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Home My WebLink About196918 04/26/2011 CITY OF CARMEL, INDIANA VENDOR: 358593 Page 1 of 1 ONE CIVIC SQUARE REPUBLIC WASTE SERVICES OF INDIA KECK AMOUNT: $3,341.52 CARMEL, INDIANA 46032 PO BOX 9001099 LOUISVILLE KY 40290 -1099 CHECK NUMBER: 196918 CHECK DATE: 4/26/2011 DEPARTM AC COUNT PO NUM BER INVOICE NUMBER AM OUNT DESCRIPTION 651 5023990 07610006454 3,341.52 OTHER EXPENSES I' ?REPUBLIC CARMEL UTILITIES HHW Invoice 11►21 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 03125 Payment Thank You 195629 $2,923.83 Invoice Date March 31, 2011 Invoice Number 0761 000645461 Current Invoice Charges Previous Balance $2,923.83 Carmel Utilities Hhw 901 N Range Line Rd (L1) CSA 3292121010 Payments/Adjustments $2,923.83 Carmel, IN Unpaid Balance $0.00 Current Invoice Charges $3,341.52 1 Hooklift (30 Yd) Scheduled Service (S1) Comingled Date Description Reference Quanti Unit Price Amount 03102 Basic Service 1.0000 $139.23 $139.23 Receipt Number 78327 03/04 Basic Service 1.0000 $139.23 $139.23 Receipt Number 81018 $3,341.52 03/07. Basic Service 1.0000 $139.23 $139.23 Receipt Number 81811 Due By: 04/20111 03/09 Basic Service 1.0000 $139.23 $139.23 Receipt Number 83531 03!14 Basic Service 1.0000 $13923 $139.23 Customer Service (317) 917 -7300 Receipt Number 85354 03/18 Basic Service 1.0000 $139.23 $139.23 Receipt Number 88166 03121 Basic Service 1.0000 $139.23 $139.23 Receipt Number 88286 03123 Basic Service 1.0000 $139.23 $139.23 Receipt Number 90706 03125. Basic Service 1.0000 $139.23 $139.23 Receipt Number 92134 03/28 Basic Service 1.0000 $139.23 $139.23 Receipt Number 92799 03130 Basic Service 1.0000 $139.23 $139.23 Receipt Number 94093 1 Rollo# (30 Yd) Scheduled Service (S3) Comingled Date Description Reference Quanti Unit Price Amount 03/02 Basic Service 1.0000 $139.23 $139.23 Receipt Number 37829 I LA 'lIRt2ENT3t1 QAYS M, 60a1jiAYS° u 90+C7A1F$; M To pay on -line or sign up for 3,341.52 o:oo o.00 0.00 convenient auto pay, go to: D A Visit our website, www.disoosal.com to make your payment electronically or to sign up for our convenient automatic payment plan.' v�; t- us.ar_�,.ww.disFesah .r-- ri�ac. ::ee•rsverrasidetcrtensandco �dYla� a�_-• �iWe, fl. �S] MYSNY! MiMl i :fir: u.. 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.electronicpaVments.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. The Company reserves the right to require that payment for services be made only by check, credit card or money order, unless otherwise required by contract or applicable law. 001272 000002 -002544 2079796 2240ST03 1 3 Page 3 of 3 CARMEL UTILITIES HHW Republic Services #761 R, Account Account Number 3- 0761 1163292 SERVICES Invoice Date March 31, 2011 832 Langsdale Ave Invoice Number 0761- 000645461 Indianapolis, IN 46202 -1150 Current Invoice Charges I Date Description Reference Quanti Unit Price Amount 03/04 Basic Service 1.0000 $139.23 $139.23 Receipt Number 37829 03/07 Basic Service 1.0000 $139.23 $139.23 Receipt Number 37829 03/09 Basic Service 1.0000 $139.23 $139.23 Receipt Number 37829 03/11 Basic Service 1.0000 $139.23 $139.23 Receipt Number 37829 03/14 Basic Service 1.0000 $139.23 $139.23 Receipt Number 37829 03116 Basic Service 1.0000 $139.23 $139.23 Receipt Number 37829 03/18 Basic Service 1.0000 $139.23 $139.23 Receipt Number 37829 03/21 Basic Service 1.0000 $139.23 $139.23 Receipt Number 37829 03/23 Basic Service 1.0000 $139.23 $139.23 Receipt Number 37829 03/25 Basic Service 1.0000 $139.23 $139.23 Receipt Number 37829 03128 Basic Service 1.0000 $139.23 $139.23 Receipt Number 37829 03/30 Basic Service 1.0000 $139.23 $139.23 Receipt Number 37829 Current Invoice Charges $3,341.52 Y VOUCHER 107514 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 07610006454 01- 736H -08 $3,341.52 $3,341.52 \tion if �Yjnd a 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 4/14/2011 Invoice Invoice Description Date Number (or note attached invoice(s) or bill(s)) Amount 4/14/2011 0761000645 $3,341.52 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