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169596 03/04/2009 CITY OF CARMEL, INDIANA VENDOR: 358593 Page 1 of 1 ONE CIVIC SQUARE REPUBLIC WASTE SERVICES OF INDIA CHECK AMOUNT: $109.06 CARMEL, INDIANA 46032 PO BOX 9001824 LOUISVILLE KY 40290 -1824 CHECK NUMBER: 169596 CHECK DATE: 3/4/2009 .as DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1125 4350101 3224476 109.06 TRASH COLLECTION 6i r 008963000001- 009124 2026172 2240ST011 3 Republic Services Of Indiana INVOICE 832 Langsdale Ave Indianapolis, IN 46202 Invoice Date 02/02/2009 Invoice No 3224476 Account No 3056 11 0 63318 2 CARMEL CLAY PARK'S Service Period 1411 E 116TH ST Page No 1 of 2 CARMEL, IN 46032 Due Date 02/17/2009 Current Charges Total Amount Due $109 06 $109 06 Please Pay Total Amount Due Billing Questions? Call 317 917 -7300 Republicnow offers onIme bell payment tour _web sne:www ind waste corn,.;.. Service Address: CARMEL CLAY PARK'S, 3030 W 116TH ST, CARMEL, IN 46032 DATE DESCRIPTION, s;QUANTIsTY RATE TOTALi WORK ORDER 3207834 01/27/2009 30 YD OPEN DELIVERY VCD 1.00 85.00 01/27/2009 FUEL /ENVIRONMENTAL FEE 1.00 24.06 Total: Current Charges 109 06' x W4A. P.O. pare ..ine Descr �4 Purchaser pEft App. ACCOUNT STATUS IMAM" �1 -60 Da ".s J, 61 =g0 ©a s Over 90 tia s. r�tat,Anrtaunt;C3ue, 109.06 0.00 1 0.00 1 0.00 109.06 y Please return the portion below with you payment. Do not attach check to st1jb. 4, J, ACCOUNTS PAYABLE VOUCHER CITY OF CARMEL An invoice of bill to be properly itemized must show; kind of service, where performed, dates service rendered, by whom, rates per day, number of hours, rate per hour, number of units, price per unit, etc. Payee Purchase Order No. 358593 Republic Waste Services of Indiana Terms P.o. Box 9001824 Louisville, KY 40290 -1824 Invoice Invoice Description Date Number (or note attached invoice(s) or bill(s)) Amount 2/2/09 3224476 Dumpster to clean up Perelman 109.06 Total 109.06 1 hereby certify that the attached invoice(s), or bill(s) is (are) true and correct and I have audited same in accordance with IC 5- 11- 10 -1.6 20_ Clerk- Treasurer Voucher No. Warrant No. 358593 Republic Waste Services of Indiana Allowed 20 P.o. Box 9001824 Louisville, KY 40290 -1824 In Sum of$ 109.06 ON ACCOUNT OF APPROPRIATION FOR 101 -General Fund PO #or INVOICE NO. ACCT #/TITL AMOUNT Board Members Dept 1125 3224476 4350101 109.06 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 26 -Feb 2009 Signature 109.06 Accounts Payable Coordinator Cost distribution ledger classification if Title claim paid motor vehicle highway fund Y