172604 05/13/2009 CITY OF CARMEL, INDIANA VENDOR: 00352479 Page 1 of 1
0 ONE CIVIC SQUARE WASTE MANAGEMENT CHECK AMOUNT: $169.10
CARMEL, INDIANA 46032 BILL PAYMENT CENTER
rod PO BOX 4648 CHECK NUMBER: 172604
CAROL STREAM IL 60197 -0648
CHECK DATE: 5/13/2009
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1207 4350101 0121276 -2479 169.10 TRASH COLLECTION
5
a
Page 1 of 3
o Customer: BROOKSHIRE GOLF CLUB
W_
I N VO I CE Account Number: 600 0001510- 2479 -1
WASTE MANAGEMEIIIY Invoice Date: 05/01/2009
Waste Management Invoice Number: 0121276 2479 -4
Attn: Comm /POL Indiana Due Date: Due Upon Receipt
10000 E. 56th St. WM ezPay Account ID: 00001 29232 -93008
Indianapolis, IN 46236
(317) 826 -5800 Current Invoice Amount Total Amount Due
(800) 443 -5646 Customer Service
(317) 823 -2469 FAX 16 9.10 169
.Account Summary
M1116111: 111111;
Please pay total amount due. Thank you for your
Description Amount business.
Previous Balance 168.06
Total Credits and Adjustments 0.00
Total Payments Received 168.06
Total Current Charges 169.10
Total Amount Due 169.10
Total Amount Past Due 0.00
PLEASE NOTE: TO PROVIDE THE LEVEL OF SERVICE YOU
nESERVE, IT MAY BE NECESSARY TO ADJUST OUR RATES
,I<�E Mf1V r�......
PERIODICALLY. YOUR INVOICE MAY OR MAY NOT REFLECT A
SLIGHT ADJUSTMENT.
Description Amount
Commercial 169.10
Total Current Charges 169.10 R�
If full payment of the invoiced amount is not received within 30 days of the invoice date, you 4PR
will be charged a monthly late fee of 1.5% of the unpaid amount, with a minimum monthly g 2 7 ?0 n
charge of $3.00, or such lesser late fee allowed under applicable law, regulation or contract. Y' oJ
For each returned check, a fee will be assessed on your next billing equal to the maximum
amount permitted by applicable state law.
Want to pay this bill on -line? Go to www.wm.com to learn
more about WMezPay and make a convenient, secure
payment.
Currentpue Over 30,0, ti,'. Over,60,' Over. 90, Over 120 Total Due
169.10 0.00 0.00 0.00 0.00 169.10
Page 3 of 3
wj 0 Customer: BROOKSHIRE GOLF CLUB
Account Number: 600 0001510 2479 -1
1RrASTE MANAGEMENT Invoice Date: 05/01/2009
Waste Management Invoice Number: 0121276 2479 -4
Attn: Comm /POL Indiana Due Date: Due Upon Receipt
10000 E. 56th St. WM ezPay Account ID: 00001 29232 -93008
Indianapolis, IN 46236
ISer,.vice Location 600 1510,Brookshlre Golf Ct u,b; 12120. Brookshtre.Pkwy Carmel „In, ,,46033 3314, y
Date Ticket Description Quantity Ulm Rate Amount
Pol 1 x wk 2.00 150.00
Fuel /environmental charge pol 2.00 19.10
Total Current Charges
169.10
F Payments RecelvedjDetatl
Payment thank you
Total Payments Payments Received 168.06
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AlIN
From everyday collection to environmental protection,
Think Green! Think Waste Management recy o n
FOR CHANGE OF ADDRESS OR ANY SERVICE ISSUES CONTACT NUMBER ON PAGE 1
Prescrih'Tby State Board of Accounts ACCOUNTS PAYABLE VOUCHER City Form No. 201 (Rev. 1995)
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.
Payee
Purchase Order No.
��O >e Terms
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
Total D
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
VOU nt NO. WARRANT NO.
ALLOWED 20
IN SUM OF
ON ACCOUNT OF APPROPRIATION FOR
Board Members
PO# or INVOICE NO. ACCT #!TITLE AMOUNT
DEPT. I hereby certify that the attached invoice(s), or
?o ea W96 -o p 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
1 20
Si ure
Cost distribution ledger classification if le
claim paid motor vehicle highway fund