163371 09/03/2008 CITY OF CARMEL, INDIANA VENDOR: 358593 Page 1 of 1
ONE CIVIC SQUARE REPUBLIC WASTE SERVICES OF INDIA y�
CARMEL, INDIANA 46032 PO BOX 9001824 CHECK AMOUNT: $428.72
LOUISVILLE KY 40290 -1824 CHECK NUMBER: 163371
CHECK DATE: 913/2008
DEP ARTMENT ACCOUNT PO NUMBER INVOIC NUMB AMOUNT DESCRIPTION
1125 4350101 2996389 428.72 TRASH COLLECTION
REPUBLIC WASTE SERVICES 832 LANGSDALE AVE INDIANAPOLIS, IN 46202
ADD-
107!// 2996389 3056 14 010948 0 (317) 926 -5492 CARMEL CLAY PARK'S
FOR PERIOD: 1411 E 116TH ST
PAGE NO. 1 AUGUST CARMEL IN 46032
'TO
DATE DESCRIPTIO
7/30/08 FUEL /ENVIRO FEE -COMM 68.15
7/30/08 8YD FL SOLID WASTE P /U: 02 2.00 360.57
L A U G 0 7 2008 1
BY:
*SPRING CLEAN UP SPECIAL* call for 10% __j
off all NEW temporary rolloff containers
PAYMENT DUE UPON RECEIPT
ACCOUNT STATUS
�Ikggj 428.72
CURRENT 31 60 DAY 61 90 DAYS OVER 90 DAYS
428.72 428.00 856.72
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.
Terms
358593 Republic Waste Services of Indiana Date Due
PO Box 9001824
Louisville, KY 40290 -1824
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
7131108 2996389 Trash collection Adm I Acct 3056140109480
428.72
Total 428.72
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
r
Voucher No. Warrant No.
358593 Republic Waste Services of Indiana Allowed 20
PO Box 9001824
Louisville, KY 40290 -1824
In Sum of
r-
428.72
ON ACCOUNT OF APPROPRIATION FOR
101 General Fund
PO# or INVOICE NO. ACCT AMOUNT Board Members
Dept TITLE
1125 2996389 4350101 428.72 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
28 -Aug 2008
Signature
428.72 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund