210113 06/20/2012 CITY OF CARMEL, INDIANA VENDOR: 358593 Page 1 of 1
s` q 0 ONE CIVIC SQUARE REPUBLIC WASTE SERVICES OF INDIA CHECK AMOUNT: $4,702.94
,+a CARMEL, INDIANA 46032 PO BOX 9001099
off LOUISVILLE KY 40290 -1099 CHECK NUMBER: 210113
CHECK DATE: 6/20/2012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1110 4350101 160.91 07610034698
1115 4350900 52.80 0761001200564
1120 4350101 25.00 0761 001200547
1120 4350101 314.00 0761- 001200562
651 5023990 3,216.15 0761- 001210776
651 5023990 173.07 07611410954
651 5023990 364.01 07611410955
1207 4350101 20711 132.00 0761- 001208915
2201 4350100 26271 160.00 0761- 001200565
1205 4350101 26460 105.00 0761- 001200563
i
'REPUBLIC CITY OF CARMEL Invoice
SERVICES Page 1 of 2
832 Langsdale Ave
Indianapolis, IN 46202 -1150
Payments/Adjustments
Date Description Reference Amount
05/01 Payment -Thank You 208019 $26.40
o
Account Number -3- 0761 0034749 Current Invoice Charges
Invoice Date May 25, 2012 Communications Department 31 1st Ave NW (L1) CSA 002772
Invoice Number 0761- 001200564 Carmel, IN
Previous Balance $25.79
Payments/Adjustments $26.40 1 Front Load (4 Yd) Scheduled Service (S3)
Unpaid Balance $52.19 Date Description Reference Quanti Unit Price Amount
Current Invoice Charges $224.00 05/25 Basic Service 03/01/12- 05/31/12 1.0000 $56.00 $168.00
05/25 Basic Service 06/01/12- 06/30/12 $56.00 $56.00
Current Invoice Charges 00
$171.81, ,y,2•��
Due By: 06/14/12
0 0 0
Customer Service (317) 917 7300
h aWROR
Effective 4/16/2012: SERVICE INTERRUPTION
POLICY CHANGE All accounts with a balance over I 1 1
60 days will experience a service interruption unless l
prior arrangements are made.
1
z...v,��CURREN'T sy hy�� 7V..�K�7./...2��.. •'yi .��a.,R`� �A1Y5 �..y 7� o kH /��:�;.1✓A��
224.00 -52.19 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
CITY OF CARMEL 3- 0761- 0034749 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transfer, funds may be withdrawn from your account as soon as the same day we receive your payment and you will not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))
05/25/12 0761 001200564 $52.80
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.
ALLOWED 20
Republic Services
IN SUM OF
P.O. Box 9001099
Louisville, KY 40290 -1099
$52.80
ON ACCOUNT OF APPROPRIATION FOR
Carmel Clay Communications
PO# Dept. INVOICE NO. I ACCT #/TITLE AMOUNT Board Members
1115 1 0761 0012005641 43- 509.00 1 $52.80 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, June 13, 2012
Director
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund
Ilk WREPUBL /C CITY OF CARMEL POLICE Invoice
6- SERVICES
Page 1 of 2
832 Langsdale Ave
Indianapolis, IN 46202 -1150
Payments /Adjustments
GJ�G3 Date Description Reference Amount
05/03 Inv# 001165886 Dated 04/25/12 -$0.50
�Cllll�� Re: Late Fee
Account Number 3- 0761- 0034698 05/12 Payment Thank You 208443 $139.90
Invoice Date May 25, 2012 05/07 05/07/12 Unreferenced Memo $19.28
For Site 00001 Service Group 01
Invoice Number 0761- 001200561 Re: Fuel- Environmental Fee
Previous Balance $312.79 05/07 05/07/12 Unreferenced Memo $20.11
Payments /Adjustments $179.79 For Site 00001 Service Group 01
Unpaid Balance $133.00 Re: Fuel- Environmental Fee
Current Invoice Charges $160.91
Current Invoice Charges
Police Firing Range 9609 Hazel Dell Pkwy (1_1) CSA 002755
Carmel, IN
1 Front Load (4 Yd) Scheduled Service (S3)
23.91 Date Description Reference Quanti Unit Price Amount
Due By: 06/14/12 05/25 Basic Service 05/22/12 06/30/12 1.0000 $56.00 $74.41
05/25 Basic Service 06/01/12 06/30/12 $56.00 $56.00
0 0 0
1 Front Load (8 Yd) Scheduled Service (S4)
Customer Service (317) 917 -7300 Date Description Reference Quantity Unit Price Amount
05/25 Basic Service 05/22/12 06/30/12 1.0000 $77.00 $102.32
Police Headquarters 3 Civic Sq (L2) CSA 002756
0 0 0 o Carmel, IN
Effective 4/16/2012: SERVICE INTERRUPTION 1 Front Load (8 Yd) Scheduled Service (S1)
POLICY CHANGE All accounts with a balance over Date Description Reference Quantity Unit Price Amount
60 days will experience a service interruption unless
prior arrangements are made. 05/25 Basic Service 06/01/12 06/30/12 $77.00 $77.00
Current Invoice Charges $160.91
€SAYS
160.91 133.00 0.00 0.00
To pay on -line or sign up for Past Due Balance $133.00
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
fl
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.
oil
r.
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))
05/25/12 0761 001200561 monthly payment $160.91
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
P.O. Box 9001099
Louisville, KY 40290 -1099
$160.91
ON ACCOUNT OF APPROPRIATION FOR
Carmel Police Department
PO# Dept. INVOICE NO. ACCT #/TITLE AMOUNT Board Members
1110 1 0761-001200561 I 43- 501.01 I $160.91 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
n
Friday, June 15, 2012
Chief of Police
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund
4V I* CARMEL UTILITIES Invoice
ty SERVICES
Page 1 of 2
832 Langsdale Ave
Indianapolis, IN 46202 -1150
Payments /Adjustments
LJc4L
Date Description Reference Amount
05/01 Payment Thank You 208019 $173.07
L 05/07 Inv# 001170990 Dated 04/25/12 -$0.65
Account Number 3- 0761- 1410954 Re: Late Fee
05/07 Inv# 001084388 Dated 02/25/12 $43.32
Invoice Date May 25, 2012 For Site 00001 Service Group 01
Invoice Number 0761- 001205686 Re: Fuel- Environmental Fee
Previous Balance $481.35 05/07 Inv# 001125562 Dated 03/25/12 $45.20
Payments /Adjustments $308.28 For Site 00001 Service Group 01
Unpaid Balance $173.07 Re: Fuel- Environmental Fee
Current Invoice Charges $173.07 05/07 Inv# 001170990 Dated 04/25/12 $46.04
For Site 00001 Service Group 01
Re: Fuel- Environmental Fee
L�wVolg o e
Current Invoice Charges
$346 Carmel Utilities 901 N Range Line Rd (L1)
Carmel IN
Due By: 06/14/12 1 Front Load (8 Yd) Scheduled Service (S1)
@M MUDE Date Description Reference Quantity Unit Price Amount
Customer Service (317) 917 -7300 05/25 Basic Service 06/01/12- 06/30/12 $126.13 $126.13
1 Front Load (2 Yd) Scheduled Service (S2)
Date Description Reference Quantity Unit Price Amount
05/25 Basic Service 06/01/12- 06/30/12 $46.94 $46.94
00 0 0
Current Invoice Charges $173.07
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.
GURf7EN! i s ;30 t3AYl3 x5E1 +;1yAY,,S s
173.07 173.07 0.00 0.00
To pay on -line or sign up for Past Due Balance $173.07
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 term s
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.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.
