209698 06/05/2012 CITY OF CARMEL, INDIANA VENDOR: 00352479 Page 1 of 1
ONE CIVIC SQUARE WASTE MANAGEMENT
CARMEL, INDIANA 46032 BILL PAYMENT CENTER CHECK AMOUNT: $222.26
PO BOX 4648 CHECK NUMBER: 209698
CAROL STREAM IL 60197 -4648
CHECK DATE: 6/5/2012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1207 4350101 1763041 -2479 222.26 TRASH COLLECTION
Page 1 of 3 WA_/
Customer: BROOKSHIRE GOLF CLUB
I NVOICE Account Number: 600 0001510 2479 -1
WASTE MANAGEMENT Invoice Date: 06/01/2012
Waste Management Invoice Number: 1763041- 2479 -3
Attn: Port -O Let Billing Due Date: Due Upon Receipt
1411 Opus Place, Suite 400 WM ezPay Account ID: 00001 29232 -93008
Downers Grove, IL 60515
(800) 443 -5646 Customer Service
(866) 863 -4834 FAX Total Current Charges Total Amount Due
222.26
AICCOU1It SUfilfltary" NO i a, „a'f xa xIV' c �INyluill� "'sb,k CkVluYi "ii ,.1 a,ry
Please pay total amount due. Thank you for your
Descri ption business.
Previous Balance 212.05
Total Credits and Adjustments 0.00
Total Payments Received 0.00
Total Cu Ch 222.26
Total Amount Due 434.31
Total Amount Past Due 212.05
x WASTE MANAGEMENT APPRECIATES THE OPPORTUNITY
Service period MAY2012SERV,ICE xw,Fl k u t, a r TO SERVE YOU. TO INSURE PROPER APPLICATION OF YOUR
Description Amount PAYMENT, PLEASE USE THE ENCLOSED REMITTANCE STUB
Commercial 222.26 AND RETURN ENVELOPE. THANK YOU
Total Current Charges 222 26 Customers carrying a balance due of 60 days or greater are
subject to service cutoff and an automatic resume fee.
If full payment of the invoiced amount is not received within 30 days of the invoice date, you
will be charged a monthly late fee of 1.5% of the unpaid amount, with a minimum monthly
charge of $5.00, or such lesser late fee allowed under applicable law, regulation or contract.
For each returned check, a fee will be assessed on your next billing equal to the maximum
amount permitted by applicable state law.
u
Want to pay this bill on -line? Visit www.wm.com and click on
My Account to make a convenient, secure payment.
er,90 "�'��,�u,, ie ��`,�Ov20 #;TotalDue a
222 212.05 0.00 0.00 0 .00 434.31
Page 3 of 3
W Customer: BROOKSHIRE GOLF CLUB
Account Number: 600 0001510 2479 -1
WASTE MANAGEMENT Invoice Date: 06/01/2012
Waste Management Invoice Number: 1763041 2479 -3
Attn: Port-O Let Billing Due Date: Due Upon Receipt
1411 Opus Place, Suite 400
Downers Grove, IL 60515 WM ez Y
Pa Account ID: 00001 29232 -93008
yvice
Date Ticke pescriBo�gk" h1re�Golf�Cluw'; ll12124�,L �rookshfr ,Carmel,ln�'4fiO33�3314�"��.�,
p Quantity U/M Rate Amount
06/01/12 Pol 1x wk 2.00 173.34
06/01/12 Pol winterization fee 1.00 0.00
06/01/12 Fuel /envi charge pol
Total Current Charges 222.26
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From everyday collection to environmental protection, Think Green® Think Waste Management. recyc p per.
0 FOR CHANGE OF ADDRESS OR ANY SERVICE ISSUES CONTACT NUMBER ON PAGE 1
VOUCHER NO. WARRANT NO.
ALLOWED 20
Waste Management
IN SUM OF
P.O. Box 4648
Carol Stream, IL 60197 -4648
$222.26
ON ACCOUNT OF APPROPRIATION FOR
Brookshire Golf Club
PO# Dept. INVOICE NO. ACCT #/TITLE AMOUNT Board Members
1207 1 1763041 2479 -3I 43- 501.01 I $222.26 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 30, 2012
Director, Brookshire 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))
06/01/12 1763041 2479 -3 Trash Removal $222.26
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