176633 09/01/2009 CITY OF CARMEL, INDIANA VENDOR: 358593 Page 1 of 1
ONE CIVIC SQUARE REPUBLIC WASTE SERVICES OF INDIANA
CARMEL, INDIANA 46032 PO Box 9001824
CHECK AMOUNT: $400.00
LOUISVILLE KY 40290 -1024
CHECK NUMBER: 776633
CHECK DATE: 9/1/2009
DE PARTMENT AC PO NUMBER INVOICE NUM AMOU DESCRIP
902 4359003 3431405 400.00 FESTIVAL /COMMUNTTY EV
'ti
;02541- 000001 002549 2036922 2240ST011 3
Republic Services Of Indiana INVOICE
832 Langsdale Ave
Indianapolis, IN 46202 Invoice Date 08/11/2009
www,indywaste.com Invoice No 3431405
Account No 3056 11 0 65672 0
CARMEL ARTS DESIGN DIST Service Period
111 W MAIN ST b lo i Page No 1 of 2
CARMEL, IN 46032 Due Date 08/26/2009
Current Charges Tort 1 Amount Due
Please Pay Total Amount Due
Billing Questions? Call 317 -917 -7300
Service Address: THE ART OF WINE, MAIN ST DOWNTOWN CARMEL, CARMEL, IN 46032
f)ESCR'IPTION ..RATE. TOTAL
QItAN.T -ITY
08/06/2009 CHANGE \CANCEL SERV CRED 08/03 08/03
WORK ORDER 3406734
08/03/2009 20 YD OPEN REMOVAL 1.00 125.00
08/03/2009 NO DISPOSAL CHARGE 1.29
WORK ORDER 3406735
08/03/2009 20 YD OPEN REMOVAL 1.00 125.00
08/03/2009 NO DISPOSAL CHARGE 0.57
WORK ORDER 3422359
08/01/2009 20 YD OPEN RELOCATE VCD 1.00 75.00
WORK ORDER 3422360
08/01/2009 20 YD OPEN RELOCATE VCD 1.00 75.00
Tonal Current Charges 400 0.0
ACCOUNT STATUS
31= 60Da s t X61,= 90 Qa' s Over, 94ya sTatal,i4mauriti,lue<
550.00 0.00 0.00 0.00 550.00
J'aying your bill just l ecarne quicker easier! "Using our, secure Online1 ei ment, option -means you np onger have to °write °antl
,mail checks st a few ke strokes and oukre tloriel .Visit www. nd
1d_ y y ywaste corn and Click Pay Your Blll t3nllne _or call 1, 866 35
760310 pay by phone
J J, Please return the portion below with your payment. Dry not attach check to stub. J J
Prescribed b 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.
C Payee
R Q�Alk S e- M S T hcj k h Purchase Order No.
9 52 L og 4 e A Terms
I 4mqt is I N Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
�`T3 n f Y'e f o r O VY y0
Total
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
c
IN SUM OF
fah �3 L-fie Le
,I n( Lf
ON ACCOUNT OF APPROPRIATION FOR
Board Members
PO4 T INVOICE NO. ACCT #/TITLE AMOUNT I 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
g /20 U y
Signature
Director of Operations
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund