208849 05/10/2012 CITY OF CARMEL, INDIANA VENDOR: 358593 Page 1 of 1
ONE CIVIC SQUARE REPUBLIC WASTE SERVICES OF INDIA yp
CARMEL, INDIANA 46032 PO BOX 9001099 CHECK AMOUNT: $2,600.74
LOUISVILLE KY 40290 -1099
CHECK NUMBER: 208849
CHECK DATE: 5/10/2012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1120 4350101 076100116587 25.00 TRASH COLLECTION
1110 4350101 076100116588 133.00 TRASH COLLECTION
1120 4350101 076100116588 314.00 TRASH COLLECTION
1205 4350101 26460 076100116588 105.00 TRASH COLLECTION AT C
2201 4350100 26271 076100116589 160.00 TRASH COLLECTION
1091 4350101 076100116599 1,033.80 TRASH COLLECTION
651 5023990 07610011709 219.11 CONT SVS -HAZ WASTE
651 5023990 07610011709 460.83 OTHER EXPENSES
1125 4350101 076100117098 150.00 TRASH COLLECTION
IV r REPUBUIC CARNiEL CLAY PARKS Invoice SERVICES Page 1 of 2
832 Langsdale Ave
Indianapolis, IN 46202 -1150
Current Invoice Charges
G1 Monon Center 1235 Central Park Dr E (1_1)
Carmel, IN
1 Front Load (4 Yd) Scheduled Service (S1)
Account Number 3- 0761- 0036974
Invoice Date April 25, 2012 Date Description Reference Quantity Unit Price Amount
Invoice Number 0761- 001165997 04/25 Basic Service 04/09/12- 04/30/12 1.0000 $84.13 $60.85
Previous Balance $0.00 04/25 Basic Service 05/01/12- 05/31/12 $84.13 $84.13
Payments /Adjustments $0.00 1 Front Load (10 Yd) Scheduled Service (S2)
Unpaid Balance $0.00
Current Invoice Charges $1,033.80 Date Description Reference Quantity Unit Price Amount
04/25 Basic Service 04/09/12- 04/30/12 1.0000 $418.28 $302.54
04/25 Basic Service 05/01/12 05/31/12 $418.28 $418.28
1 Front Load Recycling (6 Yd) Scheduled Service (S3) Corrugated Only
Date Description Reference Quantity Unit Price Amount
$1,033 04/25 Recycling Service 04/09/12- 04/30/12 1.0000 $41.82 $30.25
04!25 Recycling Service 05/01/12-05/31!12 $41.82 $41.82
Due By: 05115112
1 -Front Load Recycling (8 Yd) Scheduled Service (S4) Comingled
0 0 0 Date Description Reference Quantity Unit Price Amount
Customer Service (317) 917 -7300 04/25 Recycling Service 04/09/12- 04130/12 1.0000 $55.67 $40.26
04/25 Recycling Service 05/01/12- 05/31/12 $55.67 $55.67
Current Invoice Charges $1,033.80
0 1 4 3390 APR'la
00 o o thi m Ay 4 I� V 11 NTFC�l,Y�
Effective 4/16/2012: SERVICE INTERRUPTION Ctlptl0ft Ri C.kC L,Y m J rt pr(T�
POLICY CHANGE All accounts with a balance over �nrritcca' P pP F
60 days will experience a service interruption unless t ?y W7 4M
i V
prior arrangements are made. L. q l 1 4 i� /Q f
fidget I �l_L L=L'�70�7 P 0 7012
L Desor.
rchaser Date
j�pproval Date
....5010AYS.
1,033.80 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 PARKS 3- 0761 0036974 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.
