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Home My WebLink About203996 11/21/2011 CITY OF CARMEL, INDIANA VENDOR: 358593 Page 1 of 1 ONE CIVIC SQUARE REPUBLIC WASTE SERVICES OF INDIA yA CARMEL, INDIANA 46032 PO Box 9001099 CHECK AMOUNT: $3,885.88 ;o LOUISVILLE KY 40290 -1099 CHECK NUMBER: 203996 CHECK DATE: 11/21/2011 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 651 5023990 07610009343 3,392.52 OTHER EXPENSES 1125 4350101 761000929461 493.36 TRASH COLLECTION UBLIC CARMEL UTILITIES HHW Invoice RVrcF$ Page 1 of 3 8Ave 462024150 Payments/Adjustments ICES Date Description Reference Amount 10/10 Payment -Thank You 202286 $3,898.44 Account Number 3- 0761 1163292 Current Invoice Charges Invoice Date October 31, 2011 Date Description Reference Quanti Unit Price Amount Invoice Number 0761- 000934374 10/31 Late Fee $51.00 Previous Balance $7,298.44 Payments /Adjustments $3,898.44 Carmel Utilities Hhw 901 N Range Line Rd (1-1) CSA 3292121010 Unpaid Balance $3,400.00 Carmel, IN Current Invoice Charges $3,392.52 1 Hooklift (30 Yd) Scheduled Service (S1) Comingled Date Description Reference Quanti Unit Price Amount 10/03 Basic Service 1.0000 $139.23 $139.23 Receipt Number 16060 'Pay This Unt 10/05 Basic Service 1.0000 $139.23 $139.23 792.52 Receipt Number 18249 10107 Basic Service 1 .0000 $139.23 $139.23 Due By: 11120111 Receipt Number 20814 10110 Basic Service 1.0000 $139.23 $139.23 ath Receipt Number 22420 Inf orm 10/12 Basic Service 1.0000 $139.23 $139.23 Customer Service (317) 917 -7300 Receipt Number 25856 10/14 Basic Service 1.0000 $139.23 $139.23 Receipt Number 27715 10/17 Basic Service 1.0000 $139.23 $139.23 Receipt Number 28640 10/19 Basic Service 1.0000 $13923 $139.23 Receipt Number 31050 Your next Invoice may reflect a rate adjustment, if 10121 Basic Service 1.0000 $139.23 $13913 you have any questions after receiving your next invoice please contact us. Receipt Number 33305 10124 Basic Service 1.0000 $139.23 $139.23 Receipt Number 34494 10126 Basic Service 1.0000 $139.23 $139.23 Receipt Number 36194 10/28 Basic Service 1.0000 $139.23 $139.23 Receipt Number 37551 10/31 Basic Service 1.0000 $139.23 $139.23 3,392.52 3,400.00 0.00 0.00 To pay on -line or sign up for Past Due Balance $3,400.00 convenient auto pay go to: DA 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 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. 001267 000002- 000002- 002534 2099454 2240ST03 1 3 Page 3 of 3 CARMEL UTILITIES HHW Republic Services #761 R` Invoice Date October 31, 2011 Account Number 3- 0761- 1163292 �REPUOLIC 832 Langsdale Ave SERVICES Invoice Number 0761- 000934374 Indianapolis, IN 46202 -1150 Current Invoice Charges Date Description Reference Quanti Unit Price Amount Receipt Number 38374 1 Rolloff (30 Yd) Scheduled Service (S3) Comingled Date Description Reference Quanti Unit Price Amount 10103 Basic Service 1.0000 $139.23 $139.23 Receipt Number 37829 10105 Basic Service 1.0000 $139.23 $139.23 Receipt Number 37829 10107 Basic Service 1.0000 $139.23 $139.23 Receipt Number 37829 10112 Basic Service 1.0000 $139.23 $139.23 Receipt Number 37829 10114 Basic Service 1.0000 $139.23 $139.23 Receipt Number 37829 10117 Basic Service 1.0000 $139.23 $139.23 Receipt Number 37829 10/21 Basic Service 1.0000 $139.23 $139.23 Receipt Number 37829 10124 Basic Service 1.0000 $139.23 $139.23 Receipt Number 37829 10126 Basic Service 1.0000 $139.23 $139.23 Receipt Number 37829 10/28 Basic Service 1.0000 $139.23 $139.23 Receipt Number 37829 10131 Basic Service 1.0000 $13923 $139.23 Receipt Number 37829 Current Invoice Charges $3,392.52 VOUCHER 116204 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 07610009343 01- 736H -08 $3,392.52 Voucher Total $3,392.52 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 11/14/2011 Invoice Invoice Description Date Number (or note attached invoice(s) or bill(s)) Amount 11/14/201' 0761000934: $3,392.52 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 Ay/ Date icer �R "A REPUBLIC CARMEL CLAY PARK'S Invoice 804 SERVICES Page 1 of 2 832 Langsdale Ave Indianapolis, IN 46202-1150 Current Invoice Charges Carmel Clay Park's 1411 E 116th St (1-1) Carmel, IN o 2 Front Load (8 Yd) Scheduled Service (S1) Account Number 3-0761-1410948 Invoice Date October 25, 2011 Date Description Reference Quantity Unit Price Amount Invoice Number 0761- 000929461 10/25 Basic Service 11/01111 11/30111 $399.04 $399.04 Previous Balance $494.86 Total Fuel /Environmental Recovery Fee $94.32 Payments /Adjustments $0.00 Current Invoice Charges $493.36 Unpaid Balance $494.86 Current Invoice Charges $493.36 D IR rra Vw OCT 3 2011 U $988.22 BY Due By: 11/141/1 U 0 Customer Service (317) 917 -7300 Purchase Description DJYWP MR rO Wi ll P.O. PorF lff, -Mum o o O.i_.# 4_3_SOI�I Line Desc.TJ 15N C0 1 Q Purchaser Date Approval Date ON J...:CIJRI W 30AY5: NO S -:..c<9t)+ t7AYS,' 493.36 494.86 0.00 0.00 To pay on -line or sign up for Past Due Balance $494.86 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 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.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. 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 10/25/11 761000929461 Dumpster A.O. Nov'11 493.36 Total 493.36 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 493.36 ON ACCOUNT OF APPROPRIATION FOR 109 General Fund PO# or INVOICE NO. ACCT #f AMOUNT Board Members Dept 1125 761000929461 4350101 493.36 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 3 -Nov 2011 Signature 493.36 Accounts Payable Coordinator Cost distribution ledger classification if Title claim paid motor vehicle highway fund