190444 09/29/2010 CITY OF CARMEL, INDIANA VENDOR: 358593 Page 1 of 1
ONE CIVIC SQUARE REPUBLIC WASTE SERVICES OF INDIA CHECK AMOUNT: $3,229.20
CARMEL, INDIANA 46032 PO BOX 9001099
LOUISVILLE KY 40290 -1099 CHECK NUMBER: 190444
CHECK DATE: 9/29/2010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
651 5023990 07610003624 3,229.20 CONT SVS -HAZ WASTE
',t REPUBLIC CARMEL UTILITIES HHW Invoice
SERVICES Visit us at www.indywaste.com.
832 Langsdale Ave Page 1 of 3
Indianapolis, IN 46202 -1150
Payments /Adjustments
Date Description Reference Amount
Account Number 3- 0761 1163292 08/07 Payment Thank You 188028 $3,559.57
Invoice Date August 31, 2010 08/30 Payment Thank You 188971 $3,034.19
Invoice Number 0761 000362401
Previous Balance $6,593.76 Current Invoice Charges
Payments /Adjustments $6,593.76 Carmel Utilities Hhw 901 N Range Line Rd (1_1)
Unpaid Balance $0.00 Carmel, IN
Current Invoice Charges $3,229.20
2 Hooklift (30 Yd) Scheduled Service (S1) Recyclable
Date Description Reference Quanti Unit Price Amount
08/02 Basic Service 1.0000 $124.20 $124.20
Pay Thi!§ Receipt Number 61794
08/02 Basic Service 1.0000 $124.20 $124.20
$3,229.20 Receipt Number 61794
Due B 09/20/10 08/04 Basic Service 1.0000 $124.20 $124.20
By Receipt Number 63748
08/04 Basic Service 1.0000 $124.20 $124.20
Contact Inf ormation Receipt Number 63748
Customer Service (317) 917 -7300 08106 Basic Service 1.0000 $124.20 $124.20
Receipt Number 65593
08/06 Basic Service 1.0000 $124.20 $124.20
Receipt Number 65593
08/09 Basic Service 1.0000 $124.20 $124.20
Im Receipt Number 66096
08/09 Basic Service 1.0000 $124.20 $124.20
Your next Invoice may reflect a rate adjustment, i Receipt Number 66096
you have any questions after receiving your next 08/11 Basic Service 1.0000 $124.20 $124.20
invoice please contact us. Receipt Number 67673
08/11 Basic Service 1.0000 $124.20 $124.20
Receipt Number 67673
08/13 Basic Service 1.0000 $124.20 $124.20
Receipt Number 69226
08/13 Basic Service 1.0000 $124.20 $124.20
Receipt Number 69226
08/16 Basic Service 1.0000 $124.20 $124.20
Receipt Number 70031
08/16 Basic Service 1.0000 $124.20 $124.20
ECURKENM x 30�DA1CS: W60�D`A. Y,S -l- "'90+ DAY,,S
To pay on -line or sign up for 3,229.20 0.00 0.00 0.00
convenient auto pay, go to:
DA 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
CARMEL UTILITIES HHW 3- 0761 1163292 Page 2 of 3
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
866474 -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.
000008- 000002 -000016 2063358 2240ST03 1 3
Page 3 of 3
CARMEL UTILITIES HHW Republic Services #761
Account Number 3 -0761- 1163292
'�REPU8 Invoice Date August 31 2010 832 Langsdale Ave
SERVICES S Invoice Number 0761- 000362401 Indianapolis, IN 46202 -1150
Current Invoice Charges
Date Description Reference Quanti Unit Price Amount
Receipt Number 70031
08/18 Basic Service 1.0000 $124.20 $124.20
Receipt Number 71687
08118 Basic Service 1.0000 $124.20 $12420
Receipt Number 71687
08120 Basic Service 1.0000 $124.20 $124.20
Receipt Number 73443
08/20 Basic Service 1.0000 $124.20 $124.20
Receipt Number 73443
08123 Basic Service 1.0000 $124.20 $124.20
Receipt Number 74102
08/23 Basic Service 1.0000 $124.20 $124.20
Receipt Number 74102
08/25 Basic Service 1.0000 $124.20 $124.20
Receipt Number 76500
08125 Basic Service 1.0000 $124.20 $124.20
Receipt Number 76500
08/27 Basic Service 1.0000 $124.20 $124.20
Receipt Number 77774
08127 Basic Service 1.0000 $124.20 $124.20
Receipt Number 77774
08/30 Basic Service 1.0000 $124.20 $124.20
Receipt Number 78556
48130 Basic Service 1.0000 $124.20 $124.20
Receipt Number 78556
Current Invoice Charges $3,229.20
VOUCHER 106210 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
07610003624 01- 736H -08 $3,229.20
Voucher Total $3,229.20
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 9/1412010
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
9/14/2010 0761000362 $3,229.20
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
Date Officer