CAREPUBLIC CARMEL UTILITIES Invoice
6 SERVICES Page 1 of 2
832 Langsdale Ave
Indianapolis, IN 46202 -1150
Payments /Adjustments
GJd1G3 Date Description Reference Amount
05/07 Inv# 001170991 Dated 04/25/12 -$1.37
o Re: Late Fee
Account Number 3- 0761- 1410955 05/07 Inv# 001084389 Dated 02/25/12 $91.10
Invoice Date May 25, 2012 For Site 00001 Service Group 01
Re: Fuel- Environmental Fee
Invoice Number 0761 001205687 05/07 Inv# 001125563 Dated 03/25/12 $95.04
Previous Balance $648.34 For Site 00001 Service Group 01
Payments /Adjustments $284.33 Re: Fuel- Environmental Fee
Unpaid Balance $364.01 05/07 Inv# 001170991 Dated 04/25/12 $96.82
Current Invoice Charges $364.01 For Site 00001 Service Group 01
Re: Fuel- Environmental Fee
Current Invoice Charges
0 Carmel Utilities 9609 Hazel Dell Parkway (L7)
Carmel, IN
Due By: 06/14/12 14 Front Load (2 Yd) Scheduled Service (s1)
Date Description Reference Quantity Unit Price Amount
0 0 0 05/25 Basic Service 06/01/12- 06/30/12 $364.01 $364.01
Customer Service (317) 917 -7300 Current Invoice Charges $364.01
00 0 0
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.
364.01 364.01 0.00 0.00
To pay on -line or sign up for Past Due Balance $364.01
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
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.electroniepayments.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 6/4/2012
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
6/4/2012 0761001205E $364.01
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
�'A //L GA- �P✓k 01A�
Date Officer
VOUCHER 125059 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
9
07610012056 01- 7362 -05 $364.01
0-76i 173.07
o (,7 361
S. a cz
Voucher Total
Cost distribution ledger classification if
claim paid under vehicle highway fund
�RREPUBLIC CARMEL UTILITIES HHW Invoice
�a SERVICES Page 1 of 3
832 Langsdale Ave
Indianapolis, IN 46202 -1150
Payments /Adjustments
Date Description Reference Amount
05/07 Inv# 001089781 Dated 02/29/12 $54.11
Acc ount Re: Late Fee
Account Number 3- 0761 1163292 05/07 Inv# 001131496 Dated 03/31/12 -$5.00
Re: Late Fee
Invoice Date May 31, 2012 05/07 Inv# 001176216 Dated 04/30/12 $49.13
Invoice Number 0761- 001210776 Re: Late Fee
Previous Balance $6,693.69 05/12 Payment Thank You 208443 $3,216.15
Payments /Adjustments $3,324.39
Unpaid Balance $3,369.30 Current Invoice Charges
Current Invoice Charges $3,216.15
Carmel Utilities Hhw 901 N Range Line Rd (L1) CSA 3292121010
Carmel, IN
1 Hooklift (30 Yd) Scheduled Service (S1) Comingled
Pay This Amount Date Description Reference Quanti Unit Price Amount
�b 05/04 Basic Service 1.0000 $153.15 $153.15
Receipt Number 47429
Due By: 06/20/12 05/07 Basic Service 1.0000 $153.15 $153.15
Receipt Number 48250
05/11 Basic Service 1.0000 $153.15 $153.15
C Inf Receipt Number 51568
Customer Service (317) 917 -7300 05/14 Basic Service 1.0000 $153.15 $153.15
Receipt Number 52270
05/18 Basic Service 1.0000 $153.15 $153.15
Receipt Number 55439
05/23 Basic Service 1.0000 $153.15 $153.15
a Receipt Number 58392
Effective 4/16/2012: SERVICE INTERRUPTION 05/25 Basic Service 1.0000 $153.15 $153.15
POLICY CHANGE All accounts with a balance over Receipt Number 59991
60 days will experience a service interruption unless 05/29 Basic Service 1.0000 $153.15 $153.15
prior arrangements are made. Receipt Number 60128
1 Rolloff (30 Yd) Scheduled Service (S3) Comingled
Date Description Reference Qua inti Unit Price Amount
05/02 Basic Service 1.0000 $153.15 $153.15
Receipt Number 37829
CURRENT 30HDAY5 T J60 DA. YSM 9Q±sDAYS
3,216.15 3,369.30 0.00 0.00
To pay on -line or sign up for Past Due Balance $3,369.30
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
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.
