174480 07/08/2009 CITY OF CARMEL, INDIANA VENDOR: 358593 Page 1 of 1
ONE CIVIC SQUARE REPUBLIC WASTE SERVICES OF INDIA CHECK AMOUNT: $343.98
CARMEL, INDIANA 46032 PO BOX 9001824
LOUISVILLE KY 40290 -1824 CHECK NUMBER: 174480
CHECK DATE: 718/2009
DEPA RTMENT ACCOUNT PO NUMBER INVOI NU MBER AMOUNT DESCRIPTION
1125 4350101 3373039 343.98 TRASH COLLECTION
002991 -000001 -003009 2034056 2240ST011 3
Republic Sdrvices Of Indiana INVOICE
832 Langsdale Ave
Indianapolis, IN 46202 Invoice Date 06/23/2009
www.indywaste.com Invoice No 3373039
Account No 3056 11 0 68702 2
CARMEL CLAY PARK'S Service Period
1411E 116TH ST Page No 1 of 2
CARMEL, IN 46032 Due Date 07/08/2009
B JtIN 2 9 2009 Current Charges Total Amount Due
Y $343.98 <$449.17
Please Pay Total Amount Due
Billing Questions? Call 317 917 -7300
Service Address: CARMEL CLAY PARK'S, 445 E 111TH ST, CARMEL, IN 46032
DATE DESCRIPTION QUANTITY RATE TOTAL
06/16/2009 CHANGE \CANCEL SERV CRED 06/16 06/16
WORK ORDER 3367512
06/15/2009 30 YD OPEN REMOVAL -NO DUMP 1.00 145.00
06/15/2009 FUEL /ENVIRONMENTAL FEE 1.00 20.74
WORK ORDER 3367698
06/16/2009 DISPOSAL CHARGE 5.57 32.000 8:24
Total Current 'Charges. 343.98
10 1- �L350101
ACCOUNT STATUS
Currents X 31,= 60aDa" s X61 90 Da s F, 44 9,0 „Da i ,Total Amount Due
343.98 1 105.19 1 0.00 1 0.00 449.17
Paying your bill just became, quicker and easier! .'Using our Secure Online Payment option means you no longer have to write and
mail checks just a few keystrokes '`and you're done! Visit www.indywaste.com and Click "Pay Your Bill Online” or call 1- 866 -350-
1
<L y please return the portion below with your payment. Do not attach check stub: 4
e a
ACCOUNTS PAYABLE VOUCHER
-ems CITY OF CARMEL
i
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 Waste Services of Indiana Terms
P.O. Box 9001824
Louisville, KY 40290 -1824
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) PO Amount
6123109 3373039 Dumpster A.O. 343.98
Total 343.98
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 Waste Services of Indiana Allowed 20
P.O. Box 9001824
Louisville, KY 40290 -1824
In Sum of
343.98
ON ACCOUNT OF APPROPRIATION FOR
101 General 'Fund
PO# or INVOICE N0. 4,CCT #/TITLE AMOUNT Board Members
Dept
1125 3373039 4350101 343.98 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
2 -Jul 2009
Signature
343.98 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund