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Home My WebLink About203604 11/09/2011 CITY OF CARMEL, INDIANA VENDOR: 358593 Page 1 of 1 ONE CIVIC SQUARE REPUBLIC WASTE SERVICES OF INDIA y� �e CARMEL, INDIANA 46032 PO BOX 9001099 CHECK AMOUNT: $6fi4.03 LOUISVILLE KY 40290 -1099 CHECK NUMBER: 203604 CHECK DATE: 1119/2011 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 6S1 5023990 07610009294 664.03 OTHER EXPENSES CARMEL UTILITIES Invoice SERVICE Page 1 of 2 832 Langsdale Ave Indianapolis, IN 46202 -1150 Current Invoice Charges Carmel Utilities 901 N Range Line Rd (L1) o a,sa Carmel, IN Account Number 3 0761 1410954 1 Front Load (8 Yd) Scheduled Service (S1) Invoice Date October 25, 2011 Date Description Reference Quanti Unit Price Amount Invoice Number 0761 000929464 10125 Basic Service 11/01/11- 11130/11 $126.13 $126.13 Previous Balance $214.62 1 Front Load (2 Yd) Scheduled Service (S2) Payments /Adjustments $0.00 Unpaid Balance $214.62 Date Description Reference Quanti Unit Price Amount Current Invoice Charges $213.98 10125 Basic Service 11/01/11 11/30/11 $46.94 $46.94 Total Fuel/Environmental Recovery Fee $40.91 Current Invoice Charges $213.98 $428.60 Due By: 11/14/11 0 0 0 a Customer Service (317) 917 -7300 00 0 0 Ctl,lfENt.� ,3 $i:?;, re4Alit1DAY 90pAY 213.98 214.62 0.00 0.00 To pay on -line or sign up for Past Due Balance $214.62 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 CARMEL UTILITIES 3- 0761- 1410954 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 When we use information from your check to make an electronic fund transfer, funds may be withdrawn from your account as soon as the same day we receive your payment and you will not receive your check back from your financial institution.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.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. M p L REPUBLIC CARMEL UTILITIES Invoice SERVICES Page 1 of 2 832 Langsdale Ave Indianapolis, IN 46202 -1150 Current Invoice Charges Carmel Utilities 9609 Hazel Dell Parkway (L1) Carmel, IN o m. 14 Front Load (2 Yd) Scheduled Service (S1) Account Number 3- 0761- 1410955 Invoice Date October 25, 2011 Date Description Reference Quantity Unit Price Amount Invoice Number 0761- 000929465 10125 Basic Service 11101111- 11130111 $364.01 $364.01 Previous Balance $451.42 Total Fuel /Environmental Recovery Fee $86.04 Payments /Adjustments $0.00 Current Invoice Charges $450.05 Unpaid Balance $451.42 Current Invoice Charges $450.05 $909.47 Due By: 11/14/11 Customer Service (317) 917 -7300 00 0 0 450.05 451.42 0.00 0.00 To pay on -line or sign up for Past Due Balance $451.42 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 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: 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. VOUCHER 116162 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 07610009294 01- 736H -08 $146.58 07610009294 01- 7360 -01 $67.40 a �b(aooa�� y ©i.? 362.05 Voucher Total $213. 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 CARMIEL 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 11/2/2011 Invoice Invoice Description Date Number (or note attached invoices) or bill(s)) Amount 11/2/2011 0761000929 $213.98 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 Offic