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Home My WebLink About200597 08/17/2011 CITY OF CARMEL, INDIANA VENDOR: 358593 Page 1 of 1 =i. ONE CIVIC SQUARE REPUBLIC WASTE SERVICES OF INDIANA CARMEL, INDIANA 46032 PO eox 9001099 CHECK AMOUNT: $4,781.90 LOUISVILLE KY 40290 -1099 CHECK NUMBER: 200597 CHECK DATE: 8/1712011 DEPARTMENT ACCO PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 651 5023990 07610008067 666.63 OTHER EXPENSES 1125 4350101 076100080673 495.29 TRASH COLLECTION 651 5023990 07610008121 3,619.98 CONT SVS -HAZ WASTE REPUBLIC CARMEL CLAY PARK'S Invoice SERVI Page 1 of 2 832 Langsdale Ave Indianapolis, IN 46202-1150 Payments /Adjustments y Date Description Reference Amount 07/06 Payment -Thank You 198726 $498.49 Account Number 3- 0761 1410948 Current Invoice Charges Invoice Date July 25, 2011 Carmel Clay Park's 1411 E 116th St (1-1) Invoice Number 0761- 000806731 Carmel, IN Previous Balance $997.41 Payments /Adjustments $498.49 2 Front Load (8 Yd) Scheduled Service (S1) Unpaid Balance $498.92 Current invoice Charges $495.29 Date Description Reference Quanti v Unit Price Amount 07!25 Basic Service 08/01111- 08131111 $399.04 $399.04 Total Fuel/Environmental Recovery Fee $96.25 Current Invoice Charges $495.29 9 $994.21 Due By: 08114111 Customer Service (317) 917 -7300 Purchase n i Description) 1)urn� R- A Q n W� 1 1 P.O.# r} PorF u o o. o G. L. f I d1 EJ 0 0 1 Budget �YZAS�- �c) ec- Line Uescr o n Purchaser Date Approval Date GURRI~Pt "ffl DAY5, 6Q RAYS 77 495.29 498.92 0.00 0.00 To pay on -line or sign up for Past Due Balance $498.92 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. _.r 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 When we use information from your check to make an electronic fund transfer, funds may be withdrawn from your account as soon as the same day we receive your payment and you will not receive your check back from your financial institution.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.electronicpayments.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. �`r 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 7125/11 761000806731 Dumpster A.O. Aug'11 495.29 Total 495.29 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 495.29 ON ACCOUNT OF APPROPRIATION FOR 101 General Fund PO# or INVOICE NO. ACCT WTITLE AMOUNT Board Members Dept 1125 761000806731 4350101 495.29 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 9 -Aug 2011 Signature 495.29 Accounts Payable Coordinator Cost distribution ledger classification if Title claim paid motor vehicle highway fund 'k W REPUBLIC CARMEL UTILITIES HHW Invoice t SERVICES Page 1 of 3 832 Langsdale Ave Indianapolis, IN 46202 -1150 Payments /Adjustments Date Description Reference Amount 07/06 Payment Thank You 198726 $3,117.36 07125 Payment Thank You 199760 $3,666.74 Account Number 3-0761-1163292 Invoice Date July 31, 2011 Current Invoice Charges Invoice Number 0761 000812186 Carmel Utilities Hhw 901 N Range Line Rd (L1) CSA 32921 21 01 0 Previous Balance $6,784.10 Carmel, IN Payments /Adjustments $6,784.10 Unpaid Balance $0.00 1 Hooklift (30 Yd) Scheduled Service (S1) Comingled Current Invoice Charges $3,619.98 Date Description Reference Quanti Unit Price Amount 07/01 Basic Service 1.0000 $139.23 $139 -23 Receipt Number 50095 07/05 Basic Service 1.0000 $139.23 $139.23 Receipt Number 52581 07/06 Basic Service 1.0000 $13923 $139.23 $3,619 Receipt Number 54309 07/08 Basic Service 1.0000 $139.23 $139.23 Due By: 08120/11 Receipt Number 55497 07/11 Basic Service 1.0000 $139.23 $13923 Receipt Number 56236 07/13 Basic Service 1 -0000 $139.23 $139.23 Customer Service (317) 917 -7300 Receipt Number 57940 07115 Basic Service 1.0000 $139.23 $139.23 Receipt Number 59422 07/18 Basic Service 1.0000 $139.23 $139.23 Receipt Number 60309 07/20 Basic Service 1.0000 $139 -23 $139.23 Receipt Number 61660 07/22 Basic Service 1.0000 $139.23 $139.23 Receipt Number 63409 07125 Basic Service 1 -0000 $139 -23 $139.23 Receipt Number 64050 07127 Basic Service 1.0000 $139.23 $139.23 Receipt Number 65677 07/29 Basic