of WREPUBLIC CARMEL CLAY PARK'S Invoice
ly SERVICES Page 1 of 2
832 Langsdale Ave
Indianapolis, IN 46202 -1150
Current Invoice Charges
ti
Date Description Reference Quanti Unit Price Amount
04/25 Late Fee $0.56
i
0
Carmel Clay Park's 1411 E 116th St (L1) CSA 94811711
Account Number 3- 0761- 1410948 Carmel, IN
Invoice Date April 25, 2012
Invoice Number 0761- 001170988 2 Front Load (8 Yd) Scheduled Service (S1)
Previous Balance $226.72 Date Description Reference Quanti Unit Price Amount
Unpaid Payme nt s/Ad justments Balance $0.00 04/25 Basic Service 05/01/12- 05/31/12 $150.00 $150.00
Unpaid
Current Invoice Charges $150.56 Current Invoice Charges $150.56
ZZ
$377.28
Due By: 05/15112
o
Customer Service (317) 917 -7300
Purchase8 7:E�r
Description
o o P.O.# PorF APR 1 0 70 12
Effective 4/16/2012: SERVICE INTERRUPTION G.L. 1 A5 Lj- i) t j D I O f
POLICY CHANGE All accounts with a balance over
60 days will experience a service interruption unless Budget ��v
prior arrangements are made. Line Descr I I B ll
Purchaser Date
Approval Date
tf3A
150.56 189.17 37.55 0.00
To pay on -line or sign up for Past Due Balance $226.72
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.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.
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
4125/12 761001165997 Trash pickup MCC Apr,May 1,033.80
4/25/12 761001170988 Dumpster AO May'12 150.00
Total 1,183.80
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.
358593 Republic Services 761 Allowed 20
P.O. Box 9001099
Louisville, KY 40290 -1099
In Sum of
1,183.80
ON ACCOUNT OF APPROPRIATION FOR
101 General Fund 109 Monon Center
PO# or INVOICE NO. ACCT #/TITLE AMOUNT Board Members
Dept
1091 761001165997 4350101 1,033.80 1 hereby certify that the attached invoice(s), or
1125 761001170988 4350101 150.00 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
3 -May 2012
f�khjDm YYLO /c�
Signature
1,183.80 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund
4VA REPUBL CITY OF CARMEL FIRE DEPT Invoice SERVICES Page 1 of 2
832 Langsdale Ave
Indianapolis, IN 46202 -1150
Current Invoice Charges
Training Facility 510 3rd Ave SW (1-1) CSA 002792
Carmel, IN
0 F nP�
1 Front Load (2 Yd) Scheduled Service (S1)
Account Number 3- 0761 0034441
Invoice Date April 25, 2012 Date Description Reference Quantity Unit Price Amount
Invoice Number 0761 001165872 04/25 Basic Service 05/01/12- 05/31/12 $25.00 $25.00
Previous Balance $25.00 Current Invoice Charges $25.00
Payments /Adjustments $0.00
Unpaid Balance $25.00
Current Invoice Charges $25.00
0
$50.00
Due By: 05/15/12
Customer Service (317) 917 -7300
0.0; 0 o
Effective 4116/2012: SERVICE INTERRUPTION
POLICY CHANGE All accounts with a balance over
60 days will experience a service interruption unless
prior arrangements are made.
.,mg j:affl.. xswi..,.£r u. ..:'30"W s`.'' "k {..'6.Q v1't,iis mM I i.?A;).;"
25.00 25.00 0.00 0.00
To pay on -line or sign up for Past Due Balance $25.00
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.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.
FC REPUBLI CITY OF CARMEL FIRE DEPT Invoice
SERVICES angsdale Ave Page 1 of 3
apolis, IN 46202 -1150
Pay ments /Adjustments
divisi of
Date Description Reference Amount
04/09 Inv# 001079306 Dated 02/25/12 $33.04
Account For Site 00001 Service Group 01
Account Number 3- 0761- 0034703 Re: Fuel- Environmental Fee
04/09 Inv# 001120458 Dated 03/25/12 $34.47
Invoice Date April 25, 2012 For Site 00001 Service Group 01
Invoice Number 0761- 001165887 Re: Fuel- Environmental Fee
Previous Balance $419.97
Payments /Adjustments $67.51 Current Invoice Charges
Unpaid Balance $352.46
Current Invoice Charges $314.89 Date Description Reference Quanti Unit Price Amount
04/25 Late Fee $0.89
Fire Station 41 2 Civic Scl (L1) CSA 002757
Carmel, IN
Am Pay This 1 Front Load (8 Yd) Scheduled Service (S1)
`P667.35 Date Description Reference Quanti Unit Price Amount
/15/12
Due By: 05 04/25 Basic Service 05101/12- 05/31/12 $132.00 $132.00
Fire Station 42 3610 W 106th St (L2) CSA 002758
C ontact Carmel, IN
Customer Service (317) 917 -7300 1 Front Load (4 Yd) Scheduled Service (S1)
Date Description Reference Quanti Unit Price Amount
04/25 Basic Service 05/01/12- 05/31/12 $56.00 $56.00
Im portant Information Fire Station 43 3242 E 106th St (L3) CSA 002759
Carmel, IN
Effective 4/16/2012: SERVICE INTERRUPTION
POLICY CHANGE All accounts with a balance over 1 Front Load (2 Yd) Scheduled Service (S1)
60 days will experience a service interruption unless
prior arrangements are made. Date Description Reference Quanti Unit Price Amount
04/25 Basic Service 05/01/12- 05/31/12 $35.00 $35.00
Fire Station 44 5032 E 131st St (L4) CSA 002760
Carmel, IN
1 Front Load (2 Yd) Scheduled Service (S1)
MC.URRENT-; 30 DAYS 01 1 DAY 0± DAYS
314.89 292.86 59.60 0.00
To pay on -line or sign up for Past Due Balance $352.46
convenient auto pay, go to: AA 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 0034703 Page 2of3
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.
