HomeMy WebLinkAbout200084 08/03/2011 CITY OF CARMEL, INDIANA VENDOR: 358593 Page 1 of 1
ONE CIVIC SQUARE REPUBLIC WASTE SERVICES OF INDIA
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CARMEL, INDIANA 46032 PO BOX 9001096 CHECK AMOUNT: $498.92
LOUISVILLE KY 40290 -1099
o o CHECK NUMBER: 200084
CHECK DATE: 8/3/2011
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1125 4350101 761000764670 498.92 TRASH COLLECTION
FLangsdale UBL /C CARMEL CLAY PARK'S Invoice
VICES Visit us at www.indywaste.com. Page 1 of 2
ve
46202 -1150
Current Invoice Charges
Carmel Clay Park's 1411 E 116th St (1-1)
Carmel, IN
Account Number 3- 0761 1410948 2 Front Load (8 Yd) Scheduled Service (S1)
Invoice Date June 25, 2011 Date Description Reference Quantity Unit Price Amount
Invoice Number 0761 000764670 06/25 Basic Service 07/01/11- 07/31/11 $399.04 $399.04
Previous Balance $498.49 Total FueUEnvironmental Recovery Fee $99.88
Payments /Adjustments $0.00 Current Invoice Charges $498.92
Unpaid Balance $498.49
Current Invoice Charges $498.92
Amount Pay This
$997.41.
Due By: 071151
Contact Information
Customer Service (317) 917 -7300 Purchase
Description r A 0 dit i
P.O.
PorF
gum G.L. L4—uQ- LL3GD Jul. O a 2011
Line
Budget TztSh CL) [1e_C4 C7> 1 BY:.................
Purchaser Date_
Approval Date
;Ct)aR Iii 253610A W x;69 p+4YS
498.92 498.49 0.00 0.00
To pay on -line or sign up for Past Due Balance $498.49
convenient auto pay, go to: A 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 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transfer, funds may be withdrawn from your account as soon as the same day we receive your payment and you will not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.
Terms
358593 Republic Services 761
P.O. Box 9001099
Louisville, KY 40290 -1099
Invoice Invoice Description PO Amount
Date Number (or note attached invoice(s) or bill(s))
498.92
6125/11 761000764670 Dumpster A.O. JuP11
Total 498.92
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
498.92
ON ACCOUNT OF APPROPRIATION FOR
101 General Fund
PO# or INVOICE NO. ACCT #/TITLE AMOUNT Board Members
Dept
1125 761000764670 4350101 498.92 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
26 -Jul 2011
L&AILM122(A2
Signature
498.92 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund