206485 02/14/2012 CITY OF CARMEL, INDIANA VENDOR: 00352479 Page 1 of 1
ONE CIVIC SQUARE WASTE MANAGEMENT CHECK AMOUNT: $23.72
CARMEL, INDIANA 46032 BILL PAYMENT CENTER
o� PO BOX 4648 CHECK NUMBER: 206485
CAROL STREAM IL 60197 -4648
CHECK DATE: 2/14/2012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1207 4350101 176196524795 23.72 TRASH COLLECTION
Page 1 of 3
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Customer: BROOKSHIRE GOLF CLUB
INVOICE Account Number: 600- 0001510 2479 -1
WASTE M Aw AG EME1!!T Invoice Date: 02/01/2012
Waste Management Invoice Number: 1761965- 2479 -5
Attn: Port -O Let Billing Due Date: Due Upon Receipt
1411 Opus Place Suite 400 WM ezPay Account ID: 00001- 29232 -93008
Downers Grove, IL 60515
(800) 443 -5646 Customer Service
(866) 863 -4834 FAX Total Current Charges Total Amount Due
23.72
IN
Account Summary 1 41 1
Please pay total amount due. Thank you for your
Description business.
Previous Balance 231.38
Total Credits and Adjustments 0.00
Total Payments Received 231.38
Total Current Charges 23.72
Total Amount Due 23.72
Total Amount Past Due 0.00
WASTE M4NAGEMENT APPRECIATES THE OPPORTUNITY
erVICe,_PerIod:- :JAN,f20 TO SERVE YOU. YOUR INVOICE MAY REFLECT NOMINAL
Description Amount WINTERIZATION FEE TO COVER THE COST OF CHEMICALS
Commercial 23. 72 TO PREVENT FREEZING. THANK YOU
Total Current Charges 23.72 Customers carrying a balance due of 60 days or greater are
subject to service cutoff and an automatic resume fee.
If full payment of the invoiced amount is not received within 30 days of the invoice date, you
will be charged a monthly late fee of 1.5% of the unpaid amount, with a minimum monthly
charge of $5.00, or such lesser late fee allowed under applicable law, regulation or contract.
For each returned check, a fee will be assessed on your next billing equal to the maximum
amount permitted by applicable state law.
Want to pay this bill on -line? Visit www.wm.com and click on
My Account to make a convenient, secure payment.
Current,Dues. A Over;30 z ,Over 60 ,Ayer 9Q, J. Oyer,120 r Total .Due
23.72 0.00 0.00 0.00 0.00 23.72
I--
Page 3 of 3
WVR Customer: BROOKSHIRE GOLF CLUB
Account Number: 600 0001510 2479 -1
WASTE MANAGEMENT Invoice Date: 02/01/2012
Waste Management Invoice Number: 1761965- 2479 -5
Attn: Port -O Let Billing Due Date: Due Upon Receipt
1411 Opus Place, Suite 400 WM ezPay Account ID: 00001 29232 -93008
Downers Grove, IL 60515
Service Locaiq.n „600 1510,BrooksFire Golf Club:,12120.;Brookslire.Pkw Carmel In 3314�r,.,g 1 ,q
Date Ticket Description Quantity LIN Rate Amount
01/05/12 Prorate auto pol vacation status 1.00 23.72
Total Current Charges 23.72
N
r F
Payment -thank you 231.38
Total Payments Received 231.38-
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From everyday collection to environmental protection,
Printed an
Think Green' Think Waste Management
recycled paper.
0 FOR CHANGE OF ADDRESS OR ANY SERVICE ISSUES CONTACT NUMBER ON PAGE 1
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 service rendered, by
whom, rates per day, number of hours, rate per hour, number of units, price per unit, etc.
Payee
Purchase Order No.
Terms
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
02/01/12 1761965- 2479 -5 Trash Service $23.72
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.
ALLOWED 20
Waste Management
IN SUM OF
P.O. Box 4648
Carol Stream, IL 60197 -4648
$23.72
ON ACCOUNT OF APPROPRIATION FOR
Brookshire Golf Club
PO# Dept. INVOICE NO. ACCT #/TITLE AMOUNT Board Members
1207 1761965 2479 -5 43- 501.01 $23.72 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
Wednesday, February 08, 2012
t;
Director, Brook hire Golf Club
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund