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HomeMy WebLinkAbout202738 10/11/2011 CITY OF CARMEN, INDIANA VENDOR: 358593 Page 1 of 1 ONE CIVIC SQUARE REPUBLIC WASTE SERVICES OF INDIA CHECK AMOUNT: $1,160.90 1 r CARMEL, INDIANA 46032 PO BOX 9001099 s oN. LOUISVILLE KY 40290 -1099 CHECK NUMBER: 202738 CHECK DATE: 10/11/2011 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1125 4350101 494.86 761000888673 651 5023990 214.62 07610008886 651 5023990 451.42 076100888676 CS REPUBLIC CARMEL UTILITIES Invoice t3►� SERVICES Page 1 of 2 832 Langsdale Ave Indianapolis, IN 46202 -1150 Payments/Adjustments fe Date Description Reference Amount 08127 Payment Thank You 200597 $451.81 i`� 09124 Payment Thank You 201393 $451.61 Account Number 3 -0761- 1410955 Invoice Date September 25, 2011 Current Invoice Charges invoice Number 0761 000888676 Carmel Utilities 9609 Hazel Dell Parkway (Li Previous Balance $903.42 Carmel, IN Payments /Adjustments $903.42 Unpaid Balance $0.00 14 Front Load (2 Yd) Scheduled Service (S1) Current Invoice Charges $451.42 Date Description Reference Quantity Unit Price Amount 09125 Basic Service 10/01/11 10/31/11 $364.01 $364.01 Total Fuel /Environmental Recovery Fee $87.41 Current Invoice Charges $451.42 $451.42 Due By: 10/15111 o �i Customer Service (317) 917 7300 o e 451.42 0.00 0.00 0.00 To pay on -line or sign up for convenient auto pay g o to: A A Visit our website, www.disposal.com to make your payment electronically www.disposaLeom or to sign up for our convenient automatic payment plan. Please see reverse side for terms and conditions CARMEL UTILITIES 3- 0761 1410955 Page 2 of 2 Check Processing: In accordance with Federal Reserve Board guidelines, when you provide a check as payment, you authorize us to use information from your check to make a one -time electronic fund transfer from your account or to process the payment as a check transaction. When we use information from your check to make an electronic fund transfer, funds may be withdrawn from your account as soon as the same day we receive your payment and you will not receive your check back from your financial institution. For further information visit: w_w_ w.electronicpaVments.org or call 866- 474 -8275. If service is canceled during a billing cycle, the customer will remain responsible for all charges, fees and taxes through the end of the billing cycle. There will be no proration of billing, and the customer will not be entitled to a refund for the period between the notice of termination and the end of the current billing cycle. This provision will not apply if it is contrary to a current franchise agreement, municipal contract, or other written contract applicable to this account or is otherwise prohibited by law. The Company reserves the right to require that payment for services be made only by check, credit card or money order, unless otherwise required by contract or applicable law. ak r r at 7) REPUBLIC CARMEL UTILITIES Invoice t0 SERVICE'S Page 1 of 2 832 Langsdale Ave Indianapolis, IN 46202 -1150 Payments /Adjustments Date Description Reference Amount 0$!27 Payment Thank You 200597 $214.82 09124 Payment Thank You 201393 $214.73 Account Number 3- 0761 1410954 Current Invoice Char es Invoice Date September 25, 2011 g Invoice Number 0761 000888675 Carmel Utilities 901 N Range Line Rd (1-1) Previous Balance $429.55 Carmel, IN Payments /Adjustments $429.55 Unpaid Balance $0.00 1 Front Load (8 Yd) Scheduled Service (S1) Current Invoice Charges $214.62 Date Description Reference Quantity Unit Price Amount 09125 Basic Service 10/01111- 10131111 $126.13 $126.13 1 Front Load (2 Yd) Scheduled Service (S2) o' Date Description Reference Quanti Unit Price Amount 09/25 Basic Service 10/01/11-10/31/11 $46.94 $46.94 $214.62 Total Fuel /Environmental Recovery Fee $41.55 Due By: 10/15111 Current Invoice Charges $214.62 Customer Service (317) 917 -7300 214.62 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 VOUCHER 115959 WARRANT ALLOWED 358593 IN SUM OF REPUBLIC WASTE SERVICES OF INDI PO BOX 9001099 LOUISVILLE, KY 40290 -1099 Carmel Wastewater Utility e ON ACCOUNT OF APPROPRIATION FOR Board members PO INV ACCT AMOUNT Audit Trail Code 15 07610008886 01- 736H -08 $146.90 a5 07610008886 01- 7360 -01 $67.72 o 161000gs�� 7� YS� (V Voucher Total W14.62 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 B.OX 9001099 Terms LOUISVILLE, KY 40290 -1099 Due Date 10/4/2011 Invoice Invoice Description Date Number (or note attached invoice(s) or bill(s)) Amount 10/4/2011 0761000888( $214.62 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 o Date Officer q REPUBLIC CARMEL CLAY PARK'S Invoice SERVICES Page 1 of 2 832 Langsdale Ave Indianapolis, IN 46202 -1160 Payments/Adjustments Date Description Reference Amount 08127 Payment Thank You 200597 $495.29 5 09/24 Payment Thank You 201393 $495.08 Account Number 3- 0761 1410948 Current Invoice Charges Invoice Date September 25, 2011 g Invoice Number 0761- 000888673 Carmel Clay Park's 1411 E 116th St (Li) Previous Balance $990.37 Carmel, IN Payments /Adjustments $990.37 Unpaid Balance $0.00 2 Front Load (8 Yd) Scheduled Service (S1) Current Invoice Charges $494.86 pate Description Reference Quanti Unit Price Amount 09125 Basic Service 10/01/11- 10131111 $399.04 $399.04 Total Fuel/Environmental Recovery Fee $95.82 Current Invoice Charges $494.86 o o $494,86 Due B y oil5111 Customer Service (317) 917 -7300 Purchase Descript Ow (1 P.Q. P or F 1�1 4 351_710 G.L, 1 I���zI -Off- I OCT a 3 201 Budget F Line Descr P_21 �1✓M Purchaser Date Approval Date ti I 494.86 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 I- 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 9125111 761000888673 Dumpster A.O. Oct'11 494.86 Total 494.816 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 494.86 ON ACCOUNT OF APPROPRIATION FOR 101 General Fund PO# or INVOICE NO. ACCT #/TITLE AMOUNT Board Members Dept 1125 761000888673 4350101 494.86 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 6 -Oct 2011 Pr'T Signature 494.86 Accounts Payable Coordinator Cost distribution ledger classification if Title claim paid motor vehicle highway fund