000710 000002 000002 001420 2303273 2240ST03 1 23
Page 3 of 3
CITY OF CARMEL FIRE DEPT Republic Services #761
Account Number 3- 0761 0034703
t �REPUBL►C Invoice Date April 25, 2012 832 Langsdale Ave
+y�+ SERVICES Invoice Number 0761 001165887 Indianapolis, IN 46202 -1150
Current Invoice Charges
Date Description Reference Quanti Unit Price Amount
04/25 Basic Service 05/01/12 05/31/12 $35.00 $35.00
Fire Station 46 540 W 136th St (1-6) CSA 002762
Carmel, IN
1 Front Load (2 Yd) Scheduled Service (S3)
Date Description Reference Quanti Unit Price Amount
04/25 Basic Service 05/01/12 05/31/12 $56.00 $56.00
Current Invoice Charges $314.89
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 001165872 $25.00
0761 001165887 1 $314.89
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
ON ACCOUNT OF APPROPRIATION FOR
Carmel Fire Department
PO# Dept. INVOICE NO. ACCT #/TITLE AMOUNT Board Members
1120 0761 001165872 43- 501.01 $25.00 1 hereby certify that the attached invoice(s), or
1120 0761 001165887 43- 501.01 .$314 -89. bill(s) is (are) true and correct and that the
!9 materials or services itemized thereon for
which charge is made were ordered and
received WAY 7 2012
I
Fire Chief
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund
8 REPUBLIC CITY OF CARMEL STREET DEPT Invoice SERVICES Page 1 of 2
832 Langsdale Ave
Indianapolis, IN 46202 -1150
Payments /Adjustments
Date Description Reference Amount
04/10 Inv# 001079309 Dated 02/25/12 $40.05
For Site 00001 Service Group 01
Account Number 3- 0761 0034751 Re: Fuel- Environmental Fee
Invoice Date April 25, 2012 04/10 Inv# 001120461 Dated 03/25/12 $41.78
For Site 00001 Service Group 01
Invoice Number 0761- 001165890 Re: Fuel- Environmental Fee
Previous Balance $401.83
Payments /Adjustments $81.83 Current Invoice Charges
Unpaid Balance $320.00
Current Invoice Charges $162.40 Date Description Reference Quanti Unit Price Amount
04/25 Late Fee $2.40
Street Department 3400 W 131st St (L1) CSA 002764
Carmel, IN
r 2 Front Load (4 Yd) Scheduled Service (S1)
$482.40 Date Description Reference Quantity Unit Price Amount
Due By: 05/15/12 04/25 Basic Service 05/01/12- 05/31/12 $160.00 $160.00
Current Invoice Charges $162.40
Customer Service (317) 917 -7300
o z:
Effective 4/16/2012: SERVICE INTERRUPTION
POLICY CHANGE All accounts with a balance over
60 days will experience a service interruption unless
prior arrangements are made.
CVI�R tf :g, :Vii WA r: ,ziimn V (/1`,1.3 DAY
162.40 160.00 160.00 0.00
To pay on -line or sign up for Past Due Balance $320.00
convenient auto pay go to: A A Visit our website, www.disposaLcom 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 STREET DEPT 3- 0761 0034751 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.
