HomeMy WebLinkAbout207206 03/13/2012 CITY OF CARMEL, INDIANA VENDOR: 358593 Page 1 of 1
ONE CIVIC SQUARE REPUBLIC WASTE SERVICES OF INDIA CHECK AMOUNT: $1,332.88
CARMEL, INDIANA 46032 PO BOX 9001099
LOUISVILLE KY 40290 -1099 CHECK NUMBER: 207206
CHECK DATE: 3/13/2012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1120 4350101 307610034441 32.40 TRASH COLLECTION
1110 4350101 307610034698 112.00 TRASH COLLECTION
1120 4350101 307610034703 370.00 TRASH COLLECTION
1205 4350101 26460 307610034742 105.00 TRASH COLLECTION AT C
1115 R4350900 27696 307610034749 26.40 2012 OBLIGATIONS
1125 4350101 307611410948 150.00 TRASH COLLECTION
651 5023990 307611410954 173.07 OTHER EXPENSES
651 5023990 307611410955 364.01 OTHER EXPENSES
R
t o g SERVICES
REPUBLIC CARMEL CLAY PARK'S Invoice
i
832 Langsdale Ave Page 1 of 2
Indianapolis, IN 46202 -1150
Payments /Adjustments
Date Description Reference Amount
01/27 Payment -Thank You 205584 $188.85
o 02/24 Payment Thank You 206412 $188.20
Account Number 3- 0761 1410948 Current Invoice
Invoice Date February 25, 2012 Charges
Invoice Number 0761 001084386 Carmel Clay Park's 1411 E 116th St (1-1) CSA 94811711
Previous Balance $377.05 Carmel, IN
Payments /Adjustments $377.05
Unpaid Balance $0.00 2 Front Load (8 Yd) Scheduled Service (S1)
Current Invoice Charges $187.55 Date Description Reference Quantity Unit Price Amount
02/25 Basic Service 03/01/12 03/31/12 $150.00 $150.00
Total Fuel /Environmental Recovery Fee 5
Current Invoice Charges 5
$187.55 (h�
Due By: 03116112
Customer Service (317) 917 -7300
rchase
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187.55 0.00 0.00 0.00
To pay on -line or sign up for
convenient auto pay go to: A A Visit our website, www.disposal.com to make your payment electronically
www.disposal.com or to sign up for our convenient automatic payment plan.
Please see reverse side for terms and conditions
CARMEL CLAY PARK'S 3- 0761 1410948 Page 2 of 2
Check Processing: In accordance with Federal Reserve Board guidelines, when you provide a check as payment, you
authorize us to use information from your check to make a one -time electronic fund transfer from your account or to
process the payment as a check transaction. When we use information from your check to make an electronic fund
transfer, funds may be withdrawn from your account as soon as the same day we receive your payment and you will not
receive your check back from your financial institution. For further information visit: www. electron icpayments.orq and click
on the Check Conversion tab.
If service is canceled during a billing cycle, the customer will remain responsible for all charges, fees and taxes through the
end of the billing cycle. There will be no proration of billing, and the customer will not be entitled to a refund for the period
between the notice of termination and the end of the current billing cycle. This provision will not apply if it is contrary to a
current franchise agreement, municipal contract, or other written contract applicable to this account or is otherwise
prohibited by law.
The Company reserves the right to require that payment for services be made only by check, credit card or money order,
unless otherwise required by contract or applicable law.
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 Services 761 Terms
P.O. Box 9001099
Louisville, KY 40290 -1099
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) PO Amount
2/25/12 761001084386 Dumpster A.O. Mar'12 187.55
Total 187.55
f 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 Services 761 Allowed 20
P.O. Box 9001099
Louisville, KY 40290 -1099
In Sum of$
ON ACCOUNT OF APPROPRIATION FOR
101 General Fund
PO# or INVOICE NO. ACCT #/TITLE AMOUNT Board Members
Dept
1125 761001084386 4350101 45� 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
8 -Mar 2012
t Signature
1$ -65 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund
q 4 REPUBLAC CITY OF CARMEL FIRE DEPT Invoice
4- 1 4 SERVICES
Page 1 of 2
832 Langsdale Ave
Indianapolis, IN 46202 -1150
Current Invoice Charges
Training Facility 510 3rd Ave SW (L1) CSA 002792
Carmel, IN
o
F
1 Front Load (2 Yd) Scheduled Service (S1)
Account Number 3- 0761 0034441
Invoice Date February 25, 2012 Date Description Reference Quantity Unit Price Amount
Invoice Number 0761- 001079290 02/25 Basic Service 02/21/12 03/31/12 1.0000 $25.00 $32.40
Previous Balance $0.00 Current Invoice Charges $32.40
Payments /Adjustments $0.00
Unpaid Balance $0.00
Current Invoice Charges $32.40
o U
$32.40
Due By: 03/16/12
0 0
Customer Service (317) 917 -7300
o.o.. o off,.
