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Home My WebLink About198726 06/22/2011 CITY OF CARMEL, INDIANA VENDOR: 358593 Page 1 of 1 4 ONE CIVIC SQUARE REPUBLIC WASTE SERVICES OF INDIA �p CARMEL, INDIANA 46032 PO BOX 9001099 CHECK AMOUNT: $3,615.85 LOUISVILLE KY 40290 -1099 CHECK NUMBER: 198726 CHECK DATE: 6/2212011 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 651 5023990 07610007287 3,117.36 OTHER EXPENSES 1125 4350101 761000722582 498.49 TRASH COLLECTION ccR�REPUBLIC CARMEL CLAY PARK'S Invoice t!►� SERVICES Visit us at www.indvwaste.com. Page 1 of 2 832 Langsdale Ave Indianapolis, IN 46202 -1150 Payments /Adjustments Date Description Reference Amount 05/16 Payment Thank You 197363 $494.86 Account Number 3- 0761 1410948 Current Invoice Charges Invoice Date May 25, 2011 Carmel Clay Park's 1411 E 116th St (0) Invoice Number 0761- 000722582 Carmel, IN Previous Balance $494.86 Payments /Adjustments $494.86 2 Front Load (8 Yd) Scheduled Service (S1) Unpaid Balance $0.00 Date Description Reference Quantity Unit Price Amount Current Invoice Charges $498.49 05/25 Basic Service 06/01/11- 06/30/11 $399.04 $399.04 Total Fuel /Environmental Recovery Fee $99.45 Current Invoice Charges $498.49 $498.49 0 Due By: 06/14/11 MAY 3 1 101 1 D o o' o Customer Service (317) 917 -7300 BY^ Purchase Description DUMPSTe�PV A0 JO 0 0 0 0 na, P.O.# PorF G.L.# I ZJ a OZ- 43 Budget Line Descr SJ4- C0LJ__ECf(or Purchaser Date Approval Date C.l1RRENT: '..3 a; 301DA" 11 s q;' Is, ;6.4 DAYS1 498.49 0.00 0.00 0.00 To pay on -line or sign up for convenient auto pay go to: AA Visit our website, www.disposal.com to make your payment electronically www.disposal.com or to sign up for our convenient automatic payment plan. Please see reverse side for terms and conditions CARMEL CLAY PARK'S 3- 0761 1410948 Page 2 of 2 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 When we use information from your check to make an electronic fund transfer, funds may be withdrawn from your account as soon as the same day we receive your payment and you will not receive your check back from your financial institution.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. electron icpayments.orq 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. ACCOUNTS PAYABLE VOUCHER CITY OF CARMEL An invoice of 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. 358593 Republic Services 761 Terms P.O. Box 9001099 Louisville, KY 40290 -1099 Invoice Invoice Description Date Number (or note attached invoice(s) or bill(s)) PO* Amount 5125111 761000722582 Dumpster A.O. Jun'11 49$.49 Total 498.49 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 Voucher No. Warrant No. 358593 Republic Services 761 Allowed 20 P.O. Box 9001099 Louisville, KY 40290 -1099 In Sum of 498.49 ON ACCOUNT OF APPROPRIATION FOR 101 General Fund PO# or INVOICE NO. ACCT #/TITLE AMOUNT Board Members Dept 1125 761000722582 4350101 498.49 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 16 -Jun 2011 Signature 498.49 Accounts Pale Coordinator Cost distribution ledger classification if Title claim paid motor vehicle highway fund 6REPUBLIC CARMEL UTILITIES HHW Invoice ZO SERVICES Visit us at www.indywaste.com. Page 1 of 3 832 Langsdale Ave Indianapolis, IN 46202 -1150 Current Invoice Charges Date Description Reference Quantity Unit Price Amoun 05131 