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))
04/25/12 0761 001165890 $160.00
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
$160.00
ON ACCOUNT OF APPROPRIATION FOR
Carmel Street Department
PO# Dept. INVOICE NO. I ACCT #/TITLE AMOUNT Board Members
26271 1 0761- 001165890 I 43- 501.001 $160.00 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
Wednesday, May 02, 2012
u �vv 's
Street Commissiio
Street Coff issioner
Cost distribution ledger classification if
claim paid motor vehicle highway fund
q 'AREPUBL CITY OF CARMEL Invoice
4- SERVICES
Page 1 of 2
832 Langsdale Ave
Indianapolis, IN 46202 -1150
Payments /Adjustments
Date Description Reference Amount
04/10 Inv# 001079307 Dated 02/25/12 $26.28
o For Site 00001 Service Group 01
Account Number 3- 0761- 0034742 Re: Fuel- Environmental Fee
Invoice Date April 25, 2012 04/10 Inv# 001120459 Dated 03/25/12 $27.42
Invoice Number 0761- 001165888 For Site 00001 Service Group 01
Re: Fuel- Environmental Fee
Previous Balance $158.70
Payments /Adjustments $53.70 Current Invoice Charges
Unpaid Balance $105.00
Current Invoice Charges $105.00 City Hall 1 Civic Sq (L1) CSA 002763
Carmel, IN
1 Front Load (6 Yd) Scheduled Service (S1)
Date Description Reference Quantity Unit Price Amount
04/25 Basic Service 05/01/12- 05/31/12 $105.00 $105.00
0 Current Invoice Charoes 5105.00
Due By: 05115112 v
Customer Service (317) 917 -7300 .V O
Effective 4/16/2012: SERVICE INTERRUPTION
POLICY CHANGE All accounts with a balance over a
60 days will experience a service interruption unless D
prior arrangements are made.
MAY 7 .2012
By
94 ±.DAYS
105.00 105.00 0.00 0.00
To pay on -line or sign up for Past Due Balance $105.00
convenient auto pay go to: AA 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.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.
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))
04/25/12 0761 001165888 $105.00
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 #761
IN SUM OF
PO Box 9001099
Louisville, KY 40290 -1099
$105.00
ON ACCOUNT OF APPROPRIATION FOR
Administration Department
PO# Dept. INVOICE NO. ACCT #/TITLE AMOUNT Board Members
J
0761 001165888 43 501.01 $105.00 1 hereby certify that the attached invoice(s), or
lS� T
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
nday, May 07, 2012
Direct r, Administra ion
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund
eAREPUBL /C CITY OF CARMEL POLICE Invoice
4-11 SERVICES
Page 1 of 2
832 Langsdale Ave
Indianapolis, IN 46202 -1150
Payments /Adjustments
4 Date Description Reference Amount
04/10 Inv# 001079305 Dated 02/25/12 -$8.77
o For Site 00001 Service Group 01
Account Number 3- 0761 0034698 Re: Fuel- Environmental Fee
Invoice Date April 25, 2012 04/10 Inv# 001120457 Dated 03/25/12 $16.44
Invoice Number 0761- 001165886 For Site 00001 Service Group 01
Re: Fuel- Environmental Fee
Previous Balance $204.50
Payments /Adjustments -$25.21 C urrent Invoice Charges
Unpaid Balance $179.29
Current Invoice Charges $133.50 Date Description Reference Quanti Unit Price Amount
04/25 Late Fee $0.50
Police Firing Range 9609 Hazel Dell Pkwy (L1) CSA 002755
Carmel, IN
4, 1 Front Load (4 Yd) Scheduled Service (S3)
$312.79 Date Description Reference Quantity Unit Price Amount
Due By: 05/15/12 04/25 Basic Service 05/01/12- 05/31/12 $56.00 $56.00
ti Police Headquarters 3 Civic Sq (L2) CSA 002756
o o A r. Carmel, IN
Customer Service (317) 917 -7300 1 Front Load (8 Yd) Scheduled Service (S1)
Date Description Reference Quantity Unit Price Amount
04/25 Basic Service 05/01/12- 05/31/12 $77.00 $77.00
WO o` o o o Current Invoice Charges $133.50
Effective 4/16/2012: SERVICE INTERRUPTION
POLICY CHANGE All accounts with a balance over
60 days will experience a service interruption unless
prior arrangements are made.
