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176913 09/02/2009 CITY OF CARMEL, INDIANA VENDOR: 358593 Page 1 of 1 ONE CIVIC SQUARE REPUBLIC WASTE SERVICES OF INDIA nECK AMOUNT: $285.53 to CARMEL, INDIANA 46032 PO BOX 9001824 LOUISVILLE KY 40290 -1824 CHECK NUMBER: 176913 CHECK DATE: 9/2/2009 DEPARTMENT ACCOUNT PO NUMBE INVOICE NUMBER AMOUNT DESCRIPTION 601 5023990 3435784 285.53 CONT SERVICES OTHER 003156- 000001 -003197 2097328 2240ST011 3 Republic Services Of Indiana INVOICE 832 Langsdale Ave Indianapolis, IN 46202 Invoice Date 08/18/2009 Invoice No 3435784 www.indywaste.com Account No 3056 11 0 69528 1 CARMEL UTILITIES Service Period 3450 W 131 ST ST Page No 1 of 2 WESTFIELD, IN 46074 Due Date 09/02/2009 Current Charges Total Amount Due Please Pay Total Amount Due Billing Questions? Call 317 -917 -7300 Service Address: CARMEL UTILITIES, 130 1ST AVE SW, CARMEL, IN 46032 DATE ,dESCRLPTION_ QUANTITY RATE: TOTAL. 08/11/2009 CHANGE \CANCEL SERV CRED 08/10 08/10 WORK ORDER 3429185 08/10/2009 20 YD OPEN REMOVAL 1.00 250.00 08/10/2009 FUEL /ENVIRONMENTAL FEE 1.00 35.53 08/10/2009 DISPOSAL OVER 5 TON 2.04 Total Current Charges t 185 53 ACCOUNT STATUS k kick t s 1 31 60 Days 61 9© Da s RIM �11 �Q►rer�901�ays�;� „Tatal A'mauntDue Prescribed by State Board of Accounts City Form No. 201 (Rev 1995) ACCOUNTS PAYABLE VOUCHER r r 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 9001824 Terms LOUISVILLE, KY 40290 -1824 Due Date 8/24/2009 Invoice Invoice Description Date Number (or note attached invoice(s) or bill(s)) Amount 8/24/2009 3435784 $285.53 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 f r VOUCHER 092793 WARRANT ALLOWED 358593 IN SUM OF rP EPUBLIC WASTE SERVICES OF.,. I O BOX 9001824 LOUISVILLE, KY 40290 -1824 (`1 0 ril F% Carmel Water Utility ON ACCOUNT OF APPROPRIATION FOR Board members PO INV ACCT AMOUNT Audit Trail Code 3435784 01- 6360 -06 $285.53 Voucher Total $285.53 Cost distribution ledger classification if claim paid under vehicle highway fund f