HomeMy WebLinkAbout207674 03/27/2012 CITY OF CARMEL, INDIANA VENDOR: 358593 Page 1 of 1
ONE CIVIC SQUARE REPUBLIC WASTE SERVICES OF INDIA y�
CARMEL, INDIANA 46032 CHECK AMOUNT: $2,603.55
PO BOX 9001099
LOUISVILLE KY 40290 -1099 CHECK NUMBER: 207674
CHECK DATE: 3/2712012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
651 5023990 07610010897 2,603.55 CONT SVS -HAZ WASTE
q: F �REPUBL /C CARMEL UTILITIES HHW Invoice
SERVICES Page 1 of 3
832 Langsdale Ave
Indianapolis, IN 46202 -1150
Current Invoice Charges
Date Description Reference Quanti Unit Price Amount
02/29 Late Fee $54.11
Carmel Utilities Hhw 901 N Range Line Rd (L1) CSA 3292121010
Account Number 3- 0761- 1163292 Carmel, IN
Invoice Date February 29, 2012
Invoice Number 0761- 001089781 1 Hooklift (30 Yd) Scheduled Service (S1) Comingled
Previous Balance $3,607.45 Date Description Reference Quanti Unit Price Amount
Payments /Adjustments $0.00 02/06 Basic Service 1.0000 $153.15 $153.15
Unpaid Balance $3,607.45 Receipt Number 98786
Current Invoice Charges $2,657.66 02/20 Basic Service 1.0000 $153.15 $153.15
Receipt Number 6542
02/24 Basic Service 1.0000 $153.15 $153.15
Receipt Number 8518
02/27 Basic Service 1.0000 $153.15 $153.15
Pal This Amount
Receipt Number 9128
f 6,2(65 .11 1 Rolloff (30 Yd) Scheduled Service (S3) Comingled
Due By: 03/20/12 Date Description Reference Quanti Unit Price Amount
02/01 Basic Service 1.0000 $153.15 $153.15
C ontact Receipt Number 37829
02/03 Basic Service 1.0000 $153.15 $153.15
Customer Service (317) 917 -7300 Receipt Number 37829
02/06 Basic Service 1.0000 $153.15 $153.15
Receipt Number 37829
02/08 Basic Service 1.0000 $153.15 $153.15
Receipt Number 37829
02/10 Basic Service 1.0000 $153.15 $153.15
Receipt Number 37829
02/13 Basic Service 1.0000 $153.15 $153.15
Receipt Number 37829
02/15 Basic Service 1.0000 $153.15 $153.15
Receipt Number 37829
02/17 Basic Service 1.0000 $153.15 $153.15
Receipt Number 37829
02/20 Basic Service 1.0000 $153.15 $153.15
Receipt Number 6541
ClJI2RENT a ...3D_DAYS max. 60 DAYS ...s 90± DAYS
2,657.66 3,607.45 0.00 0.00
To pay on -line or sign up for Past Due Balance $3,607.45
convenient auto pay go to: D A visit our website, www.disposal.com to make your payment electronically
CIIS OSal.corn or to sign up for our convenient automatic payment plan.
p eieaso,see,reverse_side for terms and conditions
CARMEL UTILITIES HHW 3- 0761- 1163292 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.
001320 000002 000002 002640 2301622 2240ST03 1 3
Page 3 of 3
CARMEL UTILITIES HHW Republic Services #761
R Account Number 3- 0761 1163292
REPUBLIC Iice Date February 29, 2012 832 Langsdale Ave
tf►2� SERVICES nvo Indianapolis, IN 46202 1150
Invoice Number 0761 001089781
Current Invoice Charges
Date Description Reference Quanti Unit Price Amount
02/22 Basic Service 1.0000 $153.15 $153.15
Receipt Number 37829
02/24 Basic Service 1.0000 $153.15 $153.15
Receipt Number 37829
02/27 Basic Service 1.0000 $153.15 $153.15
Receipt Number 37829
02/29 Basic Service 1.0000 $153.15 $153.15
Receipt Number 37829
Current Invoice Charges $2,657.66
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 3/19/2012
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
3/19/2012 0761001089; $2,657.66
I hereby certify that the attached invoice(s), or bill(s) is (are) true and
:orrect and I have audited same in accordance with IC 11- 10 -1.6
.s' /L 7 'i •�•f���� Li 1 �....,.r
Date Officer
VOUCHER 116985 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
07610010897 01- 736H -08 $2,857
Voucher Total $2,657.66
Cost distribution ledger classification if
claim paid under vehicle highway fund