209322 05/22/2012 CITY OF CARMEL, INDIANA VENDOR: 358593 Page 1 of 1
ONE CIVIC SQUARE REPUBLIC WASTE SERVICES OF INDIA
GHECK AMOUNT: $3,501.30
CARMEL, INDIANA 46032 PO BOX 9001099
LOUISVILLE KY 40290 -1099
CHECK NUMBER: 209322
CHECK DATE: 5/22/2012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
651 5023990 07610011762 3,369.30 OTHER EXPENSES
1207 4350101 20711 07611174479 132.00 TRASH SERVICE
qf CITY OF CARMEL BROOKSHIRE GOLF Invoice
X04 SERVICES
Page 1 of 2
832 Langsdale Ave
Indianapolis, IN 46202 -1150
Payments /Adjustments
Date Description Reference Amount
05/01 Payment Thank You 208019 $218.79
4
Account Number 3- 0761 -0035460 w Current Invoice Charges
Invoice Date April 30, 2012 Brookshire Golf Course 12120 Brookshire Pkwy (1-1) CSA 002765
Invoice Number 0761 001174479 Carmel, IN
Previous Balance $218.79
Payments /Adjustments $218.79 1 Front Load (8 Yd) Scheduled Service (S1)
Unpaid Balance $0.00 Date Description Reference Quantity Unit Price Amount
Current Invoice Charges $132.00 04/30 Basic Service 05101/12- 05/31/12 $132.00 $132.00
Current Invoice Charges $132.00
$132.00
Due By: 05/20/12
Customer Service (317) 917 -7300
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.
,..a- CItREtC;2 .9 +A1lS
132. 0.00 0. 00 0.
To pay on -line or sign-up -for.
convenient auto pay, go to: D 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 BROOKSHIRE GOLF 3- 0761 0035460 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transfer, funds may be withdrawn from your account as soon as the same day we receive your payment and you will not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.
VOUCHER NO. WARRANT NO.
ALLOWED 20
Republic Services #761
IN SUM OF
P. O. Box 9001099
Louisville, KY 40290 -1099
$132.00
ON ACCOUNT OF APPROPRIATION FOR
Brookshire Golf Club
PO# Dept. INVOICE NO. ACCT #/TITLE I AMOUNT Board Members
20711 1 0761 0011744791 43- 501.01 1 $132.00 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 09, 2012
Director, Brookshi e Golf Club
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund
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))
04/30/12 1 0761 0011744791 Trash Removal 1 $132.00
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
eFREP'UBL /C CARMEL UTILITIES HHW Invoice
SERYtCES Page 1 of 3
832 Langsdale Ave
Indianapolis, IN 46202 -1150
Current Invoice Charges
Date Description Reference Quanti Unit Price Amount
04/30 Late Fee $4
Carmel Utilities Hhw 901 N Range Line Rd (L1) CSA 3292121010
Account Number 3- 0761- 1163292 Carmel, IN
Invoice Date April 30, 2012
Invoice Number 0761 001176216 1 Hooklift (30 Yd) Scheduled Service (S1) Comingled
Previous Balance $3,275.26 Date Description Reference Quanti ty Unit Price Amount
Payments /Adjustments $0.00 04/02 Basic Service 1.0000 $153.15 $153.15
Unpaid Balance $3,275.26 Receipt Number 27977
Current Invoice Charges $3,418.43 04/06 Basic Service 1.0000 $153.15 $153.15
Receipt Number 29775
04/11 Basic Service 1.0000 $153.15 $153.15
Receipt Number 32969
04/13 Basic Service 1.0000 $153.15 $153.15
Pay Receipt Number 34182
04116 Basic Service 1 -0000 $153.15 $15-
Receipt Number 34790
Due By: 05/20/12 04/18 Basic Service 1.0000 $153.15 $153.15
Receipt Number 36245
04/23 Basic Service 1.0000 $153.15 $153.15
Receipt Number 38580
Customer Service (317) 917 -7300 04/27 Basic Service 1.0000 $153.15 $153.15
Receipt Number 43056
04130 Basic Service 1.0000 $153.15 $153.15
Receipt Number 43627
1 Rolloff (30 Yd) Scheduled Service (S3) Comingled
Effective 4/16/2012: SERVICE INTERRUPTION Date Description Reference Quanti Unit Price Amount
POLICY CHANGE All accounts with a balance over 04102 Basic Service 1.0000 $153.15 $153.15
60 days will experience a service interruption unless Receipt Number 37829
prior arrangements are made. 04/04 Basic Service 1.0000 $153.15 $153.15
Receipt Number 37829
04/06 Basic Service 1.0000 $153.15 $153.15
Receipt Number 37829
04/09 Basic Service 1.0000 $153.15 $153.15
Receipt Number 37829
y 4 DAYS
s ,CURRENT0 DAYS6E1;i?AYS,.,, 90
3 3,221.15 54.11 0.00
To pay on -line or sign up for Past Due Balance $3,275.26
convenient auto pay go to: D A Visit our website, www.disposal.com to make your payment electronically
www.disposal or to sign up for our convenient automatic payment plan.
Please 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.
000753 000002 000002 001506 2303503 2240ST03 1 23
Page 3 of 3
R CARMEL UTILITIES HHW Republic Services #761
Account Number 3- 0761 1163292
REPUBLIC Invoice Date April 30 2012 832 Langsdale Ave
110-4 SERVICES Invoice Number 0761 001176216 Indianapolis, IN 46202 -1150
Current Invoice Charges
Date Description Reference Quanti Unit Price Amount
04/11 Basic Service 1.0000 $153.15 $153.15
Receipt Number 37829
04/13 Basic Service 1.0000 $153.15 $153.15
Receipt Number 37829
04/16 Basic Service 1.0000 $153.15 $153.15
Receipt Number 37829
04/18- Basic-Service 1.0000 $153.15 $153.15
Receipt Number 37829
04/20 Basic Service 1.0000 $153.15 $153.15
Receipt Number 37829
04/23 Basic Service 1.0000 $153.15 $153.15
Receipt Number 37829
04/25 Basic Service 1.0000 $153.15 $153.15
Receipt Number 37829
04/27 Basic Service 1.0000 $153.15 $153.15
Receipt Number 37829
04/30 Basic Service 1.0000 $153.15 $153.15
Receipt Number 37829
Current Invoice Charges $3,418.43
VOUCHER 117306 WARRANT ALLOWED
358593 IN SUM OF
REPUBLIC WASTE SERVICES OF INDI
PO BOX 9001099
LOUISVILLE, KY 40290 -1099
Caravel Wastewater Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO INV ACCT AMOUNT Audit Trail Code
07610011762 01- 736H -08 $3,369.30
Voucher Total $3,369.30
Cost distribution ledger classification if
claim paid under vehicle highway fund
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 5/14/2012
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
5/14/2012 0761001176: $3,369.30
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
i
Date Officer