150.00
1116
19011111
ccountNumber-�.3-0761 1410948r Current Invoice Charges
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Invoice Date- Apnl„_,25,2016 Carmel Clay Park's 1411 E 116th St (1-1)CSA 094811711
Invoice NumberOZ61-002889222 Carmel,IN
PrevId.s Balance $150.00
Payments/Adjustments 4150.00 2-Front Load(8 Yd) Scheduled Service (S1)
Unpaid Balance $0.00 Date Descriation Reference Quantity Unit Price Amount
Current Invoice Charges $181.50 04/25 Basic Service 05/01/16-05/31/16 $181.50 $181.50
Current Invoice Charges q T $181.50
CEI V ED
Pay This Amount MAY - 2 2016
$181.50
Due By: 05/15/16 BY:
Contact • •
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CARMEL CLAY PARK'S 3-0761-1410948 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.electronicl)avments.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
0000 000986(Rev 01)
REPUBLIC CARMEL CLAY PARKS
SEFVICES 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
8101911111 04/20 Payment-Thank You 257638 -$75.00
AncvcG` 55� Current Invoice Charges
ount,Numher3-0761-00786
po n120/6
Founders Park 11675 Hazel Dell Pkwy (1-1)
Invoice Number 0761-002884753 ; Carmel,IN
—Previous`Baiance— $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 $93.13 04/25 Basic Service 05/01/16-05/31/16 $54.45 $54.45
1-Front Load Recycling(4 Yd) Scheduled Service (S2) Corrugated Only
Date Description Reference Quantity Unit Price Amount
04/25 Recycling Service 05/01/16-05/31/16 $38.68 $38.68
EF I ' • Current Invoice Charges $93.13
$93.13
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Due By: 05/15/16
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Customer Service (317)917-7300
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CARMEL CLAY PARKS 3-0761-0078655 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.
COCO
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0000 000986(Rev 01)
RueLIc
SERVICES CARMEL CLAY PARKS Invoice
632 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
04/20 Payment-Thank You 257638 -$446.62
•
Account Number 3-076,1.-0036974— , Current Invoice Charges
Invoice Date April 25 2016 Monon Center 1236 Central Park Dr E (L1)CSA C697406311
InvoiceNurliber y `c A761-002683635; Carmel,IN
Previous Balanceg '�� °y$446 62"
Payments/Adjustments 4446.62 1-Front Load(4 Yd) Scheduled Service (S1)
Unpaid Balance $0.00 Date Description Reference Quantity Unit Price Amount
Current Invoice Charges $446.62 04/25 Basic Service 05101/16-05/31/16 $84.13 $84.13
1-Front Load(10 Yd) Scheduled Service (S2)
Date Description Reference Quantity Unit Price Amount
04/25 Basic Service 05/01/16-05/31/16 $265.00 $265.00
■ 1-Front Load Recycling(6 Yd) Scheduled Service (S3) Corrugated Only
$446.62 Date Description Reference QuantityUnit Price Amount
04/25 Recycling Service 05/01/16-05/31/16 $41.82 $41.82
Due By: 05/15/16 1-Front Load Recycling(8 Yd) Scheduled Service (S4) Comingled
c, Date Description Reference Quantity Unit Price Amount
' • • 04/25 Recycling Service 05/01/16-05/31/16 $55.67 $55.67
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CARMEL CLAY PARKS 3-0761-0036974 Page 2 of 2
Check Processing: In accordance with Federal Reserve Board guidelines, when you provide a check as payment, you
authorize us to use information from your check to make a one-time electronic fund transfer from your account or to
process the payment as a check transaction. When we use information from your check to make an electronic fund
transfer, funds may be withdrawn from your account as soon as the same day we receive your payment and you will not
receive your check back from your financial institution. For further information visit: www.electron icpayments.or4 and click
on the Check Conversion tab.
If service is canceled during a billing cycle, the customer will remain responsible for all charges, fees and taxes through the
end of the billing cycle. There will be no proration of billing, and the customer will not be entitled to a refund for the period
between the notice of termination and the end of the current billing cycle. This provision will not apply if it is contrary to a
current franchise agreement, municipal contract, or other written contract applicable to this account or is otherwise
prohibited by law.
