191004 10/13/2010 CITY OF CARMEL, INDIANA VENDOR: 00352479 Page 1 of 1
ONE CIVIC SQUARE WASTE MANAGEMENT
CHECK AMOUNT: $205.09
CARMEL, INDIANA 46032 BILL PAYMENT CENTER
PO BOX 4648 CHECK NUMBER: 191004
CAROL STREAM IL 60197 -4648
CHECK DATE: 10/13/2010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1207 4350101 175650624794 205.09 TRASH COLLECTION
y Page 1 of 3
Customer: BROOKSHIRE GOLF CLUB
INVO ICE Account Number: 600 0001510- 2479 -1
WASTE MANAGEMENT Invoice Date: 10/01/2010
Waste Management Invoice Number: 1756506- 2479 -4
Attn: Comm /POL Indiana Due Date: Due Upon Receipt
10000 E. 56th St. WM ezPay Account ID: 00001 29232 -93008
Indianapolis, IN 46236
(800) 443 -5646 Customer Service Current Invoice Amount Total Amount Due
866 863 -4834 FAX 205.09
�•Account,Summar w '�".wa ;ii Fh� �.i.�r.ae�,E.ir d' s4` G�iiF' �i"! ti �r` 4 �d3W'` 6ii J. 7�.' M ,`�l;�x�klnrw�l
Please pay total amount due. Thank you for your
Description Amount business.
Previous Balance 205.07
Total Credits and Adjustments 0.00
Total Payments Received 0.00
Total Current Charges 205.09
Total Amount Due 410.16
Total Amount Past Due 205.07
WASTE MANAGEMENT AP THE OPPORTUNITY
,,;$efVICeiP,eriO,q ,JtF�'LU7 �$EF21/IW i Z' `5 SS K n j R4.: 0 an,r7 1 1 SEkVt Yvu
'YOUR INVUiGt iv1AY ricr`EEC i ti
WINTERIZATION FEE TO COVER THE COST OF CHEMICALS
TO PREVENT FREEZING. THANK YOU
Description Amount
Commercial 205.09
On October 1, our Fuel Surcharge index will increase from
Total Current Charges 205.09 .05 to .055% for each $.01 change in diesel price as
reported by the US Dept of Energy. Payment of your invoice
will be considered consent to this change. Visit
If full payment of the invoiced amount is not received within 30 days of the invoice date, you www wm.com /fec for more information about this charge.
will be charged a monthly late fee of 1.5% of the unpaid amount, with a minimum monthly
charge of $3.00, or such lesser late fee allowed under applicable law, regulation or contract.
For each returned check, a fee will be assessed on your next billing equal to the maximum
amount permitted by applicable state law.
Want to pay this bill on -line? Go to www.wm.com to learn
more about WMezPay and make a convenient, secure
payment.
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rrent D.ue !f „tf,SOver,r30. r,�.�dl "s t'`t S;fi3O,ver, 9U'.e;,t� wy �,y +,Over,120 t 5'ta�r rr; "Total,Due`� T
205.09 205.07 0.00 0.00 0.00 41 0.16
Page 3 of 3
Customer: BROOKSHIRE GOLF CLUB
WVjR Account Number: 600 0001510 2479 -1
WASTE MANAGEMENT Invoice Date: 10/01/2010
Waste Management Invoice Number: 1756506 2479 -4
Attn: Comm /POL Indiana Due Date: Due Upon Receipt
10000 E. 56th St. WM ezPay Account ID: 00001 29232 -93008
Indianapolis, IN 46236
I• �'Se ciur a Location i 600 =1510 Brookshire Golf Club ":;,12120 jr PI In 46033'
Date Ticket Description Quantity U/M Rate Amount
Pol 1x wk 2.00 173.34
Pol winterization fee 1.00 0.00
Fuel /environmental cha pol 2.00 31.75
Total Current Charges 205.09
From everyday collection to environmental protection,
a n
Think Green! Think Waste Manag ement printed
9 recycled pa
FOR CHANGE OF ADDRESS OR ANY SERVICE ISSUES CONTACT NUMBER ON PAGE 1
V /OUCHER NO. WARRANT NO.
ALLOWED 20
Waste Management
IN SUM OF
P.O. Box 4648
Carol Stream, IL 60197 -4648
$205.09
ON ACCOUNT OF APPROPRIATION FOR
Brookshire Golf Club
PO# Dept. INVOICE NO. ACCT /TITLE AMOUNT Board Members
1207 1756506- 2479 -4 43- 501.01 $205.09 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
Thursday, September 30, 2010
Director, Brook ire Golf Club
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund
Y
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 service rendered, by
whom, rates per day, number of hours, rate per hour, number of units, price per unit, etc.
Payee
Purchase Order No.
Terms
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
10/01/10 1756506- 2479 -4 Trash Removal $205.09
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