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211029 07/17/2012
CITY OF CARMEL, INDIANA VENDOR: 358593 Page 1 of 1 `F. ONE CIVIC SQUARE REPUBLIC WASTE SERVICES OF INDIA y� CARMEL, INDIANA 46032 PO BOX 9001099 CHECK AMOUNT: $2,178.10 LOUISVILLE KY 40290-1099 CHECK NUMBER: 211029 CHECK DATE: 7117/2012 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 651 5023990 07610012404 127 . 03 OTHER EXPENSES 651 5023990 076100124046 267 . 19 OTHER EXPENSES 1120 4350101 761001235339 25 . 00 TRASH COLLECTION 1110 4350101 761001235353 154 . 00 TRASH COLLECTION 1120 4350101 761001235354 314 . 00 TRASH COLLECTION 1205 4350101 26460 761001235355 105 . 00 TRASH COLLECTION AT C 2201 4350100 26271 761001235357 160 . 00 TRASH COLLECTION 1091 4350101 761001235460 743 . 88 TRASH COLLECTION 1125 4350101 761001240463 150 . 00 TRASH COLLECTION 1207 4350101 20711 761001244205 132 . 00 TRASH SERVICE qR"A a Invoice REPUBLIC CITY OF CARMEL �y(y vw 44 SERVICES O� Page 1 of 2 832 Langsdale Ave Indianapolis,IN 46202-1150 Payments/Adjustments Date Description Reference Amount 05/26 Payment-Thank You 208849 -$105.00 0 06/25 Payment-Thank You 210113 -$105.00 Account Number 3-0761-0034742 Invoice Date June 25,2012 Current Invoice Charges Invoice Number 0761-001235355 City Hall 1 Civic Scl (L1) CSA 002763 Previous Balance $210.00 Carmel,IN Payments/Adjustments -$210.00 Unpaid Balance $0.00 1 -Front Load(6 Yd) Scheduled Service (S1) Current Invoice Charges $105.00 Date Description Reference Quantity Unit Price Amount 06/25 Basic Service 07/01/12-07/31/12 $105.00 $105.00 Current Invoice Charges $105.00 D � O $105.00 Due By: 07/15/12 Customer Service (317)917-7300 ftop[00 0 0 D Q � Effective 4/16/2012:SERVICE INTERRUPTION JUL 16 2012 i POLICY CHANGE All accounts with a balance over 60 days will experience a service interruption unless prior arrangements are made. By ' s.��'13A .�I<'. Y,'>':i€;I:",� '.''a >:.:.::"��aD+il 105.00 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 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.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 $ 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 0761-001235355 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, July 16, 2012 Director, dministratio 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)) 06/25/12 0761-001235355 $105.00 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 �R7�REPUBLIC CITY OF CARMEL BROOKSHIRE GOLF Invoice 4#4 SERVICES Page 1 of 2 832 Langsdale Ave Indianapolis,IN 46202-1150 Payments/Adjustments Date Description Reference Amount 06/09 Payment-Thank You 209322 -$132.00 o 06/25 Payment-Thank You 210113 -$132.00 Account Number 3-0761-0035460 Current Invoice Charges Invoice Date June 30,2012 Invoice Number 0761-001244205 Brookshire Golf Course 12120 Brookshire Pkwy (L1) CSA 002765 Previous Balance $264.00 Carmel,IN Payments/Adjustments -$264.00 Unpaid Balance $0.00 1 -Front Load(8 Yd) Scheduled Service (S1) Current Invoice Charges $132.00 Date Description Reference Quantity Unit Price Amount 06/30 Basic Service 07/01/12-07/31/12 $132.00 $132.00 Current Invoice Charges $132.00 $132.00 Due By: 07/20/12 0 0 0 Customer Service (317)917-7300 00 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. . U ARE H'C%=:::r::�:::::::r�s:.,=.<�.::::::: Qi:#�AYS.:",<4,::::::: ;.°:<>°'�:::.::`.�#:E�AYS.�:a:.�...::: .::::;,�.::.>:t•::90±.#�AYS:;�:.:::::::':.:: 132.00 0.00 0.00 0.00 i o 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 1 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. 