nICi,1Rf2EN7 gu 0AYS Q DAYS: ...S,O DAYS
32.40 0.00 0.00 0.00
To pay on -line or sign up for
convenient auto pay, go to: A A Visit our website, www.disposal.com to make your payment electronically
www.disposal.com or to sign up for our convenient automatic payment plan.
Please see reverse side for terms and conditions
CITY OF CARMEL FIRE DEPT 3- 0761 0034441 Page 2 of 2
Check Processing: In accordance with Federal Reserve Board guidelines, when you provide a check as payment, you
authorize us to use information from your check to make a one -time electronic fund transfer from your account or to
process the payment as a check transaction. When we use information from your check to make an electronic fund
transfer, funds may be withdrawn from your account as soon as the same day we receive your payment and you will not
receive your check back from your financial institution. For further information visit: www.electronicpayments.orq and click
on the Check Conversion tab.
If service is canceled during a billing cycle, the customer will remain responsible for all charges, fees and taxes through the
end of the billing cycle. There will be no proration of billing, and the customer will not be entitled to a refund for the period
between the notice of termination and the end of the current billing cycle. This provision will not apply if it is contrary to a
current franchise agreement, municipal contract, or other written contract applicable to this account or is otherwise
prohibited by law.
The Company reserves the right to require that payment for services be made only by check, credit card or money order,
unless otherwise required by contract or applicable law.
4 "A REPUBLIC CITY OF CARMEL FIRE DEPT Invoice
"W SERVICES
Page 1 of 3
832 Langsdale Ave
Indianapolis, IN 46202-1150
Current Invoice Charges
Fire Station 41 2 Civic Sq (1_1) CSA 002757
Carmel, IN
1 Front Load (8 Yd) Scheduled Service (S1)
Account Number 3-0761-0034703
Invoice Date February 25, 2012 Date Description Reference Quanti Unit Price Amount
Invoice Number 0761 001079306 02/25 Basic Service 03101/12- 03/31/12 1.0000 $132.00 $132.00
Previous Balance $0.00 Fire Station 42 3610 W 106th St (1-2) CSA 002758
Payments /Adjustments $0.00 Carmel, IN
Unpaid Balance $0.00
Current Invoice Charges $462.64 1 Front Load (4 Yd) Scheduled Service (S1)
Date Description Reference Quanti Unit Price Amount
02/25 Basic Service 03/01/12 03/31/12 1.0000 $56.00 $56.00
Fire Station 43 3242 E 106th St (1-3) CSA 002759
Pay This Amount Carmel, IN
$462 .64 1 Front Load (2 Yd) Scheduled Service (S1)
Due By: 03/16/12 Date Description Reference Quanti Unit Price Amount
02725 Basic Service 03101/12 -03/31/12 1.0000 $35.00 $35.00
Fire Station 44 5032 E 131st St (11-4) CSA 002760
Customer Service (317) 917 -7300 Carmel, IN
1 Front Load (2 Yd) Scheduled Service (S1)
Date Description Reference Quanti Unit Price Amount
02/25 Basic Service 03/01/12- 03/31/12 1.0000 $35.00 $35.00
Fire Station 45 10701 N College (1-5) CSA 002761
Carmel, IN
1 Front Load (4 Yd) Scheduled Service (S1)
Date Description Reference Quanti Unit Price Amount
02/25 Basic Service 03/01/12 -03/31/12 1.0000 $56.00 $56.00
Fire Station 46 540 W 136th St (1-6) CSA 002762
Carmel, IN
1 Front Load (4 Yd) Scheduled Service. (S1)
GGRREN f 30 DAY,SSOD "A, YS� ;90±sD'AYS2Y
462.64 0.00 0.00 0.00
To pay on -line or sign up for
convenient auto pay go to: A A Visit our website, www.disposal.com to make your payment electronically
www.disposal.com or to sign up for our convenient automatic payment Dian.
