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Home My WebLink About204947 12/20/2011 CITY OF CARMEL, INDIANA VENDOR: 358593 Page 1 of 1 `E. ONE CIVIC SQUARE REPUBLIC WASTE SERVICES OF INDIA MECK AMOUNT: $3,096.70 o CARMEL, INDIANA 46032 PO BOX 9001099 LOUISVILLE KY 40290 -1099 CHECK NUMBER: 204947 CHECK DATE: 12/20/2011 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 651 5023990 0761 0097034 3,063.06 OTHER EXPENSES 1125 4350101 761000096528 33.64 TRASH COLLECTION CARMEL UTILITIES HHW Invoice 1W SERVICES Page 1 of 3 832 Langsdale Ave Indianapolis, IN 46202 -1150 Payments /Adjustments 'A division of REPUBLIC SERVICES Date Description Reference Amount 11/14 Payment -Thank You 203147 $3,400.00 Acc 11/28 Payment -Thank You 203996 $3,392.52 Account Number 3- 0761 1163292 Current Invoice Charges Invoice Date November 30, 2011 Invoice Number 0761 000970349 Carmel Utilities Hhw 901 N Range Line Rd (1 CSA 3292121010 Previous Balance $6,792.52 Carmel, IN Payments /Adjustments $6,792.52 Unpaid Balance $0.00 1 Hooklift (30 Yd) Scheduled Service (S1) Comingled Current Invoice Charges $3,063.06 Date Description Reference Quanti Unit Price Amount 11/02 Basic Service 1.0000 $139.23 $139.23 Receipt Number 40563 11/07 Basic Service 1.0000 $139.23 $139.23 Receipt Number 42582 Pay This 11/10 Basic Service Hamilton 1.0000 $139.23 $139.23. d V 3,063 Receipt Number 45953 11112 Basic Service Hamilton 1.0000 $139.23 $139.23 Due By: 12/20/11 Receipt Number 45959 11/14 Basic Service 1.0000 $139.23 $139.23 Receipt Number 47318 C ontact 11/16 Basic Service 1.0000 $139.23 $139.23 Customer Service (317) 917 -7300 Receipt Number 51132 11/18 Basic Service 1.0000 $139.23 $139.23 Receipt Number 54917 11/21 Basic Service 1.0000 $139.23 $139.23 Receipt Number 56077 Im oortant information 11/23 Basic Service 1.0000 $139.23 $139.23 Receipt Number 57811 11/28 Basic Service 1.0000 $139.23 $139.23 Receipt Number 59030 11/30 Basic Service 1.0000 $139.23 $139.23 Receipt Number 60114 1 Rolloff (30 Yd) Scheduled Service (S3) Comingled Date Description Reference Quanti Unit Price Amount 11/02 Basic Service 1.0000 $139.23 $139.23 C1IRRENT�.� ��6 px 0.00 0.00 0.00 To pay on -line or sign up for 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. 001383- 000002 000002 002766 2102497 2240ST03 1 3 Page 3 of 3 A' CARMEL UTILITIES HHW Republic Services #761 REPUBLIC Account Number 3- 0761 1163292 g32 Langsdale Ave t11A SERVICES Invoice Date November 30, 2011 Invoice Number 0761- 000970349 Indianapolis, IN 46202 -1150 Current Invoice Charges Date Description Reference Quanti Unit Price Amount Receipt Number 37829 11/04 Basic Service 1.0000 $139.23 $139.23 Receipt Number 37829 11/07 Basic Service 1.0000 $139.23 $139.23 Receipt Number 37829 11109 Basic Service 1.0000 $139.23 $139.23 Receipt Number 37829 11!10 Basic Service Hamilton 1.0000 $139.23 $139.23 Receipt Number 45956 11/16 Basic Service 1.0000 $139.23 $139.23 Receipt Number 37829 11/18 Basic Service 1.0000 $139.23 $139.23 Receipt Number 37829 11/21 Basic Service 1.0000 $139.23 $139.23 Receipt Number 37829 11/23 Basic Service 1.0000 $139.23 $139.23 Receipt Number 37829 11/28 Basic Service 1.0000 $139.23 $139.23 Receipt Number 37829 11/30 Basic Service 1.0000 $139.23 $139.23 Receipt Number 37829 Current Invoice Charges $3,063.06 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 12/13/2011 Invoice Invoice Description Date Number (or note attached invoice(s) or bill(s)) Amount 12/13/201' 000970349 $3,063.06 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 116424 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 000970349 01- 736H -08 $3,063.06 I Voucher Total $3,063.06 Cost distribution ledger classification if claim paid under vehicle highway fund "A REPUBLIC CARMEL CLAY PARK'S Invoice 4 SERVICES Page 1 of 2 832 Langsdale Ave Indianapolis, IN 46202 -1150 Payments /Adjustments a Date Description Reference Amount ..r 10/27 Payment Thank You 202738 $494.86 Account Number 3 -0761- 1410948 Current Invoice Charges Invoice Date November 25, 2011 Carmel Clay Park's 1411 E 116th St (1-1) CSA 94811711 Invoice Number 0761- 000965285 Carmel, IN Previous Balance $988.22 Payments /Adjustments $494.86 2 Front Load (8 Yd) Scheduled Service (S1) Unpaid Balance $3.36 $33.64 Date Description Reference Quanti Unit Price Amount Current Invoice Charges $3 11/25 Rate Adjustment 11/16/11- 12/31/11 2.0000 $150.00 $371.86 11/25 Basic Service 12/01/11- 12/31/11 $399.04 $399.04 Total Fuel /Environmental Recovery Fee $6.46 Current Invoice Charges $33.64 $527.00 Due By: 12/15/11 0 0 o Purchase Description pEL' Customer Service (317) 917 -7300 �PSR� P.O.# PorF G. L. o�S 4 -QQ 4a>b DIDI Budget j RAS�I Co �6C' r► D'' 0 0 0 0 Line Descr A, The environmental recovery fee is being increased. purchaser Date For more information, please visit www.disposal.com Approval Date and click on the "Fuel /Environmental Recovery Fee" link. DEC: 0 y? N; Off �Sl 13AYS Iffl3,,.,.....9"t3AY,:S.,,x,: 33.64 493.36 0.00 0.00 To pay on -line or sign up for Past Due Balance $493.36 convenient auto pay go to: A A Visit our website, www.disposal.com to make your payment electronically www. 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 11125111 761000965285 Dumpster A.O. Dec'11 33.64 Total 33.64 1 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 33.64 ON ACCOUNT OF APPROPRIATION FOR 101 General Fund PO# or INVOICE NO. ACCT #/TITLE AMOUNT Board Members Dept 1125 761000965285 4350101 33.64 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 15 -Dec 2011 Signature 33.64 Accounts Payable Coordinator Cost distribution ledger classification if Title claim paid motor vehicle highway fund