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. I ACCT#/TITLE AMOUNT Board Members 20711 1 0761-0012442051 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 Thursday, July 12, 2012 Director, Brookshir olf 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)) 06/30/12 0761-001244205 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 qR-AREPUBLIC CITY OF CARMEL STREET DEPT Invoice 4.4 SERVICES Page 1 of 2 832 Langsdale Ave Indianapolis,IN 46202-1150 Payments/Adjustments '• -'% ' ' V` +" Date Description Reference Amount 05/26 Payment-Thank You 208849 -$160.00 s t ;w 06/25 Payment-Thank You 210113 -$160.00 Account Number 3-0761-0034751 Current Invoice Charges Invoice Date June 25,2012 Invoice Number 0761-001235357 Street Department 3400 W 131st St (L1) CSA 002764 Previous Balance $320.00 Carmel,IN Payments/Adjustments -$320.00 Unpaid Balance $0.00. 2-Front Load(4 Yd) Scheduled Service (S1) Current Invoice Charges $160.00 Date Description Reference Quantity Unit Price Amount 06/25 Basic Service 07/01/12-07/31/12 $160.00 $160.00 Current Invoice Charges $160.00 NZ VM�&MqM., $160.00 Due By: 07/15/12 o o o Customer Service (317)917-7300 0 0 0 o = ; 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. :: :' .::,:::�:... r:.::CUf7R N7. �<......... �O.t7AYS..:...:.....:..: :....>:;,::�:::�6t#::f3AY<Sx�::::::;�>::�.<.:,...:<...:....9�..; AYS�•:,�<,:..n� 160.00 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 -- -- — - — J 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. 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 0761-001235357 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 �r J ' WednesdayJuly 11, 2012 UO // Street Commissigner 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)) 06/25/12 0761-001235357 $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 qR"AREPUBLIC CARMEL CLAY PARK'S Invoice ;W SERVICES Page 1 of 2 832 Langsdale Ave Indianapolis,IN 46202-1150 Payments/Adjustments Q �G Date Description Reference Amount 05/26 Payment-Thank You 208849 -$150.00 06/25 Payment-Thank You 209831 -$150.00 Account Number 3-0761-1410948 Invoice Date June 25,2012 Current Invoice Charges Invoice Number 0761-001240463 Carmel Clay Park's 1411 E 116th St (1-1) CSA 94811711 Previous Balance $300.00 Carmel,IN Payments/Adjustments -$300.00 Unpaid Balance $0.00 2-Front Load(8 Yd) Scheduled Service (S1) Current Invoice Charges $150.00 Date Description Reference Quantity Unit Price Amount 06/25 Basic Service 07/01/12-07/31/12 $150.00 $150.00 Current Invoice Charges $150.00 LPTWVM 0 $150.00 Due By: 07/15/12 0 0 0 Customer Service (317)917-7300 Purchase Description P RF ; T � } 4, -/ P.O.# PorF G.L.# x}350101 - JUL Q 2 2012 MWOMM 0 0 MmEalm Budget Effective 4/1612012:SERVICE INTERRUPTION Line DeSCr I ! _A�� � ►�!■ _ POLICY CHANGE All accounts with a balance over Purchaser Date 60 days will experience a service interruption unless prior arrangements are made. Approval Date ::.::._;,...... .90+:13AY5, 150.00 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 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. Goy .._._..,.