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Home My WebLink About197798 05/26/2011 CITY OF CARMEL, INDIANA VENDOR: 358593 Page 1 of 1 ONE CIVIC SQUARE REPUBLIC WASTE SERVICES OF INDIANA t1 CARMEL, INDIANA 46032 PO BOX 9001099 (:HECK AMOUNT: $3,619.98 LOUISVILLE KY 40290 -1099 CHECK NUMBER: 197798 CHECK DATE: 5/26/2011 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 651 5023990 076100006911 3,619.98 OTHER EXPENSES F UBLIC CARMEL UTILITIES HHW Invoice RVICES Visit us at www.indywaste.com. Page 1 of 3 Ave 46202 -1150 Payments /Adjustments -Acc Date Description Reference Amount Account Number 3- 0761 1163292 05/02 Payment Thank You 196918 $3,341:52 Invoice Date April 30, 2011 Invoice Number 0761-000691146 Current Invoice Charges Previous Balance $3,341.52 Carmel Utilities Hhw 901 N Range Line Rd (L1) CSA 3292121010 Payments /Adjustments $3,341.52 Carmel, IN Unpaid Balance $0.00 Current Invoice Charges $3,619.98 1 Hooklift (30 Yd) Scheduled Service (S1) Comingled Date Description Reference Quanti Unit Price Amount 04/01 Basic Service 1.0000 $139.23 $139.23 Receipt Number 95574 Pa This Amount 04/04 Basic Service 1.0000 $139.23 $139.23 Receipt Number 96431 $3,619.98 04/06 Basic Service 1.0000 $139.23 $139.23 Receipt Number 97927 Due By: 05120/11 04108 Basic Service 1.0000 $139.23 $139.23 Receipt Number 99438 C ontact 04111 Basic Service 1.0000 $139.23 $139.23 Customer Service (317) 917-7300 Receipt Number 42 04/13 Basic Service 1.0000 $139.23 $139.23 Receipt Number 1834 04115 Basic Service 1 .0000 $139.23 $139.23 Receipt Number 2841 Im portant Information 04/18 Basic Service 1.0000 $139.23 $139.23 Receipt Number 396.6 04120 Basic Service 1.0000 $139.23 $139.23 Receipt Number 5913 04122 Basic Service 1.0000 $139.23 $139.23 Receipt Number 8204 04125 Basic Service 1.0000 $139.23 $139.23 Receipt Number 8841 04/27 Basic Service 1.0000 $139.23 $139.23 Receipt Number 10433 04/29 Basic Service 1.0000 $139.23 $13923 Receipt Number 12591 1 Rolloff (30 Yd) Scheduled Service (S3) Comingled CV3RRENT °30 DA ,5, `afO�DAYS ;,90tt►Al(5 To pay on -line or sign up for 3,619.98 0.00 0.00 0.00 convenient auto pay, go to: D A Visit our website, www.disposal.com to make your payment electronically divisi or to sign up for our convenient automatic payment plan. _Viaitus at www_riisnnsal,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 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. AN, 001381- 000002 -002762 2082392 2240ST03 1 3 Page 3 of 3 CARMEL UTILITIES HHW Republic Services #761 Account Number 3- 0761 1163292 5 ;I REPUBiLIC Invoice Date April 30, 2011 832 Langsdale Ave SERVICES Invoice Number 0761-000691146 Indianapolis, IN 46202 -1150 Current Invoice Charges Date Description Reference Quanti Unit Price Amount 04/01 Basic Service 1.0000 $139.23 $139.23 Receipt Number 37829 04104 Basic Service 1.0000 $139.23 $139.23 Receipt Number 37829 04/06 Basic Service 1.0000 $139.23 $139.23 Receipt Number 37829 04/08 Basic Service 1.0000 $139.23 $139.23 Receipt Number 37829 04/11 Basic Service 1.0000 $139.23 $139.23 Receipt Number 37829 04113 Basic Service 1.0000 $139.23 $139.23 Receipt Number 37829 04115 Basic Service 1.0000 $139.23 $139.23 Receipt Number 37829 04118 Basic Service 1.0000 $139.23 $139.23 Receipt Number 37829 04120 Basic Service 1.0000 $139.23 $139.23 Receipt Number 37829 04/22 Basic Service 1.0000 $139.23 $139.23 Receipt Number 37829 04/25 Basic Service 1.0000 $139.23 $139.23 Receipt Number 37829 04127 Basic Service 1.0000 $139.23 $139.23 Receipt Number 37829 04129 Basic Service 1.0000 $139.23 $139.23 Receipt Number 37829 Current Invoice Charges $3,619.98 VOUCHER 115082 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 07610006911 01- 736H -08 $3,619.98 Voucher Total $3,619.98 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 5/10/2011 Invoice Invoice Description Date Number (or note attached invoice(s) or bill(s)) Amount 5/10/2011 0761000691' $3,619.98 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 :s 6 .,IVIL-- Date Officer