HomeMy WebLinkAbout320559 01/11/18 CITY OF CARMEL, INDIANA VENDOR: 359958
i� ONE CIVIC SQUARE COVANTA ENERGY CHECK AMOUNT: $*******853.67*
CARMEL, INDIANA 46032 P.O.Box 28893 CHECK NUMBER: 320559
NEW YORK NY 10087 CHECK DATE: 01/11/18
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1110 4350101 148313INDYY 853.67 TRASH COLLECTION
VOUCHER NO. WARRANT NO. Prescribed by state Board of Accounts City Form No.201(Rev.1995)
Vendor# 359958 ALLOWED 20 ACCOUNTS PAYABLE VOUCHER
COVANTA ENERGY IN SUM OF$ CITY OF CARMEL
P.O. BOX 28893 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.
NEW YORK, NY 10087
Payee
$853.67
ON ACCOUNT OF APPROPRIATION FOR Purchase Order#
Carmel Police 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
148313indyy 43-501.01 $853.67 1 hereby certify that the attached invoice(s),or 1/8/18 148313indyy property destruction $853.67
1110 101 1110 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
Tuesday,January 9,2018
Jim Barlow
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
,20—
Cost
20Cost distribution ledger classification if claim paid motor vehicle highway fund. Clerk-Treasurer
INVOICE
Invoice: 148313MYY
COVANU Invoice Date: 12/15/17
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Remit Via Check: COVANTA ENERGY,LLC Business Unit: COVPL
PO Box 28893 Customer No: COV 15062
New York,NY 10087-8893 Payment Terms: Net 30
Due Date: 1/14/18
Customer: Carmel Police Dept. Amount Due: 853.67 USD
3 Civic Square
Carmel IN 46032
United States
Please detach here and mail the above portion with your payment.
For billing questions,please call Customer Service at 1-800-950-8749
Invoice Summary
Type of Charges Qty UOM Amount
Special Waste/Minimum Delivery Charge 1.910 TON 800.67
Environmental,Insurance and Sec Recovery Fee 1.910 TNF 52.04
Solid Waste Management Fee 1.910 TNF 0.96
Total Amount: 853.67
INVOICE
Invoice: 148313INDYY
COVAND Invoice Date: 12/15/17
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Original
From Date To Date Ticket# Approval# Description Qty
Line PO Ref# Manifest# Origin/destination Truck# UOM Unit Amount Net Amount
1 12/12/2017 12/12/2017 869518 100 Rev 376 Confidential Material Ton-Dire 1.910 TON 419.20 800.67
INDIANA 22
Solid Waste Management Fee 1.910 0.50 0.96
Environmental,Insurance and 1.910 52.04
See Recovery Fee
Total Amount: 853.67 USD
Remittance Information:
Use following for ACH:JPMORGAN CHASE BANK N.A.
Chicago,IL
Bank/ABA/Routing#: 071000013,Bank Acct.#:675522767
Account name:Covanta Energy,LLC
Reference:Customer No.:COV 15062 Invoice No.:148313INDYY
Use following for WIRE:JPMORGAN CHASE BANK N.A.
New York,NY
Bank/ABA/Routing It:021000021,Bank Acct.#;675522767
Account name::Covanta Energy,LLC
Reference:Customer No.:COV15062 Invoice No.:148313INDYY
For overnight and local courier,the following address is required:
JPMorgan Attn:Lockbox Covanta Energy,LLC,Lockbox #:28893
4 Chase Metrotech Center-7th floor East
Brooklyn,NY 11245
ALL REMITTANCES MUST REFERENCE Customer No.:COV15062 Invoice No.: 148313INDYY.
PLEASE EMAIL ALL PAYMENT REMITTANCE INFORMATION TO customerpayments@covanta.com
MANUALTICKET
T ICKE€#:
DATE:
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TIME IN: cf 4-
IME OUT: —
CUS a OMER: APPROVAL OP.SUCK COBE: /0 v /`� / 22
- - r RUCK#: - � jiV�% cS lit ✓ CARRIER:
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MANIFEST:#.- WEIGH-r.
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REASON FOR MANUAL 9CKETt:
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DRIVERSSIGHATURE.
S:OFFICE/OFFICEJADMINSNAREJSCALEHOUSE DOCUMENTS
p869518z
ovant-a Indianapolis
320 S. Harding Street
ndianapolis, IN 46221
hone (317) 634-7367
icket: 869518
Date: 12/12/2017
Time: 09:18:31 - 09:21:01
Customer: 201810i/CARMEL POLICE DEPT
Carrier: 59207/SECURE SERVICES SPECIA
Truck: 22
Truck Type: TT/Transfer Trailer
Profile: 100 Rev 376/DMS Approval# 1C
Comment: CARMEL PD
DG
3ross: 14700 lb In Manual Wt M
Tare: 10880 lb Out Manual Wt M
Net: 3820 lb
Tons: 1.91
aterials & Services
----------------------------------------
Origin: 8340/INDIANA
Material: 100% of CONMAT-TNH/Confident
Quantity: 1.91 ton
Rate:
Amount: $ 0.00
----------------------------------------
Total Taxes: $ 0.00
Total Amount: $ 0.00
eighmaster: DGARDNER
Driver:
Covanta Municipal Rx Take-back Program
4Recovery General Information
Generatorfte'l 7b1 C& Pea. Approval Number: �v/� u3?
Vy4ste Description: (Generator to describe the source of the waste and physical description.)
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Non Hazardous Certification:
I certify, as an authorized representative of the above mentioned generator, that this document
including all completed forms, and all pertinent addenda accurately represents and describes
the waste stream outlined and that it is true, accurate, complete and that no available
information has been omitted or falsified. I further certify that the waste has never been used, is
uncontaminated per the conditions of this protocol and is nonhazardous based on Federal,
State and Local Regulations or is exempt from such regulations.
Date: I !-Ay- I ti
Company:C"IT 1 `j26U C-e P- 6PO,Vq_kY1 k1+
Name:yk�q V1 i kK
lease
Title: G m� �yP if_T p,e 61601 S� PrDj)e Yk�o
Signatu e: 11tQJ
Certificate of Disposal/Destruction
The listed material has been received and delivered to the feed chute for combustion in the
unit(s) in accordance with the conditions of the approval to accept said wastes. The listed
material(s) haathave been processed for energy recover in accordance with all applicable local,
state, and federal regulations. The placement of these materials into the feed chute was
witnesse by:
r L
X 8 Date:
j itness Signature