s
133.50 160. 19.28 0.00
To pay on -line or sign up for Past Due Balance $179.29
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 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))
04/25/12 0761 001165886 monthly payment $133.00
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 #761
IN SUM OF
P.O. Box 9001099
Louisville, KY 40290 -1099
$133.00
ON ACCOUNT OF APPROPRIATION FOR
Carmel Police Department
PO# Dept. INVOICE NO. ACCT #/TITLE AMOUNT Board Members
1110 1 0761 0011658861 43- 501.01 1 $133.00 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
Wednesday, May 02, 2012
t
Chief of Police
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund
'a REPUBLIC CARMEL UTILITIES Invoice
t 11 3 SERVICES Page 1 of 2
832 Langsdale Ave
Indianapolis, IN 46202 -1150
Current Invoice Charges
Date Description Reference Quanti Unit Price ount
�yp 04/25 Late Fee XV, I W Carmel Utilities 9609 Hazel Dell Parkway (1-1)
Account Number 3- 0761 1410955 Carmel, IN
Invoice Date April 25, 2012
Invoice Number 0761- 001170991 14 Front Load (2 Yd) Scheduled Service (S1)
Previous Balance $550.15 Date Description Reference Quantity Unit Price Amount
Payments /Adjustments $0.00 04/25 Basic Service 05/01/12- 05/31/12 $364.01 $364.01
Unpaid Balance $550.15 Total Fuel /Environmental Recovery Fee $96.82
Current Invoice Charges $462.20
Current Invoice Charges $462.20
$1,012.35
Due By: 05/15/12
Customer Service (317) 917 -7300
00 0 0
Effective 4/1612012: SERVICE INTERRUPTION
POLICY CHANGE All accounts with a balance over
60 days will experience a service interruption unless
prior arrangements are made.
DA
462.20 459.05 91.10 0.00
To pay on -line or sign up for Past Due Balance $550.15
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 UTILITIES 3- 0761 1410955 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.
A REPUBLIC CARMEL UTILITIES Invoice
SERVICES
Page 1 of 2
832 Langsdale Ave
Indianapolis, IN 46202 -1150
Current Invoice Charges
Date Description Reference Quanti Unit Price ount
04/25 Late Fee $0.65
Carmel Utilities 901 N Range Line Rd (1-1)
Account Number 3- 0761 1410954 Carmel, IN
Invoice Date April 25, 2012
Invoice Number 0761- 001170990 1 Front Load (8 Yd) Scheduled Service (S1)
Previous Balance $261.59 Date Description Reference Quantity Unit Price Amount
Payments /Adjustments $0.00 04/25 Basic Service 05/01/12- 05/31/12 $126.13 $126.13
Unpaid Balance $261.59
Current Invoice Charges $219.76 1 Front Load (2 Yd) Scheduled Service (S2)
Date Description Reference Quantity Unit Price Amount
04/25 Basic Service 05/01/12- 05/31/12 $46.94 $46.94
Total Fuel /Environmental Recovery Fee $46.04
Current Invoice Charges $219.76
1 $481.35
Due By: 05/15/12
Customer Service (317) 917 -7300
0 0 o o v"
Effective 4/16/2012: SERVICE INTERRUPTION
POLICY CHANGE All accounts with a balance over
60 days will experience a service interruption unless
prior arrangements are made.
M ilo RREt!i 34 o"s k.. mh
219.76 218.27 43.32 0.00
To pay on -line or sign up for Past Due Balance $261.59
convenient auto pay go to: AA 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
#s i�SFW YA'Y
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.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.
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 4/30/2012
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
4/30/2012 0761001170 $219.11
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 5- 11- 10 -1.6
L-
Date Officer
VOUCHER 117235 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
07610011709 01- 736H -08 $149.15
07610011709 01- 7360 -01 $69.96
jjq.tit
0 76 1l 70q o /.7362.6 S .--rt-b
Voucher Total1
Cost distribution ledger classification if
claim paid under vehicle highway fund