Late Fee $54.30 Carmel Utilities Hhw 901_ N Range Line Rd (L1). CSA 3292121010 Account Number 3-0761-1163292 Carmel, IN invoice Date May 31, 2011 Invoice Number 0761 000728782 1 Hooklift (30 Yd) Scheduled Service (S1) Comingled Previous Balance $3,619.98 Date Description Reference Quanti Unit Price Amount Payments /Adjustments $0.00 05102 Basic Service 1.0000 $139.23 $139.23 Unpaid Balance $3,619.98 Receipt Number 13316 Current Invoice Charges $3,117.36 05/06 Basic Service 1.0000 $139.23 $139.23 Receipt Number 16694 05109 Basic Service 1.0000 $139.23 $139.23 Receipt Number 17315 05111 Basic Service 1.0000 $139.23 $139.23 Pay This Amount Receipt Number 18845 $6,737.34 0 5/13 Basic Service 1.0000 $139.23 $1.39.23 Receipt Number 20216 Due By: 06/20/11 05116 Basic Service 1.0000 $139.23 $139.23 Receipt Number 20774 05/18 Basic Service 1.0000 $139.23 $139.23 Receipt Number 22373 Customer Service (317) 917 -730 05120 Basic Service 1.0000 $139.23 $139.23 Receipt Number 23522 05123 Basic Service 1.0000 $139.23 $139.23 Receipt Number 24518 05125 Basic Service 1.0000 $139.23 $139.23 Receipt Number 25992 05127 Basic Service 1.0000 $139.23 $139.23 Receipt Number 28302 1 Rolloff (30 Yd) Scheduled Service (S3) Comingled Date Description Reference Quanti Unit Price Amount 05102 Basic Service 1.0000 $139.23 $13923 Receipt Number 37829 05106 Basic Service 1.0000 $139.23 $139.23. Receipt Number 37829 `y GU kENT,� 30._DAYS :Gil EIAYS 90+ I311YS 3,117.36 3,619.98 0.00 0.00 To pay on -line or sign up for Past Due Balance $3,619.98 convenient auto pay go to: D A Visit our website, www.disposal.com to make your payment electronically www.disposal.com or to sign up for our convenient automatic payment plan. Please see reverse side for terms and conditions CARMEL UTILITIES HHW 3- 0761 1163292 Page 2of3 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. 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. 001348- 000002- 000002 002696 2084945 2240ST03 1 3 Page 3 of 3 CARMEL UTILITIES HHW Republic Services #761 R Account Number 3- 0761- 1163292 5 REPUBLIC 832 Langsdale Ave 1y?� SERVICES Invoice Date May 31, 2011 Invoice Number 0761- 000728782 Indianapolis, IN 46202 1150 Current Invoice Charges Date Description Reference Quanti Unit Price Amount 05/09 Basic Service 1.0000 $139.23 $139.23 Receipt Number 37829 05/11 Basic Service 1.0000 $139.23 $139.23 Receipt Number 37829 05113 Basic Service 1.0000 $139.23 $139.23 Receipt Number 37829 05/16 Basic Service 1.0000 $139.23 $139.23 Receipt Number 37829 05/18 Basic Service 1.0000 $139.23 $139.23 Receipt Number 37829 05/20 Basic Service 1.0000 $139.23 $139.23 Receipt Number 37829 05/23 Basic Service 1.0000 $139.23 $139.23 Receipt Number 37829 05/25 Basic Service 1.0000 $139.23 $139.23 Receipt Number 37829 05/27 Basic Service 1.0000 $139.23 $139.23 Receipt Number 37829 Current Invoice Charges $3,117.36 .f 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 6/13/2011 Invoice Invoice Description Date Number (or note attached invoice(s) or bill(s)) Amount 6/13/2011 0761000728 $3,117.36 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 &4 Date i er VOUCHER 115254 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 07610007287 01- 736H -08 $3,117.36 Voucher Total $3,117.36 Cost distribution ledger classification if claim paid under vehicle highway fund