Please see.reverse side for terms and conditions
CITY OF CARMEL FIRE DEPT 3- 0761- 0034703 Page 2 of 3
Check Processing: In accordance with Federal Reserve Board guidelines, when you provide a check as payment, you
authorize us to use information from your check to make a one -time electronic fund transfer from your account or to
process the payment as a check transaction. When we use information from your check to make an electronic fund
transfer, funds may be withdrawn from your account as soon as the same day we receive your payment and you will not
receive your check back from your financial institution. For further information visit: www.electronicpayments.org and click
on the Check Conversion tab.
If service is canceled during a billing cycle, the customer will remain responsible for all charges, fees and taxes through the
end of the billing cycle. There will be no proration of billing, and the customer will not be entitled to a refund for the period
between the notice of termination and the end of the current billing cycle. This provision will not apply if it is contrary to a
current franchise agreement, municipal contract, or other written contract applicable to this account or is otherwise
prohibited by law.
The Company reserves the right to require that payment for services be made only by check, credit card or money order,
unless otherwise required by contract or applicable law.
001137- 000002 000002 002274 2301476 2240ST03 1 3
Page 3 of 3
CITY OF CARMEL FIRE DEPT Republic Services #761
R Account Number 3- 0761 0034703
5 "A Invoice Date February 25, 2012 832 Langsdale Ave
+j►2� SERVICES Invoice Number 0761 001079306 Indianapolis, IN 46202 -1150
Current Invoice Charges
Date Description Reference Quanti Unit Price Amount
02/25 Basic Service 03/01/12 03/31/12 1.0000 $56.00 $56.00
Total Fuel /Environmental Recovery Fee 192 UT No
Current Invoice Charges $462.64
I! MEN
Prescribed by 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.
Payee
Purchase Order No.
Terms
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
0761 001079306 $370.30
0761 001079290 $32.40
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.
ALLOWED 20
Republic Services
IN SUM OF
832 Lansdale Avenue
Indianapolis, IN 46202
$402
ON ACCOUNT OF APPROPRIATION FOR
Carmel Fire Department
PO# Dept. INVOICE NO. I ACCT #/TITLE AMOUNT Board Members
1120 j 0761 001079306 43- 501.01 j $370.00 1 hereby certify that the attached invoice(s), or
1120 1 0761 001079290 43- 501.01 1 $32.40 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
MAR 12 2012
Ij
r
Fire Chief
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund
R REPUBLIC CARMEL UTILITIES Invoice
SERVICES
Page 1 of 2
832 Langsdale Ave
Indianapolis, IN 46202 -1150
Payments /Adjustments
Date Description Reference Amount
02/24 Payment Thank You 206412 $456.70
Account Number 3- 0761 1410955 Current Invoice Charges
Invoice Date February 25, 2012 Carmel Utilities 9609 Hazel Dell Parkway (1-1)
Invoice Number 0761 001084389 Carmel, IN
Previous Balance $456.70
Payments /Adjustments $456.70 14 Front Load (2 Yd) Scheduled Service (S1)
Unpaid Balance $0.00 Date Description Reference Quantity Unit Price Amount
Current Invoice Charges $455.11 02/25 Basic Service 03/01/12- 03/31/12 $364.01 $364.01
Total Fuel /Environmental Recovery Fee .$91'T6
Current Invoice Charges $455.11
o
$455.11
Due By: 03/16/12
0 0 0
u
Customer Service (317) 917 -7300
00 o a
...CLlf�REN't :kN fiii OAYSz .:,60,J3AYS'�f
455.11 0.00 0.00 0.00
To pay on -line or sign up for
convenient auto pay go to: A A Visit our website, www.disposal.com to make your payment electronically
www.disposal.com or to sign up for our convenient automatic payment plan.
p a rse side for terms and conditi
CARMEL UTILITIES 3- 0761 1410955 Page z of z
Check Processing: In accordance with Federal Reserve Board guidelines, when you provide a check as payment, you
authorize us to use information from your check to make a one -time electronic fund transfer from your account or to
process the payment as a check transaction. When we use information from your check to make an electronic fund
transfer, funds may be withdrawn from your account as soon as the same day we receive your payment and you will not
receive your check back from your financial institution. For further information visit: www.electronicpaVments.org and click
on the Check Conversion tab.
If service is canceled during a billing cycle, the customer will remain responsible for all charges, fees and taxes through the
end of the billing cycle. There will be no proration of billing, and the customer will not be entitled to a refund for the period
between the notice of termination and the end of the current billing cycle. This provision will not apply if it is contrary to a
current franchise agreement, municipal contract, or other written contract applicable to this account or is otherwise
prohibited by law.
The Company reserves the right to require that payment for services be made only by check, credit card or money order,
unless otherwise required by contract or applicable law.
of "A REPUBLIC CARMEL UTILITIES Invoice
4 SERVICES
Page 1 of 2
832 Langsdale Ave
Indianapolis, IN 46202 -1150
Payments /Adjustments
Date Description Reference Amount
02/24 Payment Thank You 206412 $217.13
Account Number 3- 0761 1410954 Current Invoice Charges
Invoice Date February 25, 2012 Carmel Utilities 901 N Range Line Rd (L1)
Invoice Number 0761 001084388 Carmel, IN
Previous Balance $217.13
Payments /Adjustments 217.13 1 Front Load (8 Yd) Scheduled Service (S1)
Unpaid Balance $0.00 Date Description Reference Quantity Unit Price Amount
Current Invoice Charges $216.39 02/25 Basic Service 03/01/12- 03/31/12 $126.13 $126.13
1 Front Load (2 Yd) Scheduled Service (S2)
Date Description Reference Quantity Unit Price Amount
0 02/25 Basic Service 03/01/12- 03/31/12 $46.94 $46.94
$216.39
Total Fuel /Environmental Recovery Fee Due By: 03/16/12 Current Invoice Charges
UW. 3f
Customer Service (317) 917 -7300
0 0 0 0
216.39 0.00 0.00 0.00
To pay on -line or sign up for
convenient auto pay, go to: A A Visit our website, www.disposal.com to make your payment electronically
www.disposal.com or to sign up for our convenient automatic payment plan
°T fo te rms and Qon
CARMEL UTILITIES 3- 0761 1410954 Page 2 of 2
Check Processing: In accordance with Federal Reserve Board guidelines, when you provide a check as payment, you
authorize us to use information from your check to make a one -time electronic fund transfer from your account or to
process the payment as a check transaction. When we use information from your check to make an electronic fund
transfer, funds may be withdrawn from your account as soon as the same day we receive your payment and you will not
receive your check back from your financial institution. For further information visit: www.electronicpayments.org and click
on the Check Conversion tab.
If service is canceled during a billing cycle, the customer will remain responsible for all charges, fees and taxes through the
end of the billing cycle. There will be no proration of billing, and the customer will not be entitled to a refund for the period
between the notice of termination and the end of the current billing cycle. This provision will not apply if it is contrary to a
current franchise agreement, municipal contract, or other written contract applicable to this account or is otherwise
prohibited by law.
The Company reserves the right to require that payment for services be made only by check, credit card or money order,
unless otherwise required by contract or applicable law.
Prescribed by 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 of service rendered, by whom, rates per day, number of units,
price per unit, etc.
Payee
358593
REPUBLIC WASTE SERVICES OF INDIANA Purchase Order No.
PO BOX 9001099 Terms
LOUISVILLE, KY 40290 -1099 Due Date 3/5/2012
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
3/5/2012 0761001084: $216.39
hereby certify that the attached invoice(s), or bill(s) is (are) true and
:orrect and I have audited same in accordance with IC 5 11- 10 -1.6
Date Officer
VOUCHER 116904 WARRANT ALLOWED
358593 IN SUM OF
REPUBLIC WASTE SERVICES OF INDI
PO BOX 9001099
LOUISVILLE, KY 40290 -1099
Carmel Wastewater Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO INV ACCT AMOUNT Audit Trail Code
07610010843 01- 736H -08 &49
07610010843 01- 7360 -01 68 "6b�
C�
001 C)
gLq l
Voucher Total 9
Cost distribution ledger classification if
claim paid under vehicle highway fund
4 %REPUBL /C CITY OF CARMEL POLICE Invoice
4#4 SERVICES
Page 1 of 2
832 Langsdale Ave
Indianapolis, IN 46202 -1150
Current Invoice Charges
Police Firing Range 9609 Hazel Dell Pkwy (1-1) CSA 002755
Carmel, IN
Account Number 3- 0761 0034698 1 Front Load (2 Yd) Scheduled Service (S1)
Invoice Date February 25, 2012 Date Description Reference Quantity Unit Price Amount
Invoice Number 0761 001079305 02/25 Basic Service 03/01/12- 03/31/12 1.0000 $35.00 $35.00
Previous Balance $0.00 Police Headquarters 3 Civic Sq (L2) CSA 002756
Payments /Adjustments $0.00 Carmel, IN
Unpaid Balance $0.00
Current Invoice Charges $140.05 1 Front Load (8 Yd) Scheduled Service (S1)
Date Description Reference Quantity Unit Price Amount
02/25 Basic Service 03/01/12- 03/31/12 1.0000 $77.00 $77.0
Total Fuel /Environmental Recovery Fee
Current Invoice Charges 0.
