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HomeMy WebLinkAbout333406 12/14/18 CITY OF CARMEL, INDIANA VENDOR: 358593 • ONE CIVIC SQUARE REPUBLIC WASTE SERVICES OF INDIAWECK AMOUNT: $*****1,375.00* CARMEL, INDIANA 46032 LOUISVILLEPO BOX 9001099 01 940290-1099 CHECK NUMBER: 333406 CHECK DATE: 12/14/18 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 651 5023990 1,375.00 307611410955 VOUCHER NO. 186959 WARRANT NO. ALLOWED 20 Prescribed by State Board of Accounts City Form No.201 (Rev 1995) Vendor # 358593 IN SUM OF$ ACCOUNTS PAYABLE VOUCHER REPUBLIC WASTE SERVICES OF INDIANA CITY OF CARMEL PO BOX 9001099 An invoice or bill to be properly itemized must show: kind of service,where performed, LOUISVILLE, KY 40290-1099 dates service rendered, by whom, rates per day, number of hours, rate per hour, numbers of units, price per unit, etc. Payee $1,375.00 358593 Purchase Order No. ON ACCOUNT OF APPROPRATION FOR REPUBLIC WASTE SERVICES OF INDIANA Terms Carmel Wasterwater Utility PO BOX 9001099 Due Date BOARD MEMBERS I hereby certify that that attached invoice LOUISVILLE, KY 40290-1099 (s), or bill(s)is(are)true and correct and that PO# ACCT# the materials or services itemized thereon DATE INVOICE# Description DEPT# INVOICE# Fund# AMOUNT for which charge is made were ordered and DEPT# FUND# (or note attached invoice(s)or bill(s)) AMOUNT 0761- 01-7362-06 $1,375.00 and received except 12/4/2018 0761-004156447 $1,375.00 004156447 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 Cost distribution ledger classification if claim paid motor vehicle highway fund. , 20_ Clerk-Treasurer SRT REPUBLIC 832 Langsdale Ave Account Number 3-0761-1410955 SERV/CES Indianapolis IN 46202-115050 Invoice Number 0761-004156447 Customer Service (317)917-7300 Invoice Date November 25, 2018 RepublicServices.com/Support Previous Balance $2,724.50 Payments/Adjustments -$2,724.50 Important Information Current Invoice Charges $1,375.00 Your next invoice may reflect a rate adjustment. Please contact us with any questions. Total Amount Due Payment Due Date $1,375.00 December 15, 2018 PAYMENTS/ADJUSTMENTS Description Reference Amount Payment-Thank You 11/21 332024 -$2,724.50 CURRENT INVOICE CHARGES Description Reference Quantity Unit Price Amount Carmel Utilities 9609 Hazel Dell Pkwy Carmel, IN 14 Waste Container 2 Cu Yd,70 Lifts Per Week Pickup Service 12/01-12/31 $1,375.00 $1,375.00 CURRENT INVOICE CHARGES $1,375.00 r n z c D Received by : r Date: ►a-L► -�� PO #: N w cct #: 01 3169 . okQ z z Use: —1 o-A JP z Z Z Z Z - z Z Z Z Z Z Electronics Recycling with BlueGuardTM Convenient recycling solutions that are safe for your business and good C for our planet. To learn more, visit RepublicServices.com/Electronics w N O CC a u