The Company reserves the right to require that payment for services be made only by check, credit card or money order,
unless otherwise required by contract or applicable law.Cn
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0000 000986(Rev 01)
VOUCHER NO. WARRANT NO.
ALLOWED 20
REPUBLIC WASTE SERVICES OF INDIANA
PO BOX 9001099
IN SUM OF$
LOUISVILLE, KY 40290-1099
$45.44
ON ACCOUNT OF APPROPRIATION FOR
Communications
PO#/Dept. INVOICE NO. I ACCT#/Fund AMOUNT Board Members
0761-002883586 I 43-501.01 I $45.44 1 hereby certify that the attached invoice(s), or
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
Monday, May 09,.2016
Terry Crockett
Director
Cost distribution ledger classification if
claim paid motor vehicle highway fund
Prescribed by State Board of Accounts City Form No.201(Rev.'!995)
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))
04/25/16 I 0761-002883586 I I $45.44
1115 101
I hereby certify that the attached invoice(s), or bill(s), is(are)true and correct and-1 have audited same in accordance
with IC 5-11-10-1.6
, 20
Clerk-Treasurer
`04 REPUBLIC Invoice
SERVICES CITY OF 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
Date Description Reference Amount
04/20 Payment-Thank You 257638 -$45.44
Account Number •3-0761-0034749 Current Invoice Charges
Invoice Date April 25,2016 Communications Department 31 1st Ave NW (1-1)CSA C002772
Invoice Number 0761-002883586 Carmel,IN
Previous Balance $45.44
Payments/Adjustments -$45.44 1-Front Load(4 Yd) Scheduled Service (S4)
Unpaid Balance $0.00 Date Description Reference Quantity Unit Price Amount
Current Invoice Charges $45.44 04/25 Basic Service 05/01/16-05/31/16 $45.44 $45.44
Current Invoice Charges $45.44
$45.44
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Due By: 05/15/16
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00 Customer Service (317)917-7300
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Z • • • •
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Z Your next Invoice may reflect a rate adjustment,if you
Z have any questions after receiving your next invoice
Zplease contact us.
Z SERVICE INTERRUPTION POLICY All accounts with a
Z balance over 60 days will experience a service
Zinterruption unless prior arrangements are made.
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a Visit republiconline.com touch of a button.Visit republiconline.com to get started.
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CITY OF CARMEL 3-0761-0034749 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.
m
A
VOUCHER NO. WARRANT NO.
ALLOWED 20
REPUBLIC WASTE SERVICES OF INDIANA
PO BOX 9001099 IN SUM OF$
LOUISVILLE, KY 40290-1099
$145.24
ON ACCOUNT OF APPROPRIATION FOR
General Administration
PO#/Dept. INVOICE NO. I ACCT#/Fund AMOUNT Board Member;
I 0761-002883585 I 43-501.01 I $145.24 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, May 09, 2016
Cost distribution ledger classification if
claim paid motor 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 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))
04/25/16 0761-002883585 $145.24
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
FIndianapolis
UBLIC Invoice
VICES CITY OF CARMEL
ve Managing your account is now easier than ever with the My Resource App.Free download on Pagel of 2
46202-115050 the App Storeor Google Play.
Payments/Adjustments
Date Description Reference Amount
Account
04/20 Payment-Thank You 257636 -$145.24
Account Number 3-0761-0034742 Current Invoice Charges
Invoice Date April 25,2016 City Hall 1 Civic Sq (1-1)CSA C002763
Invoice Number 0761-002883585 Carmel,IN
Previous Balance $145.24
Payments/Adjustments -$145.24 1-Front Load(6 Yd) Scheduled Service (S1)
Unpaid Balance $0.00 Date Description Reference Quantity Unit Price Amount
Current Invoice Charges $145.24 04/25 Basic Service 05/01/16-05/31/16 $145.24 $145.24
Current Invoice Charges $145.24
AmountPay This
$145.24 Submitted T®
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MAY 0 9 2016
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Non any device with My Resource. AA . With My Resource you can schedule a pickup,pay your bill and discover new services-all with a
01 A Visit republiconline.com touch of a button.Visit republiconline.com to get started.
' toet started.
