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Home My WebLink About205270 01/05/2012 CITY OF CARMEL, INDIANA VENDOR: 358593 Page 1 of 1 ONE CIVIC SQUARE REPUBLIC WASTE SERVICES OF INDIA CHECK AMOUNT: $676.15 CARMEL, INDIANA 46032 PO BOX 9001099 LOUISVILLE KY 40290 -1099 CHECK NUMBER: 205270 CHECK DATE: 1/5/2012 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 651 5023990 07610010098 217.89 CONT SVS -HAZ WASTE 651 5023990 07610010098 458.26 OTHER EXPENSES k 7�REPUBLIC CARMEL UTILITIES Invoice 4 SERVICES Page 1 of 2 832 Langsdale Ave Indianapolis, IN 46202 -1150 Payments /Adjustments Date Description Reference Amount 11/28 Payment Thank You 203604 $213.98 12/24 Payment Thank You 204632 $214.27 Account Number 3- 0761 1410954 Invoice Date December 25, 2011 Current Invoice Charges Invoice Number 0761- 001009865 Carmel Utilities 901 N Range Line Rd (L1) Previous Balance $428.25 Carmel, IN Payments /Adjustments $428.25 Unpaid Balance $0.00 1 Front Load (8 Yd) Scheduled Service (S1) Current Invoice Charges $217.89 Date Description Reference Quanti Unit Price Amount 12/25 Basic Service 01/01/12- 01/31/12 $126.13 $126.13 1 Front Load (2 Yd) Scheduled Service (S2) Date Description Reference Q uantit y Unit Price Amount 12/25 Basic Service 01/01/12- 01/31/12 $46.94 $46.94 $217.89 Total Fuel /Environmental Recovery Fee $44.82 Due By: 01/14/12 Current Invoice Charges $217.89 Customer Service (317) 917 -7300 oo o o t, 217.89 0.00 0.00 0.00 To pay on -line or sign up for 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 When we use information from your check to make an electronic fund transfer, funds may be withdrawn from your account as soon as the same day we receive your payment and you will not receive your check back from your financial institution.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. REPUBLIC CARMEL UTILITIES Invoice SERVICES Page 1 of 2 832 Langsdale Ave Indianapolis, IN 46202 -1150 Payments /Adjustments Date Description Reference Amount 11/28 Payment -Thank You 203604 $450.05 12/24 Payment Thank You 204632 $450.64 Account Number 3- 0761 1410955 es Current Invoice Char Invoice Date December 25, 2011 g Invoice Number 0761 001009866 Carmel Utilities 9609 Hazel Dell Parkway (L1) Previous Balance $900.69 Carmel, IN Payments /Adjustments $900.69 Unpaid Balance $0.00 14 Front Load (2 Yd) Scheduled Service (S1) Current Invoice Charges $458.26 Date Description Reference Quanti Unit Price Amount 12/25 Basic Service 01/01/12- 01/31/12 $364.01 $364.01 Total Fuel /Environmental Recovery Fee $94.25 o Current Invoice Charges $458.26 $458.26 Due By: 01/14/12 Customer Service (317) 917 -7300 00 0 0 .,3,. M�VI��I��i.�f:.K�, Y'..£h7c�-:�`�,V, �/;fY�. 3i��b �i�t7�1�1'l��'6 r 1a .:F,� .�✓f1��as),,. f,.. s 458.26 0.00 0.00 0.00 To pay on -line or sign up for 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- 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. 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 12/30/2011 Invoice Invoice Description Date Number (or note attached invoice(s) or bill(s)) Amount 12/30/201' 0761001009E $217.89 I hereby certify that the attached invoice(s), or bill(s) is (are) true and orrect and I have audited same in accordance �with IC 5-11-10-1.6 13 /7Z .qv-- iy1E Date Officer VOUCHER 116510 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 07610010098 01- 736H -08 $148.54 07610010098 01- 7360 -01 69.35 11 p�616010 o �,136� D5 Yy$,2b F Voucher Total Cost distribution ledger classification if claim paid under vehicle highway fund