.$140.0v
Due By: 03/16/12
e u 0
Customer Service (317) 917 -7300
0
CUi2RENT. P 301,0A rte. a ,60 0AYSI `.�96 DAYS; <,��a
140.05 0.00 0.00 0.00
Lconvenient -line or sign up for
auto pay go to: A A Visit our website, www.disposal.com to make your payment electronically
.disposal.com or to sign up for our convenient automatic payment plan.
Please see reverse side for terms and conditions
I
CITY OF CARMEL POLICE 3- 0761 0034698 Page 2 of 2
Check Processing: In accordance with Federal Reserve Board guidelines, when you provide a check as payment, you
authorize us to use information from your check to make a one -time electronic fund transfer from your account or to
process the payment as a check transaction. When we use information from your check to make an electronic fund
transfer, funds may be withdrawn from your account as soon as the same day we receive your payment and you will not
receive your check back from your financial institution. For further information visit: www.electronicpayments.org and click
on the Check Conversion tab.
If service is canceled during a billing cycle, the customer will remain responsible for all charges, fees and taxes through the
end of the billing cycle. There will be no proration of billing, and the customer will not be entitled to a refund for the period
between the notice of termination and the end of the current billing cycle. This provision will not apply if it is contrary to a
current franchise agreement, municipal contract, or other written contract applicable to this account or is otherwise
prohibited by law.
The Company reserves the right to require that payment for services be made only by check, credit card or money order,
unless otherwise required by contract or applicable law.
Prescribed by 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.
Payee
Purchase Order No.
Terms
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
02/25/12 0761 001079305 monthly payment $112.00
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
Republic Services
IN SUM OF
832 Lansdale Avenue
Indianapolis, IN 46202
$112.00
ON ACCOUNT OF APPROPRIATION FOR
Carmel Police Department
PO# Dept. INVOICE NO. ACCT #/TITLE AMOUNT Board Members
1110 1 0761 0010793051 43- 501.01 1 $112.00 1 hereby certify that the attached invoice(s), or
bill(s) is (are) true and correct and that the
materials or services itemized thereon for
which charge is made were ordered and
received except
Friday, March 09, 2012
Chief of Police
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund
"A REPUBLIC CITY OF CARMEL Invoice
11$ SERVICES
Page 1 of 2
832 Langsdale Ave
Indianapolis, IN 46202 -1150
Current Invoice Charges
Communications Department 31 1 st Ave NW (L1) CSA 002772
Carmel, IN
1 Front Load (8 Yd) Scheduled Service (S1)
Account Number 3- 0761 0034749
Invoice Date February 25, 2012 Date Description Reference Quantity Unit Price Amount
Invoice Number 0761 001079308 02/25 Basic Service 03/01/12- 03/31/12 1.0000 $26.40 $26.40
Previous Balance $0.00 Total Fuel /Environmental Recovery Fee
Payments /Adjustments $0.00 Current Invoice Charges 1
Unpaid Balance $0.00
Current Invoice Charges $33.01
wu o o
$33.01
Due By: 03/16/12
0 0
Customer Service (317) 917 -7300
00 0 0
yZf GUfi 3t?!C3AYS,F:< r c s
OAYB:..,..,,,
33.01 0.00 0.00 0.00
To pay on -line or sign up for
convenient auto pay go to: A A Visit our website, www.disposal.com to make your payment electronically
www.disposal.com or to sign up for our convenient automatic payment plan.
Please see reverse side for terms and conditions
CITY OF CARMEL 3- 0761 0034749 Page 2 of 2
Check Processing: In accordance with Federal Reserve Board guidelines, when you provide a check as payment, you
authorize us to use information from your check to make a one -time electronic fund transfer from your account or to
process the payment as a check transaction. When we use information from your check to make an electronic fund
transfer, funds may be withdrawn from your account as soon as the same day we receive your payment and you will not
receive your check back from your financial institution. For further information visit: www.electronicpayments.org and click
on the Check Conversion tab.