9 . Please see reverse side for terms and conditions.
iv
CITY OF CARMEL 3-0761-0034742 Page 2 of 2
Check Processing: In accordance with Federal Reserve Board guidelines,when you provide a check as payment, you
authorize us to use information from your check to make a one-time'electronic fund transfer from your account or to
process the payment as a check transaction. When we use information from your check to make an electronic fund
transfer, funds may be withdrawn from your account as soon as the same day we receive your payment and you will not
receive your check back from your financial institution. For further information visit: www.electronicpayments.ora and click
on the Check Conversion tab.
If service is canceled during a billing cycle, the customer will remain responsible for all charges, fees and taxes through the
end of the billing cycle. There will be no proration of billing, and the customer will not be entitled to a refund for the period
between the notice of termination and the end of the current billing cycle. This provision will not apply if it is contrary to a
current franchise agreement, municipal contract, or other written contract applicable to this account or is otherwise
prohibited by law.
The Company reserves the right to require that payment for services be made only by check, credit card or money order,
unless otherwise required by contract or applicable law.
m
A
A
0000 000986(Rev 01)
VOUCHER NO. WARRANT NO.
ALLOWED 20
REPUBLIC WASTE SERVICES OF INDIANA
PO BOX 9001099
IN SUM OF$
LOUISVILLE, KY 40290-1099
$288.10
ON ACCOUNT OF APPROPRIATION FOR
Brookshire Golf Course
PO#/Dept. INVOICE NO. ACCT#/Fund AMOUNT Board Members
32117 I 0761-002892817 I 43-501.01 I $288.10 1 hereby certify that the attached invoice(s), or
1207 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, May 09, 2016
Cost distribution ledger classification if
claim paid motor vehicle highway fund
rescribed by State Board of Accounts City Form No.201 (Rev.1995)
ACCOUNTS PAYABLE VOUCHER
CITY OF CARMEL
m invoice or bill to be properly itemized must show: kind of service,where performed,dates service rendered, by
Thom, rates per day, number of hours, rate per hour, number of units, price per unit, etc.
Payee
Purchase Order No.
Terms
Date Due
nvoice Date Invoice# Description Amount
Dept. Fund# (or note attached invoice(s) or bill(s))
04/30/16 I 0761-002892817 I Trash Collection I $288.10
1207 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
F11dianapolis
UBLIC CITY OF CARMEL BROOKSHIRE GOLF Invoice
MES
ve Managing your account is now easier than ever with the My Resource App.Free download on Page 1 of 2
the App Store or Google Play.
Payments/Adjustments
Date Description Reference Amount
Account ry 04/20 Payment-Thank You 257638 -$154.08
Account Number ,3-0761-0035460 Current Invoice Charges
Invoice Date April,30,2016 Brookshire Golf Course RolFl 12120 Brookshire Pkwy (L1)CSA C002765
Invoice Number 0761-002892817 Carmel,IN
Previous Balance $154.08
Payments/Adjustments -$154.08 1-Front Load(8 Yd) Scheduled Service (S1)
Unpaid Balance $0.00 Date Description Reference QuantityUnit Price Amount
Current Invoice Charges $288.10 04/30 Basic Service 05/01/16-05/31/16 $112.10 $112.10
Brookshire Golf Course Pt 12120 Brookshire Pkwy (L2)
Carmel,IN
2-Portable Unit Scheduled Service (S4)
AmountPay This Date Description Reference Quantity Unit Price Amount
$288.10 04/30 Portable Service 04/01/16-04/30/16 $176.00 $176.00
N Current Invoice Charges $288.10
Due By: 05/20/16
0 Contact rn
Information
11 Customer Service (317)917-7300
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N
N
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Z
ZImportant Information
Z
Z Your next Invoice may reflect a rate adjustment,if you
Z
Z have any questions after receiving your next invoice
z please contact us.
Z SERVICE INTERRUPTION POLICY All accounts with a
Z balance over 60 days will experience a service
Z interruption unless prior arrangements are made.
Z
Z
Z
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CURRENT 30'.DAYS.. :"60 DAY, : 90+>DAY5
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Manage your account online 24/7, 288.10 0.00 0.00 0.00
a on any device with My Resource.
