161052 06/25/2008 CITY OF CARMEL, INDIANA VENDOR: 358593 Page 1 of 1
ONE CIVIC SQUARE REPUBLIC WASTE SERVICES OF INDIANA
CARMEL, INDIANA 46032 PO BOX 9001824 CHECK AMOUNT: $818.35
LOUISVILLE KY 40290 -1824 CHECK NUMBER: 161052
CHECK DATE: 6/25/2008
DEPARTMENT ACCOUNT PO NUMBER I NUMBER AMOUNT DESCRIPTION
601 5023990 2918155 121.56 OTHER EXPENSES
601 5023990 2924533 121.79 CONT SERVICES OTHER
651 5023990 2931391 575.00 CONT SVS -HAZ WASTE
I
zEPUBLIC WASTE SERVICES 832 L.ANGSDALE AVE INDIANAPOLIS, IN 46202
ACCO SERVICE ADDRESS
05 330/08 2918155 3056 14 010952 1 (3 17) 926 -5492 CARMEL UTILITIES
5484 E 126TH ST
FOR PERIOD: CARMEL IN 46032
PAGE NO. 1 JUNE
DATE TO TAL
5/30/08 FUEL /ENVIRO FEE-COMM 19.15
5/30/08 6YD FL SOLID WASTE P /U: 01 1.00 102.41
*SPRING CLEAN UP SPECIAL* call for 107
off all NEW temporary rolloff containers
PAYMENT DUE UPON RECEIPT
ACCOUNT STATUS TO TAL I NV OICE 121.56
CURRENT 31'- 60 DAYS 61 90 DAYS OVER 90 DAYS
-PLEASE PAY
121.56___ AMOUNT 121.56
REPUBLIC WASTE SERVICES 832 LANGSDALE AVE INDIANAPOLIS, IN 46202
ACCOUNT NO. SERVICE ADDRESS
05/30/08 2924533 3056 11 057550 8 (317) 926 -5492 CARMEL UTILITIES
FOR PERIOD: 3450 W 131ST ST
PAGE NO. 1 JUNE WESTFIELD IN 46074
.ATE ..DESCRIPTION QTY. RATE TOTAL
5/30/08 FUEL /ENVIRO FEE -COMM 19.19
5/30/08 6YD FL SOLID WASTE P /U: 01 1.00 102.60
*SPRING CLEAN UP SPECIAL* call for 107
off all NEW temporary rolloff containers
PAYMENT DUE UPON RECEIPT
ACCOUNT STATUS
'CURRENT 31 60 DA 61-90DAYS OVER90DAYS 121.79
PLEASE PAY
121.79 0
Prescribed by State Board of Accounts
Fot`nTNo.301 (Rev. 1995) ACCOUNTS PAYABLE VOUCHER
i
TO
ADDRESS
Invoice Date Invoice Number Item Amount
I 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
Mo. Day Yr. Signature Title
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.
Mo. Day Yr. Officer Title
Vo;.Icher No. Warrant No.
ACCOUNTS' PAYABLE ppp DETAILED ACCOUNTS
MUNICIPAL WATER DEP ACCT.
3 CARMEL, INDIAN No.
Favor f
Ltvtsv,'tlL X
Total Amount of Voucher
^A Deductions
�3
(M a�
Amount of Warrant
Month of Yr
VOUCHER RECORD Acct.
No.
Source of Suppl
Water Treatment
Transmission and Dist.
Customer Accounts
Administrative and General
Operation-Maintenance
Utility Plant in Service
Constr. Work in Progress
Materials and Supplies
Customers Deposits
Total
Allowed
Board of Control
Filed
Official Title
BOYCE FORMS SYSTEMS 1- 800 -382 -8702 325
`REPUBLIC WASTE SERVICES 832 LANGSDALE AVE INDIANAPOLIS, IN 46202
a Aee ESS
0 6/02/08 2931391 3056 11 063292 (317) 926-5492 CARMEL UTILITIES HHW
FOR PERIOD: 901 N RANGELINE RD
PAGE NO. 1 MAY CARMEL IN 4b032
DA DESCRIPTION QfY RATE TO TAL',
WORK ORDER 2899523
5/08/08 30YD COMPARTMENTAL P &R 1.00 115.00
5/08/08 NO DISPOSAL CHARGE 1.80
WORK ORDER 2903825
5/13/08 30YD COMPARTMENTAL P &R 1.00 115.00
5/13/08 NO DISPOSAL CHARGE 1.40
WORK ORDER 2908477
5/20/08 30YD COMPARTMENTAL P &R 1.00 115.00
5/20/08 NO DISPOSAL CHARGE 1.44
WORK ORDER 2910101
5/28/08 30 YD COMP DELIVERY 1.00
WORK ORDER 2912093
5/24/08 30YD COMP P &R -GATES LOCKED 1.00
WORK ORDER 2912613
5/27/08 30YD COMPARTMENTAL P &R 1.00 115.00
5127108 NO DISPOSAL CHARGE 1.08
WORK ORDER 2928272
5/31/08 30YD COMPARTMENTAL P &R 1.00 115.00
5/31/08 NO DISPOSAL CHARGE 1.48
Republic now offers on line bill payment
at our web site www.indywaste.com
PAYMENT DUE UPON RECEIPT
ACCOUNT STATUS I N V OICE 575.00
CURPENT .e.. •0.. •0.A
-'-PLEASE PAY
575.00 THIS AM •U 575.00.
—._.m v_. v_
VOUCHER 085687 WARRANT ALLOWED
358593 IN SUM OF
REPUBLIC WASTE SERVICES OF INDI
PO BOX 90.01824
LOUISVILLE, KY 40290 -1824
A
Carmel Wastewater Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO INV ACCT AMOUNT Audit Trail Code
2931391 01- 736H -08 $575.00
Voucher Total $575.00
i
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 9001824 Terms
LOUISVILLE, KY 40290 -1824 Due Date 6/16/2008
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
6/16/2008 2931391 $575.00
hereby certify that the attached invoice(s), or bill(s) is (are) true and
:orrect and I have audited same in accordance with IC 5-11-10-1.6
I
Date Officer