HomeMy WebLinkAbout187002 06/23/2010 CITY OF CARMEL, INDIANA VENDOR: 358593 Page 1 of 1
h ONE CIVIC SQUARE REPUBLIC WASTE SERVICES OF INDIA CHECK AMOUNT: $5,464.80
i CARMEL, INDIANA 46032 PO BOX 9001099
LOUISVILLE KY 40290 -1099 CHECK NUMBER: 187002
CHECK DATE: 6123/2010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
651 5023990 07610002430 5,464.80 OTHER EXPENSES
R7 �REPU$L CARMEL UTILITIES HHW Invoice
SERVICES Visit us at www.indywaste.com. Page 1 of 4
832 Langsdale Ave
Indianapolis, IN 46202 -1150
Payments/Adjustments
Date Description Reference Amount
Account Number 3- 0761 1163292 05/11 Payment Thank You 184915 $3,105.00
Invoice Date May 31, 2010
Invoice Number 0761- 000243098 Current Invoice Charges
Previous Balance $3,105.00 Carmel Utilities Hhw 901 N Range Line Rd (1-1)
Payments /Adjustments $3,105.00 Carmel, IN
Unpaid Balance $0.00
Current Invoice Charges $5,464.80 2 Hooklift (30 Yd) Scheduled Service (S1) Recyclable
Date Description Reference Quanti Unit Price Amount
05/03 Basic Service 1.0000 $124.20 $124.20
Receipt Number 14659
05103 Basic Service 1.0000 $124.20 $124.20
Receipt Number 14659
$5,464.$0 05/05 Basic Service $124.20
Dump /Return 30 Yard 412/10
Due By: 06/20/10 05/05 Basic Service $124.20
Dump /Return 30 Yard 4!2110
05105 Basic Service $124.20
Customer Service (317) 917 -7300 Dump /Return 30 Yard 415110
05105 Basic Service $124.20
Dump /Return 30 Yard 4/5!10
05/05 Basic Service $124.20
Dump /Return 30 Yard 4/7110
o 05/05 Basic Service $124.20
Dump /Return 30 Yard 4/7110
05105 Basic Service $124.20
Dump /Return 30 Yard 419/10
05105 Basic Service $124.20
Dump /Return 30 Yard 419/10
05/05 Basic Service $124.20
Dump /Return 30 Yard 4/12/10
05/05 Basic Service $124.20
Dump /Return 30 Yd 4/12110
05/05 Basic Service $124.20
Dump /Return 30 Yard 4/14/10
05/05 Basic Service $124.20
Dump /Return 30 Yard 4114/10
GIJf2 RE N.1' R 30 D11Y,S aw 60 DiAYS. me 90+ DAl!S'N
1
To pay on -line or sign up for 5,464.80 0.00 0.00 0.00
convenient auto pay, go to:
D A Visit our website, www.disposal.com to make your payment electronically
or to sign up for our convenient automatic payment plan.
Visit us at www.disposal.com Please see reverse side for terms and conditions
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CARMEL UTILITIES HHW 3- 0761 1163292 Page 2 of 4
Check Processing: In accordance with Federal Reserve Board guidelines, when you provide a check as payment, you
authorize us to use information from your check to make a one -time electronic fund transfer from your account or to
process the payment as a check transaction. When we use information from your check to make an electronic fund
transfer, funds may be withdrawn from your account as soon as the same day we receive your payment and you will not
receive your check back from your financial institution. For further information visit: www.electronicpayments.org or call
866 474 -8275.
If service is canceled during a billing cycle, the customer will remain responsible for all charges, fees and taxes through the
end of the billing cycle. There will be no proration of billing, and the customer will not be entitled to a refund for the period
between the notice of termination and the end of the current billing cycle. This provision will not apply if it is contrary to a
current franchise agreement, municipal contract, or other written contract applicable to this account or is otherwise
prohibited by law.
000003 000002 000008 2056165 2240ST03 2 34
Page 3 of 4
R CARMEL UTILITIES HHW Republic Services #761
Account Number 3- 0761 1163292
REPUBLIC 832 Langsdale Ave
SERVICES Invoice Date May 31, 2010
Invoice Number 0761- 000243098 Indianapolis, IN 46202 -1150
Current Invoice Charges
Date Description Reference Quanti Unit Price Amount
05105 Basic Service $124.20
Dump /Return 30 Yd 4116110
05/05 Basic Service $124.20
Dump/Return 30 Yd 4/19110
05105 Basic Service $124.20
Dump /Return 30 Yd 4/21/10
05/05 Basic Service $124.20
Dump /Return 30 Yd 4121110
05/05 Basic Service $124.20
Dump /Return 30 Yd 4123/10
05105 Basic Service $124.20
Dump /Return 30 Yd 4123110
05105 Basic Service $124.20
Dump /Return 30 Yd 4126/10
05105 Basic Service $124.20
Dump /Return 30 Yd 4128110
05105 Basic Service $124.20
Dump/Return 30 Yd 4128/10
05/05 Basic Service $124.20
Dump /Return 30 Yd 4130/10
05105 Basic Service $124.20
Dump /Return 30 Yd 4130110
05105 Basic Service 1.0000 $124.20 $124.20
Receipt Number 16058
05107 Basic Service 1.0000 $124.20 $124.20
Receipt Number 17508
05107 Basic Service 1.0000 $124.20 $124.20
Receipt Number 17508
05111 Basic Service 1.0000 $124.20 $124.20
Receipt Number 18847
05/11 Basic Service 1.0000 $124.20 $124.20
Receipt Number 18848
05/14 Basic Service 1.0000 $124.20 $124.20
Receipt Number 20802
05/14 Basic Service 1.0000 $124.20 $124.20
Receipt Number 20802
05/17 Basic S 1.0000 $124.20 $124.20
Receipt Number 21310
05117 Basic Service 1.0000 $124.20 $124.20
Receipt Number 21310
05119 Basic Service 1.0000 $124.20 $124.20
Receipt Number 22799
05119 Basic Service 1.0000 $124.20 $124.20
Receipt Number 22799
05121 Basic Service 1.0000 $124.20 $124.20
1 UN Receipt Number 24114
05/21 Basic Service 1.0000 $124.20 $124.20
Receipt Number 24114
05124 Basic Service 1.0000 $124.20 $124.20
Receipt Number 24967
05124 Basic Service 1.0000 $124.20 $124.20
Receipt Number 24967
05126 Basic Service 1_0000 $124.20 $124.20
Receipt Number 26511
05126 Basic Service 1.0000 $124.20 $124.20
Receipt Number 26511
05128 Basic Service Dave Carrell 1.0000 $124.20 $124.20
Receipt Number 29262
05/28 Basic Service Dave Carrell 1.0000 $124.20 $124.20
Receipt Number 29262
Current Invoice Charges $5,464.80
VOUCHER 105629 WARRANT ALLOWED
358593 IN SUM OF
REPUBLIC WASTE SERVICES OF INDI
PO BOX 9001099
LOUISVILLE, KY 40290 -1099
Carmel Wastewater Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO INV ACCT AMOUNT Audit Trail Code
07610002430 01- 736H -08 $5,464.80
Voucher Total $5,464.80
Cost distribution ledger classification if
claim paid under vehicle highway fund
Prescribed by State Board of Accounts City Form No. 201 (Rev 1995)
ACCOUNTS PAYABLE VOUCHER
CITY OF CARMEL
An invoice or bill to be properly itemized must show, kind of service, where
Performed, dates of service rendered, by whom, rates per day, number of units,
price per unit, etc.
Payee
358593
REPUBLIC WASTE SERVICES OF INDIANA Purchase Order No.
PO BOX 9001099 Terms
LOUISVILLE, KY 40290 -1099 Due Date 6/1412010
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
6/14/2010 0761000243( $5,464.80
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
2 l
Date Officer