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Home My WebLink About205584 01/17/2012 CITY OF CARMEL, INDIANA VENDOR: 358593 Page 1 of 1 ONE CIVIC SQUARE REPUBLIC WASTE SERVICES OF INDIA CHECK AMOUNT: $4,323.90 CARMEL, INDIANA 46032 PO Box 9001099 LOUISVILLE KY 40290 -1099 CHECK NUMBER: 205584 CHECK DATE: 1/17/2012 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1125 4350101 076100100986 188.85 TRASH COLLECTION 651 5023990 07610010145 4,135.05 OTHER EXPENSES g CARMEL CLAY PARK'S Invoice t14 SERVICES Page 1 of 2 832 Langsdale Ave Indianapolis, IN 46202 -1150 Payments /Adjustments Date Description Reference Amount 11/28 Payment- Thank You 203996 $493.36 o Account Number •3- 0761 1410948 Current Invoice Charges Invoice Date December 25, 2011 Carmel Clay Park's 1411 E 116th St (11-1) CSA 94811711 Invoice Number 0761 001009863 Carmel, IN Previous Balance $527.00 Payments /Adjustments $493.36 2 Front Load (8 Yd) Scheduled Service (S1) Unpaid Balance $33.64 Date Description Reference Quanti Unit Price Amount Current Invoice Charges $188.85 12/25 Basic Service 01/01/12- 01/31/12 $150.00 $150.00 Total Fuel /Environmental Recovery Fee $38.85 Current Invoice Charges $188.85 D 0 $222.49 Due By: 01/14112 0 0 0 i�, Customer Service (317) 917 -7300 Purchase r:: c;iption P F P.G. r 1a-S Bw1c"t I� L/ v il s 3oioj JAN 0 3 2012 Linn L?escr purchaser_— Apprava{ ,D�—/----- By...... CURRwm 0104"U..., o ww9tt +o"A 188.85 33.64 0.00 0.00 To pay on -line or sign up for Past Due Balance $33.64 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 When we use information from your check to make an electronic fund transfer, funds may be withdrawn from your account as soon as the same day we receive your payment and you will not receive your check back from your financial institution.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 12/25111 761001009863 Dumpster A.O. Jan'12 188.85 Total 188.85 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 20_ Clerk- Treasurer Voucher No. Warrant No, 358593 Republic Services 761 Allowed 20 P.O. Box 9001099 Louisville, KY 40290 -1099 In Sum of 188.85 ON ACCOUNT OF APPROPRIATION FOR 101 General Fund PO# or INVOICE NO. ACCT WTITLE AMOUNT Board Members Dept 1125 761001009863 4350101 188.85 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 11 -Jan 2012 Signature 188.85 Accounts Payable Coordinator Cost distribution ledger classification if Title claim paid motor vehicle highway fund e REPUBLIC CARMEL UTILITIES HHW Invoice ZOA SERVICES Page 1 of 3 832 Langsdale Ave Indianapolis, IN 46202 -1160 Payments /Adjustments Date Description Reference Amount 12/27 Payment Thank You 204947 $3,063.06 Account Account Number 3- 0761- 1163292 Current Invoice Charges Invoice Date December 31, 2011 Carmel Utilities Hhw 901 N Range Line Rd (1_1) CSA 3292121010 Invoice Number 0761 001014546 Carmel, IN Previous Balance $3,063.06 Payments /Adjustments $3,063.06 1 Hooklift (30 Yd) Scheduled Service (S1) Comingled Unpaid Balance $0.00 Date Description Reference Quanti ty Unit Price Amount Current Invoice Charges $4,135.05 12/02 Basic Service 1.0000 $153.15 $153.15 Receipt Number 61293 12/05 Basic Service 1.0000 $153.15 $153.15 Receipt Number 61952 12/07 Basic Service 1.0000 $153.15 $153.15 m ouht, Receipt Number 63645 $4135.05 12109 Basic Service 1.0000 $153.15 $153.15 Receipt Number 64974 Due By: 01/20/12 12/12 Basic Service 1.0000 $153.15 $153.15 Receipt Number 65560 12/14 Basic Service 1.0000 $153.15 $153.15 Receipt Number 67130 Customer Service (317) 917 -7300 12/16 Basic Service 1.0000 $153.15 $153.15 Receipt Number 68007 12/19 Basic Service 1.0000 $153.15 $153.15 Receipt Number 68504 12121 Basic Service 1.0000 $153.15 $153.15 Receipt Number 70330 12/22 Basic Service 1.0000 $153.15 $153.15 12/27 Basic Service 1.0000 $153.15 $153.15 Receipt Number 69366 12/29 Basic Service Hamilton 1.0000 $153.15 $153.15 Receipt Number 75461 12/29 Basic Service Driver- 1.0000 $153.15 $153.15 George Receipt Number 75694 12/30 Basic Service 1.0000 $153.15 $153.15 Receipt Number 75565 N CURRENT 30 ":DAYS jil. Di4l S j 90±,DiAYS 4,135.05 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.co 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. 001961- 000002- 000002 003922 2300500 2240ST03 1 3 Page 3 of 3 CARMEL UTILITIES HHW Republic Services #761 R, A Account Number 3- 0761 1163292 832 Langsdale Ave SERVICES Invoice Date December 31, 2011 Invoice Number 0761 001014546 Indianapolis, IN 46202 -1150 Current Invoice Charges 1 Rolloff (30 Yd) Scheduled Service (S3) Comingled Date Description Reference Quanti Unit Price Amount 12/02 Basic Service 1.0000 $153.15 $153.15 Receipt Number 37829 12/05 Basic Service 1.0000 $153.15 $153.15 Receipt Number 37829 12/07 Basic Service 1.0000 $153.15 $153.15 Receipt Number 37829 12/09 Basic Service 1.0000 $153.15 $153.15 Receipt Number 37829 12/12 Basic Service 1.0000 $153.15 $153.15 Receipt Number 37829 12/14 Basic Service 1.0000 $153.15 $153.15 Receipt Number 37829 12/16 Basic Service 1.0000 $153.15 $153.15 Receipt Number 37829 12/19 Basic Service 1.0000 $153.15 $153.15 Receipt Number 37829 12/21 Basic Service 1.0000 $153.15 $153.15 Receipt Number 37829 12/22 Basic Service Hamilton 1.0000 $153.15 $153.15 Receipt Number 71749 12/27 Basic Service 1.0000 $153.15 $153.15 Receipt Number 37829 12/28 Basic Service 1.0000 $153.15 $153.15 Receipt Number 37829 12/30 Basic Service 1.0000 $153.15 $153.15 Receipt Number 37829 Current Invoice Charges $4,135.05 v� 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' 0761001014! $4,135.05 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- 110 -1.6 Date Officer VOUCHER 116592 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 07610010145 01- 736H -08 $4,135.05 r" Voucher Total $4,135.05 Cost distribution ledger classification if claim paid under vehicle highway fund