If service is canceled during a billing cycle, the customer will remain responsible for all charges, fees and taxes through the
end of the billing cycle. There will be no proration of billing, and the customer will not be entitled to a refund for the period
between the notice of termination and the end of the current billing cycle. This provision will not apply if it is contrary to a
current franchise agreement, municipal contract,, or other written contract applicable to this account or is otherwise
prohibited by law.
The Company reserves the right to require that payment for services be made only by check, credit card or money order,
unless otherwise required by contract or applicable law.
Prescribed by 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.
Payee
Purchase Order No.
Terms
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
02/25/12 0761 001079308 $33.01
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. WARR N
ALLOWED 20
Republic Services
IN SUM OF
P.O. Box 9001099
Louisville, KY 40290 -1099
$33.01
ON ACCOUNT OF APPROPRIATION FOR
Carmel Clay Communications
PO# Dept. INVOICE NO. ACCT #/TITLE AMOUNT Board Members
I Encumbered I ie, "�4. `Its I hereby certify that the attached invoice(s), or
27696 0761 001079308 43- 509.00 443.84i.
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
Tuesday, March 06, 2012
Dir
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund
REPUBLIC CITY OF CARMEL Invoice
ts►� SERVICES Page 1 of 2
832 Langsdale Ave ILO
Indianapolis, IN 46202 -1150
Current Invoice Charges
City Hall 1 Civic Sq (L1) CSA 002763
Carmel, IN
1 Front Load (6 Yd) Scheduled Service (S1)
Account Number 3- 0761- 0034742
Invoice Date February 25, 2012 Date Description Reference Quantity Unit Price Amount
Invoice Number 0761- 001079307 02/25 Basic Service 03/01/12- 03/31/12 1.0000 $105.00 $105.00
Previous Balance $0.00 Total Fuel /Environmental Recovery Fee —$26-2t—
Payments/Adjustments $0.00 Current Invoice Charges —$434:28
Unpaid Balance $0.00
Current Invoice Charges $131.28 r
D 0
$131.28
Due By: 03/16/12
a
Customer Service (317) 917 -7300
0 0 0 0�
D
MAR 12 2012
By
GUR ENT 3(?:pAYS UAY$
131.28 0.00 0.00 0.00
To pay on -line or sign up for
convenient auto pay go to: A A Visit our website, www.disposal.com to make your payment electronically
www.disposal.com or to sign up for our convenient automatic payment plan.
Please see reverse side for terms and conditions
CITY OF CARMEL 3- 0761 0034742 Page 2 of 2
Check Processing: In accordance with Federal Reserve Board guidelines, when you provide a check as payment, you
authorize us to use information from your check to make a one -time electronic fund transfer from your account or to
process the payment as a check transaction. When we use information from your check to make an electronic fund
transfer, funds may be withdrawn from your account as soon as the same day we receive your payment and you will not
receive your check back from your financial institution. For further information visit: www. electron icpayments.oM and click
on the Check Conversion tab.
If service is canceled during a billing cycle, the customer will remain responsible for all charges, fees and taxes through the
end of the billing cycle. There will be no proration of billing, and the customer will not be entitled to a refund for the period
between the notice of termination and the end of the current billing cycle. This provision will not apply if it is contrary to a
current franchise agreement, municipal contract, or other written contract applicable to this account or is otherwise
prohibited by law.
The Company reserves the right to require that payment for services be made only by check, credit card or money order,
unless otherwise required by contract or applicable law.
Prescribed by 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.
Payee
Purchase Order No.
Terms
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
02/25/12 0761 001079307 $131.28
I hereby certify that the attached invoice(s), or bill(s), is (are) true and correct and I have audited same in accordance
with IC 5- 11- 10 -1.6
20
Clerk- Treasurer
VOUCHER NO. WARRANT NO.
ALLOWED 20
Republic Services #761
IN SUM OF
PO Box 9001099
Louisville, KY 40290 -1099
D��.$ [0�
ON ACCOUNT OF APPROPRIATION FOR
Administration Department
PO# Dept. INVOICE NO ACCT #/TITLE AMOUNT Board Members
Z b L lb I hereby certify that the attached invoice(s), or
0761 001079307 44
bill(s) is (are) true and correct and that the
j� materials or services itemized thereon for
which charge is made were ordered and
received except
Monday, March 12, 2012
Director, Administration
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund