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Home My WebLink About209831 06/18/2012 CITY OF CARMEL, INDIANA VENDOR: 358593 Page 1 of 1 0 ONE CIVIC SQUARE REPUBLIC WASTE SERVICES OF INDIA CHECK AMOUNT: $749.90 i` CARMEL, INDIANA 46032 PO BOX 9001099 '4 io 6a LOUISVILLE KY 40290 -1099 CHECK NUMBER: 209831 CHECK DATE: 6/18/2012 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1091 4350101 761001200672 599.90 TRASH COLLECTION 1125 4350101 761001205684 150.00 TRASH COLLECTION REPUBLIC CARMEL CLAY PARK'S Invoice SERVICES Page 1 of 2 832 Langsdale Ave Indianapolis, IN 46202 -1150 Payments /Adjustments p Date Description Reference Amount 05/01 Payment Thank You 208019 $150.00 0 05/01 Payment Thank You 208019 $364.01 Account Number •3- 0761 1410948 05/07 Inv# 001170988 Dated 04/25/12 -$0.56 Re: Late Fee Invoice Date May 25, 2012 05/07 Inv# 001084386 Dated 02/25/12 $37.55 Invoice Number 0761 001205684 For Site 00001 Service Group 01 Previous Balance $741.29 Re: Fuel- Environmental Fee Payments /Adjustments $591.29 05/07 Inv# 001125560 Dated 03125/12 $39.17 Unpaid Balance $150.00 For Site 00001 Service Group 01 Current Invoice Charges $150.00 Re: Fuel- Environmental Fee Current Invoice Charges Carmel Clay Park's 1411 E 116th St (L1) CSA 94811711 o Carmel, IN $300,00 2 Front Load (8 Yd) Scheduled Service (S1) Due By: 06114112 Date Description Reference Quantity Unit Price Amount 05/25 Basic Service 06/01/12- 06/30/12 $150.00 $150.00 0 0 o Current Invoice Charges $150.00 Customer Service (317) 917 -7300 Purchase Description 00 0 o P.O.# PorF L. -1-02— 350101 C7 Effective 411612012: SERVICE INTERRUPTION G. POLICY CHANGE All accounts with a balance over Budg I g la 60 days will experience a service interruption unless Line Descr I 1 _CLLC On JUN 0 4 2012 prior arrangements are made. Purchaser Date Approval Date Y: v.1.... .WAREf+1 150.0 1 150.00 0.00 0.00 To pay on -line or sign up for Past Due Balance $150.00 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 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. e REPUB YC CARMEL CLAY PARKS Invoice SERVICES Page 1 of 2 832 Langsdale Ave Indianapolis, IN 46202 -1150 Current Invoice Charges Monon Center 1235 Central Park Dr E (L1) Carmel, IN Account Number 3- 0761 0036974 1 Front Load (4 Yd) Scheduled Service (S1) Invoice Date May 25, 2012 Date Description Reference Quantity Unit Price Amount Invoice Number 0761 001200672 05/25 Basic Service 06/01/12- 06/30/12 $84.13 $84.13 Previous Balance $1,033.80 1 -Front Load (10 Yd) Scheduled Service (S2) Payments /Adjustments $0.00 Unpaid Balance $1,033.80 Date Description Reference Quantity Unit Price Amount Current Invoice Charges $599.90 05/25 Basic Service 06/01/12 06/30/12 $418.28 $418.28 1 Front Load Recycling (6 Yd) Scheduled Service (S3) Corrugated Only Date Description Reference Quantity Unit Price Amount o o 05/25 Recycling Service 06/01/12 06/30/12 $41.82 $41.82 $1,633 1 Front Load Recycling (8 Yd) Scheduled Service (S4) Comingled Due B :06114112 Date Description Reference Quantity Unit Price Amount By: 05/25 Recycling Service 06/01/12- 06/30/12 $55.67 $55.67 0 0 o Current Invoice Charges $599.90 Customer Service (317) 917 -7300 Purchase Description D PS1�12 mCG 0 0 MUM WIMEMM P.O. P or F Effective 4116/2012: SERVICE INTERRUPTION G.L. (O 9 5 O (O 1 POLICY CHANGE All accounts with a balance over Bud JUN 0 4 2012 60 days will experience a service interruption unless Llne Descr LLELT11Dr) prior arrangements are made. Bv Purchaser Date Ji Approval Date �CIJRREtVT„ y .f N 30 AYS 111 ....6,QAAM11:- ...,NOWDAYB...,,...... 599.90 1,033.80 0.00 0.00 To pay on -line or sign up for Past Due Balance $1,033.80 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.el 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 wi'il 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 5/25/12 761001205684 Dumpster AO Jun'12 150.00 5/25/12 761001200672. Dumpster M Jun'12 599.90 Total 749.90 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 749.90 ON ACCOUNT OF APPROPRIATION FOR 101 General Fund 109 Monon Center PO# or INVOICE NO. ACCT #/TITLE AMOUNT Board Members Dept 1125 761001205684 4350101 150.00 1 hereby certify that the attached invoice(s), or 1091 761001200672 4350101 599.90 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 14 -Jun 2012 ck�-ft,n ry-10 Signature 749.90 Accounts Payable Coordinator Cost distribution ledger classification if Title claim paid motor vehicle highway fund