001501- 000002 000002 003002 2304526 2240ST03 1 3
Page 3 of 3
CARMEL UTILITIES HHW Republic Services #761
R Account Number 3- 0761 1163292
+REPUBLIC 832 Langsdale Ave
SERVICES
Invoice Date May 31, 2012
Invoice Number 0761- 001210776 Indianapolis, IN 46202 -1150
Current Invoice Charges
Date Description Reference Quanti Unit Price Amount
05/04 Basic Service 1.0000 $153.15 $153.15
Receipt Number 37829
05/07 Basic Service 1.0000 $153.15 $153.15
Receipt Number 37829
05/09 Basic Service 1.0000 $153.15 $153.15
Receipt Number 37829
05/11 Basic Service 1.0000 $153.15 $153.15
Receipt Number 37829
05/14 Basic Service 1.0000 $153.15 $153.15
Receipt Number 37829
05/16 Basic Service 1.0000 $153.15 $153.15
Receipt Number 37829
05118 Basic Service 1.0000 $153.15 $153.15
Receipt Number 37829
05/21 Basic Service 1.0000 $153.15 $153.15
Receipt Number 37829
05/23 Basic Service 1.0000 $153.15 $153.15
Receipt Number 37829
05/25 Basic Service 1.0000 $153.15 $153.15
Receipt Number 37829
05/29 Basic Service 1.0000 $153.15 $153.15
Receipt Number 37829
05/30 Basic Service 1.0000 $153.15 $153.15
Receipt Number 37829
Current Invoice Charges $3,216.15
Form No 301 -5 St e Bo 1995) Accounts ACCOUNTS PAYABL VOUCHER
Fom No. 301 1995)
TO
ADDRESS
Invoice Date Invoice Number Item Amount
I 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
'19
Signature Title
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.
Officer Title
Voucher No. Warrant No.
ACCOUNTS PAYABLE DETAILED ACCOUNTS
SANITATION DEPARTMENT ACCT.
CARMEL, INDIANA
Favor Of
iPoo tt C-
Total Amount of Voucher
Deductions
1
3W4, o e5
Amount of Warrant
Month of 19
VOUCHER RECORD Acct. No.
Collection System
Operation
Plant
Commercial
General
Undistributed
Construction
Depreciation Reserve
Stock Accounts Merchandise
Total
Allowed
Board Members
Filed
BOYCE FORMS SYSTEMS 1- 800.382 -8702 325
R
4V "AREPUBLIC CITY OF CARMEL Invoice
SERVICES �0 S Page 1 of 2
832 Langsdale Ave
Indianapolis, IN 46202 -1150
Payments /Adjustments
Gl m Date Description Reference Amount
05/12 Payment Thank You 208443 $105.00
o
Account Number ,3- 0761 0034742 Current Invoice Charges
Invoice Date May 25, 2012 City Hall 1 Civic Sq (L1) CSA 002763
Invoice Number 0761- 001200563 Carmel, IN
Previous Balance $210.00
Payments /Adjustments $105.00 1 Front Load (6 Yd) Scheduled Service (S1)
Unpaid Balance $105.00 Date Description Reference Quantity Unit Price Amount
Current Invoice Charges $105.00 05/25 Basic Service 06/01/12- 06/30/12 $105.00 $105.00
Current Invoice Charges $105.00
o e
$210.00
Due By: 06114112
0 0 0
Customer Service (317) 917 -7300
0 0 o o
Effective 4/16/2012: SERVICE INTERRUPTION D Lf'-,
POLICY CHANGE All accounts with a balance over JUN 1 8 2012
60 days will experience a service interruption unless I
prior arrangements are made. i
By
3ti.,. GUttF NC. z.. ,..,3"osmMimmugo AYS_r,FF�.'
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: 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 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.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 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))
05/25/12 0761 001200563 $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. W ARRANT 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
26460 0761 001200563 43- 501.01 $105.00 I 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
Monday, June 18, 2012
Director, Administration
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund
4 CITY OF CARMEL STREET DEPT Invoice
44 SERVICES
Page 1 of 2
832 Langsdale Ave
Indianapolis, IN 46202 -1150
Payments /Adjustments
Gl m Date Description Reference Amount
05/01 Payment Thank You 208019 $160.00
o 05/01 Payment Thank You 208019 $160.00
Account Number 3- 0761 0034751 05/03 Inv# 001165890 Dated 04/25/12 -$2.40
Invoice Date May 25, 2012 Re: Late Fee
Invoice Number 0761 001200565 Current Invoice Charges
Previous Balance $482.40
Payments /Adjustments $322.40 Street Department 3400 W 131st St (L1) CSA 002764
Unpaid Balance $160.00 Carmel, IN
Current Invoice Charges $160.00
2 Front Load (4 Yd) Scheduled Service (S1)
Date Description Reference Quanti Unit Price Amount
05/25 Basic Service 06/01/12 06/30/12 $160.00 $160.00
o Current Invoice Charges $160.00
$320.00
Due By: 06/14/12
0 0 0
Customer Service (317) 917 -7300
00 0 0
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.
Y,S¢.::A
160.00 160.00 0.00 0.00
To pay on -line or sign up for Past Due Balance $160.00
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 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.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))
05/25/12 0761= 001200565 $160.00
7
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. WARRAN 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 10761= 0012005651 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
Friday, une 152012
lio
M'd
Street Commissioner
JII GCa
Title ;tul l 11 l lgJlVl iCf
Cost distribution ledger classification if
claim paid motor vehicle highway fund
l "A REPUBLIC CITY OF CARMEL BROOKSHIRE GOLF Invoice
;W SERVICES
Page 1 of 2
832 Langsdale Ave
Indianapolis, IN 46202 -1150
���..�ry-�..77��r7�}���,,�.. Current Invoice Charges
Q l°AI NLVIAa'iA`7 C7�rta%IA`2TJ
Brookshire Golf Course 12120 Brookshire Pkwy (1-1) CSA 002765
Carmel, IN
o
Account Number 3- 0761 -0035460 1 Front Load (8 Yd) Scheduled Service (S1)
Invoice Date May 31, 2012 Date Description Reference Cluanti Unit Price Amount
Invoice Number 0761 001208915 05/31 Basic Service 06/01/12- 06/30/12 $132.00 $132.00
Previous Balance $132.00 Current Invoice Charges $132.00
Payments /Adjustments $0.00
Unpaid Balance $132.00
Current Invoice Charges $132.00
o o
$264.00.
Due By: 06/20/12
0 0 0
Customer Service (317) 917 -7300
00 0 0
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.
W ROEN'1 f r 38;tiAY.S to F�90 bAY,S, `z ti
132.00 132.00 0.00 0.00
To pay on -line or sign up for Past Due Balance $132.00
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.
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))
05/31/12 0761 001208915 Trash Removal $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
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 0012089151 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
Monday, June 11, 2012
I
Director, Brooks re Golf Club
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund
i R,
k 'AREPUBLIC CITY OF CARMEL FIRE DEPT Invoice
4- SERVICES
Page 1 of 2
832 Langsdale Ave
Indianapolis, IN 46202 -1150
Payments /Adjustments
L�CfIG, Date Description Reference Amount
05/01 Payment Thank You 208019 $25.00
Account Number 3 -0761- 0034441 Current Invoice Charges
Invoice Date May 25, 2012 Training Facility 510 3rd Ave SW (1-1) CSA 002792
Invoice Number 0761- 001200547 Carmel, IN
Previous Balance $50.00
Payments /Adjustments $25.00 1 Front Load (2 Yd) Scheduled Service (S1)
Unpaid Balance $25.00 Date Description Reference Quantity Unit Price Amount
Current Invoice Charges $25.00 05/25 Basic Service 06/01/12-06/30/12 $25.00 $25.00
Current Invoice Charges $25.00
o
$50.00
Due By: 06/14/12
a ERMOMM
Customer Service (317) 917 -7300
00 0 0�
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.
