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184582 04/14/2010 CITY OF CARMEL, INDIANA VENDOR: 358593 Page 1 of 1 ONE CIVIC SQUARE REPUBLIC WASTE SERVICES OF INDIA y� CARMEL, INDIANA 46032 PO BOX 9001824 CHECK AMOUNT: $464.48 LOUISVILLE KY 40290 -1824 CHECK NUMBER: 184582 CHECK DATE: 411412010 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1125 4350101 3656514 464.48 TRASH COLLECTION 001882 000001 001883 2051654 22405T011 3 Republic Services Of Indiana INVOICE 832 Langsdale Ave Indianapolis, IN 46202 Invoice Date 03/31/2010 www.indywaste.com Invoice No 3656514 Account No 3056 14 0 10948 0 Service Period APRIL CARMEL CLAY PARK'S Page No 1 of 2 1411 E 116TH ST Due Date 04/15/2010 CARMEL, IN 46032 Current Charges Total Amount Due $4644 $464 4$ Please Pay Total Amount Due Billing Questions? Call 317 -917 -7300 Service Address: CARMEL CLAY PARK'S, 1411 E 116TH ST, CARMEL, IN 46032 DATE'_„ DESCRhPTION QUANTITY RATE TOTAL` 03/31/2010 FUEL /ENVIRO FEE -COMM 65.44 03/31/2010 8YD FL SOLID WASTE P /U: 02 2.00 399.04 r n er .A6 4 r I Wit„ 4 8 Total Cur Charges 'urchas@ DU MPS I Eft MIA Description l I i (D P.O. P or F G.L. 101 D D D Bud Lirie De 1 l Ul A P iR U Q Purchaser Date Approval Date BY............ ACCOUNT STATUS rrehf Ua Y.. 0 r >9l3 OTatafAatant,[7 a 464.48 0.00 0.00 1 0.00 464.48 Paying your bllE became quicker and easieri Using ou "r secure Online Payment option means you nq;longer h ave to write and m811�checks just afew keyst rokes and you're done! Vlsltwww Irdywaste conand Cflck' Pay Your' Blll Online" or calf 1.866= 350 7603 to a b hone 4 J. Please return the portion below with your payment. Do not attach check to stub. 'L L 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 Waste Services of Indiana Terms P.O. Box 9001824 Louisville, KY 40290 -1824 Invoice Invoice Description Date Number (or note attached invoice(s) or bill(s)) PO Amount 3/31110 3656514 Dumpster A.O. 464.48 Total 464.48 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 Voucher No, Warrant No, 358593 Republic Waste Services of Indiana Allowed 20 P.O. Box 9001824 Louisville, KY 40290 -1824 In Sum of$ 464.48 ON ACCOUNT OF APPROPRIATION FOR 101 -General Fund PO# or INVOICE NO. AGCT #fTITLE AMOUNT Board Members Dept 1125 3656514 4350101 464.48 1 hereby certify that the attached invoice(s), or 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 8 -Apr 2010 Signature 464.48 Accounts Payable Coordinator Cost distribution ledger classification if Title claim paid motor vehicle highway fund