DA . With My Resource you can schedule a pickup,pay your bill and discover new services-all with a
o 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 BROOKSHIRE GOLF 3-0761-0035460 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 required by contract or applicable law.
0
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0000 000986(Rev 01)
VOUCHER # 165286 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
0761-0028925 01-7362-05 $373.76
5)lull
ly
Voucher Total $373.76
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
358593
REPUBLIC WASTE SERVICES OF INDIANA Purchase Order No.
PO BOX 9001099 Terms
LOUISVILLE, KY 40290-1099 Due Date 5/9/2016
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
5/9/2016 0761-002892 $373.76
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 Officer
��REPUBLIC
SEANCES 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
Date Description Reference Amount
01/27 Payment-Thank You 253746 -$319.09
Account Number ,3-0761-0058847 Current Invoice Charges
Invoice Date April 30,2016 Carmel Utilities Wwtp 9609 Hazel Dell Pkwy (L1)CSA C002915
Invoice Number 0761-002892963 Indianapolis,IN
Previous Balance $319.09
Payments/Adjustments -$319.09 1-Rolloff(20 Yd) On Call Service (S2)
Unpaid Balance $0.00 Date Description Reference Quantity Unit Price Amount
Current Invoice Charges $373.76 04/07 Basic Service Duane 1.0000 $373.76 $373.76
Receipt Number 20137
Current Invoice Charges $373.76
$373.76
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to get started. . Please see reverse side for terms and conditions.
CARMEL UTILITIES WWTP 3-0761-0058847 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 req_yired by contract or applicable law.
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0000 000986(Rev 01)
VOUCHER # 165303 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
07610028953 01-736H-08 $1,299.84
Voucher Total $1,299.84
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
358593
REPUBLIC WASTE SERVICES OF INDIANA Purchase Order No.
PO BOX 9001099 Terms
LOUISVILLE, KY 40290-1099 Due Date 5/9/2016
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
5/9/2016 0761002895: $1,299.84
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
� REPUBLIC SEAYICES CARMEL UTILITIES HHW 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
Account ry 04/20 Payment-Thank You 257638 -$1,729.30
Account Number ,3-0761-1163292 Current Invoice Charges
Invoice Date April 30,2016 Carmel Utilities Hhw 901 N Rangeline Rd (1-1)CSA C329212101
Invoice Number 0761-002895360 Carmel,IN
Previous Balance - $1,729.30
Payments/Adjustments -$1,729.30 1-Hooklift(30 Yd) Scheduled Service (S1) Comingled
Unpaid Balance $0.00 Date Description Reference Quantity Unit Price Amount
Current Invoice Charges $1,299.84 04/05 Basic Service 1.0000 $162.48 $162.48
Receipt Number 69690
04/07 Basic Service 1.0000 $162.48 $162.48
Receipt Number 69690
04/14 Basic Service 1.0000 $162.48 $162.48
AmountPay This Receipt Number 69690
$1,299.84 04/21 Basic Service 1.0000 $162.48 $162.48
Receipt Number 69690
Due-By: 05/20/16 04/28 Basic Service 1.0000 $162.48 $162.48
Receipt Number 69690
Contact • • 1-Recycle Rolloff(30yd) Scheduled Service (S3) Comingled
Customer Service (317)917-7300 Date Description Reference Quantity Unit Price Amount
N 04/12 Basic Service 1.0000 $162.48 $162.48
w Receipt Number 48393
p 04/19 Basic Service 1.0000 $162.48 $162.48
z Receipt Number 48393
zImportant Information04/26 Basic Service 1.0000 $162.48 $162.48
Z SERVICE INTERRUPTION POLICY All accounts with a Receipt Number 48393
Z balance over 60 days will experience a service
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Z Current Invoice Charges $1,299.84
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CURRENT:.. 30 DAYS . � 60 DAYS I E�iii
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a D A with My Resource you can schedule a pickup,pay your bill and discover new services-all with a
Visit republicon line.com touch of a button.Visit republiconline.com to get started.
to get started. . Please see reverse side for terms and conditions.
CARMEL UTILITIES HHW 3-0761-1163292 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 icgayments.orq 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
0
V
N
0000 000986(Rev 01)