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319617 12/12/2017 CAA CITY OF CARMEL, INDIANA VENDOR: 358593 '1 ONE CIVIC SQUARE REPUBLIC WASTE SERVICES OF INDIAWHECK AMOUNT: $*******716.50* ?q; CARMEL, INDIANA 46032 PO BOX 9001099 CHECK NUMBER: 319617 9 - LOUISVILLE KY 40290-1099 CHECK DATE: 12/12/17 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1120 4350101 56.00 0761003717557 1120 4350101 660.50 0761003717566 S VOUCHER NO. WARRANT NO. Prescribed by state Board of Accounts City Form No.201(Rev.1995) Vendor# 358593 ALLOWED 20 ACCOUNTS PAYABLE VOUCHER REPUBLIC WASTE SERVICES OF INDIANA IN SUM OF$ CITY OF CARMEL PO BOX 9001099 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. LOUISVILLE, KY 40290-1099 Payee $716.50 Purchase Order# ON ACCOUNT OF APPROPRIATION FOR Carmel Fire Terms Date Due PO# ACCT# DATE INVOICE# DESCRIPTION DEPT# INVOICE# Fund# AMOUNT Board Members DEPT# FUND# (or note attached invoice(s)or bill(s)) AMOUNT 0761-003717557 43-501.01 $56.00 1 hereby certify that the attached invoice(s),or 12/6/17 0761-003717557 $56.00 1120 101 1120 101 0761-003717566 43-501.01 $660.50 bill(s)is(are)true and correct and that the 12/6/17 0761-003717566 $660.50 1120 1 1 101 1 materials or services itemized thereon for 1120 101 which charge is made were ordered and received except Friday, December 08,2017 DI _ David Haboush Fire Chief 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 5-11-10-1.6 120- Cost 20Cost distribution ledger classification if claim paid motor vehicle highway fund. Clerk-Treasurer REPUBLIC 832 Langsdale Ave Account Number 3-0761-0034441 SERVICES Indianapolis IN 46202-115050 Invoice Number 0761-003717557 Customer Service (317)917-7300 Invoice Date November 25, 2017 RepublicServices.com/Support Previous Balance $56.00 Payments/Adjustments -$56.00 Important Information Current Invoice Charges $56.00 Service Interruption Policy All accounts with a balance over 60 days will experience a service interruption Total Amount Due Payment Due Date unless prior arrangements are made. $56.00 December 15, 2017 PAYMENTS/ADJUSTMENTS Description Reference Amount Payment-Thank You 11/15 318172 -$56.00 CURRENT INVOICE CHARGES Description Reference Quantity Unit Price Amount Carmel Fire Maint/Training 4925 E 106th St Carmel, IN 1 Waste Container 4 Cu Yd, 1 Lift Per Week Pickup Service 12/01-12/31 $56.00 $56.00 CURRENT INVOICE CHARGES $56.00 N M n C W 0 N W NW IV Z Z Z Z Z Z Z Z Z Z Z Z Z Z Z _ o Electronics Recycling with BlueGuardTM 0 Convenient recycling solutions that are safe for your business and good Zvi o for our planet.To learn more, visit RepublicServices.com/Electronics 0 N O W A N N W REPUBLIC 832 Langsdale Ave Account Number 3-0761-0034703 SERVICES Indianapolis IN 46202-115050 Invoice Number 0761-003717566 Customer Service (317) 917-7300 Invoice Date November 25, 2017 RepublicServices.com/Support Previous Balance $600.00 Payments/Adjustments -$600.00 Important Information Current Invoice Charges $660.50 Service Interruption Policy All accounts with a balance over 60 days will experience a service interruption Total Amount Due .Payment Due Date unless prior arrangements are made. $660.50 December 15, 2017 PAYMENTS/ADJUSTMENTS Description Reference Amount Payment-Thank You 11/15 318172 -$600.00 CURRENT INVOICE CHARGES Description Reference Quantity Unit Price Amount Fire Station 41 2 Civic Sq CSA C002757 Carmel, IN 1 Waste Container 8 Cu Yd,2 Lifts Per Week Waste/Recycling Overage 11/17 1.0000 $60.50 $60.50 Pickup Service 12/01-12/31 , $248.00 $248.00 r N 37 Fire Station 42 3610 W 106th St CSA C002758 D Carmel, IN c 1 Waste Container 2 Cu Yd,2 Lifts Per Week oho Pickup Service 12/01-12/31 $111.00 $111.00 co Cn co N Fire Station 43 3242 E 106th St CSA C002759 Carmel, IN z z 1 Waste Container 2 Cu Yd, 1 Lift Per Week z z Pickup Service 12/01-12/31 $69.00 $69.00 z z z Fire Station 44 5032 E 131st St CSA C002760 z Carmel, IN z 1 Waste Container 4 Cu Yd, 1 Lift Per Week z z Pickup Service 12/01-12/31 $93.00 $93.00 o 0 o Fire Station 46 540 W 136th St CSA C002762 Carmel, IN 1 Waste Container 3 Cu Yd, 1 Lift Per Week N Pickup Service 12/01-12/31 $79.00 $79.00 CURRENT INVOICE CHARGES $660.50 N 0 A N N W N