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Home My WebLink About202286 09/27/2011 CITY OF CARMEL, INDIANA VENDOR 358593 Page 1 of 4 ONE CIVIC SQUARE REPUBLIC WASTE SERVICES OF INDIAIMECK AMOUNT: $3,898.44 CARMEL, INDIANA 46032 PO BOX 9001099 '`sue LOUISVILLE KY 40290 -1099 CHECK NUMBER: 202286 CHECK DATE: 9/27/2011 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 651 5023990 07610008515 3,898.44 OTHER EXPENSES qe 44 REPUBLIC CARMEL UTILITIES HHW Invoice SER Page 1 of 3 832 Langsdale Ave Indianapolis, IN 46202-1150 Payments/Adjustments A ifivision of REPUBLIC SERVICES Date Description Reference Amount 08127 Payment Thank You 200597 $3,619.98 Current Invoice Char es Account Number 30761- 1163292 g Invoice Date August 31, 2011 Carmel Utilities Hhw 901 N Range Line Rd (L1) CSA 3292121010 Invoice Number 0761 -000851552 Carmel, IN Previous Balance $3,619.98 Payments /Adjustments $3,619.98 1 Hooklift (30 Yd) Scheduled Service (S1) Comingled Unpaid Balance $0.00 Date Description Reference Quanti Unit Price Amount Current Invoice Charges $3,898.44 08101 Basic Service 1.0000 $139.23 $139.23 Receipt Number 67987 08103 Basic Service 1.0000 $139.23 $139.23 Receipt Number 69383 Pay 08/05 Basic Service 1.0000 $139.23 $139.23 Receipt Number 71909 $3,898.44 08, Basic Service 1.0000 $139.23 $13923 Receipt Number 72672 Due By: 09120/11 08110 Basic Service 1.0000 $139.23 $139.23 Receipt Number 74228 08112 Basic Service 1.0000 $139.23 $139.23 Receipt Number 75850 Customer Service (317) 917 -7300 08/15 Basic Service 1.0000 $139.23 $139.23 Receipt Number 76505 08/17 Basic Service 1.0000 $139.23 $13923 Receipt Number 78112 08/19 Basic Service 1.0000 $139.23 $139.23 Receipt Number 79606 08122 Basic Service 1.0000 $13923 $139.23 Receipt Number 80372 08/24 Basic Service 1.0000 $139.23 $139.23 Receipt Number 83935 08126 Basic Service 1.0000 $139.23 $139.23 Receipt Number 85361 08/29 Basic Service 1.0000 $139.23 $13923 Receipt Number 86070 08/31 Basic Service 1.0000 $139.23 $139.23 Receipt Number 87614 URRENT 3QIDAYS 6tt,.DAYS,. 9U{ DAYS 3,898.44 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.disposahs..-- or to sign up for our cor• 0 www.disposal.com _t_� a �Pfe�se_see_ reverse-,.^^ CARMEL UTILITIES HHW 3 -0761- 1163292 Page 2 of 3 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.electronic a ments.or 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. 001390 000002- 000002 002780 2093340 2240ST03 1 3 Page 3of3 CARMEL UTILITIES HHW Republic Services #761 Account Number 3 -0761- 1163292 I R W REPUBLI Invoice Date Au ust 31, 2011 832 Langsdale Ave ty� SERVICES Invoice Number 0761 000851552 Indianapolis, M 46202 -1150 Current Invoice Charges 1 Rolloff (30 Yd) Scheduled Service (S3) Comingied Date Description Reference Quanti Unit Price Amount 08101 Basic Service 1.0000 $139.23 $13923 Receipt Number 37829 08/03 Basic Service 1.0000 $139.23 $139.23 Receipt Number 37829 08 /05 Basic Service 1.0000 $139.23 $139.23 Receipt Number 37829 08108 Basic Service 1.0000 $139.23 $139.23 Receipt Number 37829 08 /10 Basic Service 1.0000 $139.23 $139.23 Receipt Number 37829 08112 Basic Service 1.0000 $139.23 $139.23 Receipt Number 37829 08115 Basic Service 1.0000 $139.23 $139.23 Receipt Number 37829 08117 Basic Service 1.0000 $139.23 $139.23 Receipt Number 37829 08119 Basic Service 1.0000 $139.23 $139.23 Receipt Number 37829 08122 Basic Service 1.0000 $139.23 $139.23 Receipt Number 37829 08/24 Basic Service 1.0000 $139.23 $139.23 Receipt Number 37829 08126 Basic Service 1.0000 $139.23 $139.23 Receipt Number 37829 08129 Basic Service 1.0000 $139.23 $139.23 Receipt Number 37829 08131 Basic Service 1.0000 $139.23 $139.23 Receipt Number 37829 Current Invoice Charges $3,898.44 VOUCHER 115866 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 07610008515 01- 736H -08 $3,898.44 Voucher Total $3,898.44 Cost distribution ledger classification if claim paid under vehicle highway fund Prescribed by State Board of Accounts City Form fro. 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 9/19/2011 Invoice Invoice Description Date Number. (or note attached invoice(s) or bill(s)) Amount 9/19/2011 0761000851: $3,898.44 i 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 Date Officer