167688 01/07/2009 CITY OF CARMEL, INDIANA VENDOR: 358593 Page 1 of 1
ONE CIVIC SQUARE REPUBLIC WASTE SERVICES OF INDIA nECK AMOUNT: $408.17
CARMEL, INDIANA 46032 PO Box 9001824
LOUISVILLE KY 40290 -1824 CHECK NUMBER: 167688
CHECK DATE: 1/7/2009
DE PARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1125 4350101 3141911 408.17 TRASH COLLECTION
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007017 -000001- 007028 2022823 2240ST011 3
Republic Services Of Indiana INVOICE
832 Langsdale Ave
Indianapolis, IN 46202 Invoice Date 11/28/2008
Invoice No 3141911
Account No 3056 14 0 10948 0
CARMEL CLAY PARK'S Service Period DECEMBER
1411E 116TH ST Page No 1 of 2
CARMEL, IN 46032 Due Date 12113!2008
1
Current Charges Total Amount Due
S10
a8 Please Pay Total Amount Due
Billing Questions? Call 317 -917 -7300
Replbiie now clffeson line bill payments
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Service Address: CARMEL CLAY PARK'S, 1411.E 116TH ST,_ CARMEL, IN 46032
,DATE w, _()EfSC-R�PTION QUANTITY„ ua RATE;.. a TOTAI
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11/28/2008 FUEL /ENVIRO FEE -COMM 47.60
11/28/2008 8YD FL SOLID WASTE P /U: 02 2.00 360.57
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taT Current Char es
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ACCOUNT STATUS
Current 314 C1a y �Nfi4,90 Cl' s ,Ctrew3p,[ s .:dotal A nt it°�e
408.17 0.00 0.00 0.00 408.17
v maase raturr Dort below with your uavment. Do not attach check to stub.
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.
1
358593 Republic Waste Services of Indiana Terms
PO Box 9001824 Date Due
Louisville, KY 40290 -1824
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
11/28/08 3141911 Trash collection Adm 1 Acct 3056140109480 408.17
Total 408.17
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 Waste Services of Indiana Allowed 20
PO Box 9001824
Louisville, KY 40290 -1824
In Sum of$
408.17
ON ACCOUNT OF APPROPRIATION FOR
101 General Fund
A
A ep #or INVOICE NO. ACCT AMOUNT Board Members
t TITLE
1125 3141911 4350101 408.17 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 -Dec 2008
V
Signature
408.17 Accounts Payable Coordinator
Cost distribution ledger classification it Title
claim paid motor vehicle highway fund