The URL can be used to link to this page

Home My WebLink About203147 10/25/2011 CITY OF CARMEL, INDIANA VENDOR: 358593 Page 1 of 1 ONE CIVIC SQUARE REPUBLIC WASTE SERVICES OF INDIANA CARMEL, INDIANA 46032 PO Box 9001099 CHECK AMOUNT: $3,400.00 LOUISVILLE KY 40290 -1099 CHECK NUMBER: 203147 CHECK DATE: 10/25/2011 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 651 5023990 07610008937 3,400.00 OTHER EXPENSES �UBLIC CARMEL UTILITIES HHW Invoice VICES Page 1 of 3 ve 46202 -1150 Current Invoice Charges Date Description Reference Quanti Unit Price Amount 09/30 Late Fee $58.48 Adp ount.Surrma 6f Carmel Utilities Hhw 901 N Range Line Rd (1-1) CSA 3292121010 Account Number 3-0761-1163292 Carmel, IN Invoice Date September 30, 2011 Invoice Number 0761- 000893746 1 Hooklift (30 Yd) Scheduled Service (S1) Comingled Previous Balance $3,898.44 Date Description Reference Clujg!L Unit Price Amount Payments /Adjustments $0.00 09/02 Basic Service 1.0000 $139.23 $139.23 Unpaid Balance $3,898.44 Receipt Number 89032 Current Invoice Charges $3,400.00 09/08 Basic Service Steve 1.0000 $139.23 $139.23 Receipt Number 91992 09/08 Basic Service Steve 1.0000 $139.23 $139.23 Receipt Number 91993 09/12 Basic Service 1.0000 $139.23 $139.23 PayThis-Am Receipt Number 92614 $7 298,4 09/14 Basic Service 1.0000 $139.23 $139.23 Receipt Number 94243 F Due By: 10/20/11 09/16 Basic Service 1.0000 $139.23 $139.23 Receipt Number 96390 09/19 Basic Service 1.0000 $139.23 $139.23 C ontact Receipt Number 97986 Customer Service (317) 917 -7300 09/21 Basic Service 1.0000 $139.23 $139.23 Receipt Number 2573 09/23 Basic Service 1.0000 $139.23 $139.23 Receipt Number 8641 09/26 Basic Service 1.0000 $139.23 $139.23 Atn portantinformatioa l Receipt Number 10132 09/28 Basic Service 1.0000 $139.23 $139.23 Receipt Number 12753 09/30 Basic Service 1.0000 $139.23 $139.23 Receipt Number 14943 1 Rolloff (30 Yd) Scheduled Service (S3) Comingled Date Description Reference Quanti Unit Price Amount 09/02 Basic Service 1.0000 $139.23 $139.23 Receipt Number 37829 301�AY,S =60 DAY$" �s ».,:90 ±DAYSY. .T.- 3,400.00 3,898.44 0.00 To pay on -line or sign up for Past Due_ Balance $3,898.4_4 convenient auto pay, go to: I� 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.electronicpayments.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. 001913 000002 000002 003826 2096246 2240ST03 1 3 Page 3 of 3 CARMEL UTILITIES HHW Republic Services #761 R Account Num 3- 0761 1163292 q 7)REPUBLIC 832 Langsdale Ave Invoice Date September 30, 2011 W SERVICES Invoice Number 0761 000893746 Indianapolis, IN 46202 -1150 Current Invoice Charges Date Description Reference Quanti Unit Price Amount 09/06 Basic Service 1.0000 $139.23 $139.23 Receipt Number 37829 09/09 Basic Service 1.0000 $139.23 $139.23 Receipt Number 37829 09/12 Basic Service 1.0000 $139.23 $139.23 Receipt Number 37829 09/14 Basic Service 1.0000 $139.23 $139.23 Receipt Number 37829 09/16 Basic Service 1.0000 $139.23 $139.23 Receipt Number 37829 09/19 Basic Service 1.0000 $139.23 $139.23 Receipt Number 37829 09/21 Basic Service 1.0000 $139.23 $139.23 Receipt Number 37829 09/23 Basic Service 1.0000 $139.23 $139.23 Receipt Number 37829 09/26 Basic Service 1.0000 $139.23 $139.23 Receipt Number 37829 09/28 Basic Service 1.0000 $139.23 $139.23 Receipt Number 37829 09/30 Basic Service 1.0000 $139.23 $139.23 Receipt Number 37829 Current Invoice Charges $3,400.00 r 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 10/18/2011 Invoice Invoice Description Date Number (or note attached invoice(s) or bill(s)) Amount 10/18/201 0761000893 $3,400.00 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 VOUCHER 116032 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 07610008937 01- 736H -08 $3,400.00 Voucher Total $3,400.00 Cost distribution ledger classification if claim paid under vehicle highway fund