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.
e REPUBL /C CITY OF CARMEL FIRE DEPT Invoice
4 SERVICES
Page 1 of 3
832 ngsdale Ave
Indianapolis, IN 46202 -1150
Payments /Adjustments
,A division of REPUBLIC SERVICES Date Description Reference Amount
05/03 Inv# 001165887 Dated 04/25/12 -$0.89
Acc ount Re: Late Fee
Account Number 3 -0761- 0034703 05/12 Payment Thank You 208443 $259.54
Invoice Date May 25, 2012 05/07 05/07/12 Unreferenced Memo $59.60
Invoice Number 0761- 001200562 For Site 00001 Service Group 01
Re: Fuel- Environmental Fee
Previous Balance $667.35 05/07 Inv# 001120458 Dated 03/25/12 $33.32
Payments /Adjustments $353.35 For Site 00001 Service Group 01
Unpaid Balance $314.00 Re: Fuel- Environmental Fee
Current Invoice Charges $314.00
Current Invoice Charges
Fire Station 41 2 Civic Scl (L1) CSA 002757
Carmel, IN
P Am 1 Front Load (8 Yd) Scheduled Service (S1)
$628'00 Date Description Reference Quanti Unit Price Amount
Due By: 06/14/12 05/25 Basic Service 06101/12- 06/30/12 $132.00 $132.00
Fire Station 42 3610 W 106th St (1-2) CSA 002758
C Inf Carmel, IN
Customer Service (317) 917 -7300 1 Front Load (4 Yd) Scheduled Service (S1)
Date Description Reference Quanti Unit Price Amount
05/25 Basic Service 06/01/12 06130/12 $56.00 $56.00
Im portant Information Fire Station 43 3242 E 1061th St (L3) CSA 002759
Effective 4/16/2012: SERVICE INTERRUPTION Carmel, IN
POLICY CHANGE All accounts with a balance over 1 Front Load (2 Yd) Scheduled Service (Si
60 days will experience a service interruption unless
x
prior arrangements are made. Date Description Reference Quanti Unit Price Amount
05/25 Basic Service 06/01/12 06/30/12 $35.00 $35.00
Fire Station 44 5032 E 131st St (L4) CSA 002760
Carmel, IN
1 Front Load (2 Yd) Scheduled Service (S1)
0 C1URRENT, R 3011DAY8�2, M�M60 DAAY& 90 +IDAYS
314.00 314.00 0.00 0.00
To pay on -line or sign up for Past Due Balance $314.00
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 0034703 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.
001123- 000002 000002 002246 2304330 2240ST03 1 23
Page 3 of 3
R CITY OF CARMEL FIRE DEPT Republic Services #761
REPUBLIC Account Number 3- 0761 0034703 832 Langsdale Ave
SERVICES Invoice Date May 25, 2012
Invoice Number 0761- 001200562 Indianapolis, IN 46202 -1150
Current Invoice Charges
Date Description Reference Quanti Unit Price Amount
05/25 Basic Service 06/01/12- 06/30/12 $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
05/25 Basic Service 06/01/12- 06/30/12 $56.00 $56.00
Current Invoice Charges $314.00
gj B oo m
prescribed by State Board of Accounts City Form No. 201 (Rev. 1995)
ACCOUNTS PAYABLE VOUCHER
CITY OF CARMEL
4n 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 001200562 $314.00
0761 001200547 $25.00
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
VOU NO. WA RRANT NO.
ALLOWED 20
Republic Services
IN SUM OF
832 Lansdale Avenue
Indianapolis, IN 46202
$339.00
ON ACCOUNT OF APPROPRIATION FOR
Carmel Fire Department
PO# Dept. INVOICE NO. ACCT #/TITLE AMOUNT
Board Members
1120 0761 001200562 43- 501.01 $314.00 1 hereby certify that the attached invoice(s), or
1120 0761 001200547 43- 501.01 $25.00 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
IIII In882012
r,• d
0/ Fire Chief
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund