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Home My WebLink About320559 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 Poweringtbtrzy.ProlectingTomorrow. Page: 1 oft 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 oawart}ag 76d6lt;P�atecttaeg Tari+nrrow. Page: 2 of 2 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: r- TIME IN: cf 4- IME OUT: — CUS a OMER: APPROVAL OP.SUCK COBE: /0 v /`� / 22 - - r RUCK#: - � jiV�% cS lit ✓ CARRIER: 1�v WAS TIVPVP E-. MANIFEST:#.- WEIGH-r. OU T WE3694T: NE'WEIGH-9% k zy- TNS: REASON FOR MANUAL 9CKETt: P 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.) aperylashGS 710•41f mom, ori -lu 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