Service 1.0000 $139.23 $139.23 Receipt Number 67231 1 Rolloff (30 Yd) Scheduled Service (S3) Comingled 3,619.98 0.00 0.00 0.00 To pay on -line or sign up for convenient auto pay go to: D A Visit our website, www.disposal.com to make your payment electronically Vy�rnu.rYignncaLCr�rp_ or to sign up for our convenient automatic payme pla_n._ Please see reverse side for terms and conditions 001428 000002- 000002- 002856 2090249 2240ST03 1 3 Page 3 of 3 R CARMEL UTILITIES HHW Republic Services #761 Account Number 3 -0761- 1163292 REPUBLIC Invoice Date July 31 2011 832 Langsdale Ave tyD SERVICES Invoice Number 0761- 000812186 Indianapolis, IN 46202 -1150 Current Invoice Charges Date Description Reference Quanti Unit Price Amount 67101 Basic Service 1.0000 $139.23 $139.23 Receipt Number 37829 07/05 Basic Service 1.0000 $139.23 $139.23 Receipt Number 37829 07/06 Basic Service 1.0000 $139.23 $139.23 Receipt Number 37829 07/08 Basic Service 1.0000 $139.23 $139.23 Receipt Number 37829 07111 Basic Service 1.0000 $139.23 $139.23 Receipt Number 37829 07113 Basic Service 1.0000 $139.23 $139.23 Receipt Number 37829 07115 Basic Service 1.0000 $13923 $139.23 Receipt Number 37829 07/18 Basic Service 1.0000 $139.23 $139.23 Receipt Number 37829 07/20 Basic Service 1.0000 $139.23 $139.23 Receipt Number 37829 07/22 Basic Service 1.0000 $139.23 $139.23 Receipt Number 37829 07125 Basic Service 1.0000 $139.23 $139.23 Receipt Number 37829 07/27 Basic Service 1.0000 $139.23 $13923 Receipt Number 37829 07129 Basic Service 1.0000 $139.23 $139.23 Receipt Number 37829 Current Invoice Charges $3,619.98 of 7WPUBLI CARMEL UTILITIES Invoice 4 SERVICES 832 Langsdale Ave Page 1 of 2 Indianapolis, IN 46202 -1150 Payments /Adjustments Date Description Reference Amount 07/25 Payment Thank You 199760 $455.12 o Account Number 3- 0761 1410955 Current Invoice Charges Invoice Date July 25, 2011 Carmel Utilities 9609 Hazel Dell Parkway (1-1) Invoice Number 0761- 000806735 Carmel, IN Previous Balance $455.12 Payments /Adjustments $455.12 14 Front Load (2 Yd) Scheduled Service (S1) Unpaid Balance $0.00 Date Description Reference Quanti Unit Price Amount Current Invoice Charges $451.81 07/25 Basic Service 08/01/11 08/31/11 $364.01 $364.01 Total Fuel /Environmental Recovery Fee $87.80 Current Invoice Charges $451.81 i $451.81 Due By: 08/14/11 a o Customer Service (317) 917 -7300 00 0 0� %z�xCtIRRNY'?Eti 3` 30 „17AY,S.;” ,Y'.. =60I3gYS, 451.81 0.00 0.00 0.00 To pay on -line or sign up for 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 A REPUBLIC CARMEL UTILITIES Invoice 44 SERVICES Page 1 of 2 832 Langsdale Ave Indianapolis, IN 46202 -1150 Pay ments /Adjustments a Date Description Reference Amount o 07125 Payment Thank You 199760 $216.39 Account Number 3 -0761- 1410954 Current Invoice Charges Invoice Date July 25, 2011 Carmel Utilities 901 N Range Line Rd (L1) Invoice Number 0761 000806734 Carmel, IN Previous Balance $216.39 Payments /Adjustments $216.39 1 Front Load (8 Yd) Scheduled Service (S1) Unpaid Balance $0.00 Date Description Reference Quantity Unit Price Amount Current Invoice Charges $214.82 Q7125 Basic Service 08101111- 08 /31/11 $126.13 $126.13 1 Front Load (2 Yd) Scheduled Service (S2) Date Description Reference Quantity Unit Price Amount 0 07/25 Basic Service 08101111- 08131/11 $46.94 $46.94 Total Fuel /Environmental Recovery Fee $41.75 $214.82 Current Invoice Charges $214.02 Due By: 08114111 0 Customer Service (317) 917 -7300 CL R..REN .T 30' XY ,e_. 60 DAYS. ::90 DAYS 214.82 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 VOUCHER 115631 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 07610008067 01- 736H -08 $147.01 07610008067 01- 736001 $67.81 076(oo03067 0l•736z o S e. 51.81 D 75121 ?3bH•OS 36(q.4� Voucher Total 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 9001099 Terms LOUISVILLE, KY 40290 -1099 Due Date 8/5/2011 Invoice Invoice Description Date Number (or note attached invoice(s) or bill(s)) Amount 8/5/2011 0761000806 $214.82 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 .0112- /1 ft t" Date Officer