179460 11/11/2009 CITY OF CARMEL, INDIANA VENDOR: 00352479 Page 1 of 1
ONE CIVIC SQUARE WASTE MANAGEMENT
CARMEL, INDIANA 46032 BILL PAYMENT CENTER CHECK AMOUNT: $185.10
PO BOX 4648
CHECK NUMBER: 179460
CAROL STREAM IL 60197 -4648
CHECK DATE: 11/11/2009
DEPARTMENT ACCOU PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1207 4350400 1753172 -2479 185.10 GROUNDS MAINTENANCE
Page 1 of 3
I NVO I C E Customer: BROOKSHIRE GOLF CLUB
WVA
Account Number: 600 0001510 2479 -1
WASTE MANAGEMENT Invoice Date: 11/01/2009
Waste Management Invoice Number: 1753172 2479 -8
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 185.10
�'ACC Sumer r
OUnt m �.z3'-1.., .i€t• a K, u„ Grd,• n��
Please pay total amount due. Thank you for your
Description Amount business.
Previous Balance 184.33
Total Credits and Adjustments 0.00
Total Payments Received 184.33
Total Current Charges 185.10
Total Amount Due 185.10 Ali
Total Amount Past Due 0.00
WASTE MANAGEMENT APPRECIATES THE OPPORTUNITY
Service`Penod.rN01/;2009 ";SERVICE o-, L y p i; 9 TG SERVE YOU. TO INSURE PROPER APPLICATION OF YOUR
PAYMENT, PLEASE USE THE ENCLOSED REMITTANCE STUB
AND RETURN ENVELOPE. THANK YOU
Description Amount
Commercial 185.10 Customers carrying a balance due of 60 days or greater are
Total Current Charges 185.10 subject to service cutoff and an automatic resume fee.
If full payment of the invoiced amount is not received within 30 days of the invoice date, you
will be charged a monthly late fee of 1.5% of the unpaid amount, with a minimum monthly
charge of $3.00, or such lesser late fee allowed under applicable law, regulation or contract.
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.
Over 60, r! 'Over 90
,rCurrent,Due' Over.,30„
185.10 0.00 0.00 0.00 0.00 185.10
Page 3 of 3
WVR Customer: BROOKSHIRE GOLF CLUB
Account Number: 600 0001510 2479 -1
WASTE MANAGEMENT Invoice Date: 11/01/2009
Waste Management Invoice Number: 1753172 2479 -8
Attn: Comm /POL -Indiana Due Date: Due Upon Receipt
10000 E. 56th St. WM ezPay Account ID: 00001 29232 -93008
Indianapolis, IN 46236
��ServtceLocatonyr. 6001510,. BrookshireaGolfClub ',12120Brooks,hirezP,kwy„ Carmel =1n.4603,3, 33,14,, k �s.,�.,� „�T,�,� ,,,�,F +�,_,,,;f
Date Ticket Description Quantity U/M Rate Amount
Pol 1x wk 2.00 160.50
Fuel /environmental charge pol 2.00 24.60
Total Current Charges
185.10
FPayrnents Receved Detail T T fr
F
'a,
Payment thank you 184.33
Total Payments Received 184.33
From everyday collection to environmental protection,
Printed on
Think Green! Think Waste Management recycled paper.
FOR CHANGE OF ADDRESS OR ANY SERVICE ISSUES CONTACT NUMBER ON PAGE 1
Prqsclibed by 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.
T ��f Terms
:L W97 -1,1 Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
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
IN SUM OF
Yo.
ON ACCOUNT OF APPROPRIATION FOR
Board Members
PO# or INVOICE NO. ACCT #/TITLE AMOUNT
DEPT. 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
012 20 9
Sig ture
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund