155485 01/10/2008 CITY OF CARMEL INDIANA VENDOR: 358593 Page 1 of 1
ONE CIVIC SQUARE REPUBLIC WASTE SERVICES OF INDIA�q
CARMEL, INDIANA 46032 PO BOX 9001824 CHECK AMOUNT: $403.48
LOUISVILLE KY 40290 -1824 CHECK NUMBER: 155485
CHECK DATE: 1/10/2008
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
'125 4350900 2740241 403.48 2740241
l i
REPUBLIC WASTE SERVICES 832 LANGSDALE AVE INDIANAPOLIS, IN 46202
lklig J:llfflg ADDR
12%31/07 2740241 3056 14 010948 (317) 926-5492 CARMEL CLAY PARK'S
FOR PERIOD: 1411 E 116TH ST
PAGE NO. 1 JANUARY CARMEL IN 46032
DATE DESCRIPTION
12/31/07 FUEL /ENVIRO FEE-COMM 42.91
12/31/07 8YD FL SOLID WASTE P /U: 02 2.00 360.57
f Y
JAN 7 2008
By: ��Zl PAYMENT DUE UPON RECEIPT
ACCOUNT STATUS
403.48
3 60 D�YS 61 90 DAYS OVER 90 DAYS
1 403.48 403.48
ACCOUNTS PAYABLE VOUCHER
CITY OF CARMEL
3,
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.
n
Payee
Purchase Order No.
Republic Waste Services of Indiana Terms
PO Box 9001824 Date Due
Louisville, KY 40290 -1824
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
12/31/07 2740241 Trash removal services at 1411 E. 116th St. (Admin) 403.48
Total 403.48
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
1 20
Clerk- Treasurer
Voucher No. Warrant No.
Republic Waste Services of Indiana Allowed 20
PO Box 9001824
Louisville, KY 40290 -1824
In Sum of
403.48
ON ACCOUNT OF APPROPRIATION FOR
101 General Fund
PO# or INVOICE NO. ACCT AMOUNT Board Members
Dept TITLE
1125 2740241 4350900 403.48 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
7 -Dec 2007
Signature
403.48 Assistant Director
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund