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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