�_.... __. .._..._.. CARMEL CLAY PARKS JUL 0 2 2012 Invoice SERVICES Page 1 of 2 832 Langsdale Ave Q 1 : Indianapolis,IN 46202-1150 Payments/Adjustments GJCQl3 Date Description Reference Amount 05/26 Payment-Thank You 208849 -$1,033.80 06/25 Payment-Thank You 209831 -$599.90 Account Number 3-0761-0036974 06/25 Inv#001200672 Dated 05/25/12 -$7.15 Invoice Date June 25,2012 For Site 00001 Service Group 01 Re: Basic Service Invoice Number 0761-001235460 06/25 Inv#001200672 Dated 05/25/12 -$16.10 Previous Balance $1,633.70 For Site 00001 Service Group 02 Payments/Adjustments -$1,656.95 Re: Basic Service Unpaid Balance -$23.25 Current Invoice Charges $883.00 Current Invoice Charges Monon Center 1235 Central Park Dr E (L1) CSA 6974053112 Carmel,IN &@Dam, 1 -Front Load(4 Yd) Scheduled Service (S1) $859.75 Date Description efe-minice Quantity Unit Price Amount\ 06!25 Rate Adjustment 05/3?;?2-06/30!?2 1.0000 $160.00 $75.87 \ Due By: 07/15/12 06/25 Rate Adjustment 06/25/12-07/31/12 �� 1� 1.0000 $200.00 $47.89 ::1 06/25 Basic Service 07/01/12-07/31/12 /I .' $160.00 $160.00 0 0 0 ° 1 -Front Load(10 Yd) Scheduled Service (S2) v�c 4 C3-� Customer Service (317)917-7300 Date Description Reference Quantity Unit Price Amount 06/25 Rate Adjustment 06/25/12-07/31/12 1.0000 $488.00 $83.47 06/25 Basic Service 07/01/12-07/31/12 /$418.28 $4Tg7g� 0 0 0 0 1 -Front Load Recycling(6 Yd) Scheduled Service (S3) Corrugated Only Effective 4/16/2012:SERVICE INTERRUPTION Date Description Reference Quantity Unit Price Amount POLICY CHANGE All accounts with a balance over 06/25 Recycling Service 07/01/12-07/31/12 $41.82 (/$41.82 ys will experience a service interruption unless 1 -Front Load Recycling 8 Ycl Scheduled Service S4 Comin led PU pr arrangem�gIs are made. �L P Y 9( ) ( ) Coming led • ription DEM2.LM Date Description Reference Quantity Unit Price Amount P. # PorF 06/25 Recycling Service 07/01/12-07/31/ $55.67 $55.67 # S Current Invoice Charge $ .00 Lain eescr //lI�'/ 1 Pur aser Date oval AP Date .:..:..:...... ft :.•:::>:;:,;;;,. .. S<::',:::::::;�:: „:::::::. 00 23.25 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.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 6/25/12 761001240463 Dumpster AO Jul'12 $ 150.00 6/25/12 761001235460 Dumpster MCC Jul'12 $ 743.88 Total $ 893.88 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$ $ 893.88 ON ACCOUNT OF APPROPRIATION FOR 101 - General Fund & 109 Monon Center PO#or INVOICE NO. ACCT#/TITLE AMOUNT Board Members Dept# 1125 761001240463 4350101 $ 150.00 1 hereby certify that the attached invoice(s), or 1091 761001235460 4350101 $ 743.88 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 12-Jul 2012 VZWL-&�� Signature $ 893.88 Accounts Payable Coordinator Cost distribution ledger classification if Title claim paid motor vehicle highway fund e REPUBL/C CITY OF CARMEL FIRE DEPT Invoice SERVICES Page 1 of 2 832 Langsdale Ave Indianapolis,IN 46202-1150 Payments/Adjustments Date Description Reference Amount 05/26 Payment-Thank You 208849 -$25.00 Q 06/25 Payment-Thank You 210113 -$25.00 Account Number 3-0761-0034441 es Current Invoice Char Invoice Date June 25,2012 g Invoice Number 0761-001235339 Training Facility 510 3rd Ave SW (Li) CSA 002792 Previous Balance $50.00 Carmel,IN Payments/Adjustments -$50.00 Unpaid Balance $0.00 1 -Front Load(2 Yd) Scheduled Service (S1) Current Invoice Charges $25.00 Date Description Reference Quantity Unit Price Amount 06/25 Basic Service 07/01/12-07/31/12 $25.00 $25.00 Current Invoice Charges $25.00 MNVM0 $25.00 Due By: 07/15/12 0 MEDMM 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. r..::..,:.;.. i::..:::::: WDAYS=. 25.00 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 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. I 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. 7;REPUBLIC CITY OF CARMEL FIRE DEPT Invoice ZO SERVICES Page 1 of 3 832 Langsdale Ave Indianapolis,IN 46202-1150 Payments/Adjustments A division of REPUBLIC SERYICES Date Description Reference Amount 05/26 Payment-Thank You 208849 -$314.00 Account 06/25 Payment-Thank You 210113 -$314.00 Account Number 3-0761-0034703 Current Invoice Charges Invoice Date June 25,2012 g Invoice Number 0761-001235354 Fire Station 41 2 Civic Scl (L1) CSA 002757 Previous Balance $628.00 Carmel,IN Payments/Adjustments -$628.00 Unpaid Balance $0.00 1 -Front Load(8 Yd) Scheduled Service (S1) Current Invoice Charges $314.00 Date Description Reference Quantity Unit Price Amount 06/25 Basic Service 07/01/12-07/31/12 $132.00 $132.00 Fire Station 42 3610 W 106th St (1-2) CSA 002758 Carmel,IN ArboLint 1 -Front Load(4 Yd) Scheduled Service (S1) $314.00 Date Description Reference Quantity Unit Price Amount Due By: 07/15/12 06/25 Basic Service 07/01/12-07/31/12 $56.00 $56.00 Fire Station 43 3242 E 106th St (L3) CSA 002759 Contact Information Carmel,IN Customer Service (317)917-7300 1 -Front Load(2 Yd) Scheduled Service (S1) Date Description Reference Quantity Unit Price Amount 06/25 Basic Service 07/01/12-07/31/12 $35.00 $35.00 Important Information' Fire Station 44 5032 E 131st St (L4) CSA 002760 Effective 4/16/2012:SERVICE INTERRUPTION Carmel,IN 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 Quantity Unit Price Amount 06/25 Basic Service 07/01/12-07/31/12 $35.00 $35.00 Fire Station 46 540 W 136th St (L6) CSA 002762 Carmel,IN 1 -Front Load(2_Yd) Scheduled Service (S3) CURRENT. ;,;..._ 30 DAYS.............. ',,:,60 DAYS 90+..DAYS... ... 314.00 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 I.—Al r1;�„„�,l „„„, or to sign up for our convenient automatic payment plan. 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. 001012-000002-000002-002024 2305274 2240ST03 1 3 Page 3 of 3 R CITY OF CARMEL FIRE DEPT Republic Services #761 REPUBLIC Account nv Number _ _3 -0761-_0034703 g32 Langsdale Ave fj►� SERVICES Invoice Date June 25, 2012 Invoice Number 0761-001235354 Indianapolis, IN 46202-1150 Current Invoice Charges Date Description Reference Quantity Unit Price Amount 06/25 Basic Service 07/01/12-07/31/12 $56.00 $56.00 Current Invoice Charges $314.00 t VOUCHER NO. WARRANT 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 0761-001235339 43-501.01 $25.00 1 hereby certify that the attached invoice(s), or 1120 0761-001235354 43-501.01 $314.00 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 II II + ff Fire Chief Title Cost distribution ledger classification if claim paid motor vehicle highway fund )rescribed by State Board of Accounts City Form No.201 (Rev.1995) ACCOUNTS PAYABLE VOUCHER CITY OF CARMEL Nn invoice or bill to be properly itemized must show: kind of service,where performed, dates service rendered, by vhom, 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)) 0761-001235339 $25.00 0761-001235354 $314.00 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 of REPUBLIC CITY OF CARMEL POLICE Invoice t!►°�1 SERVICES Page 1 of 2 832 Langsdale Ave Indianapolis,IN 46202-1150 Payments/Adjustments Qm Date Description Reference Amount 05/26 Payment-Thank You 208849 -$133.00 t�oaUjj` f nn j�. 06/25 Payment-Thank You 210113 -$160.91 Account Number 3-0761-0034698 es Current Invoice Char Invoice Date June 25,2012 g Invoice Number 0761-001235353 Police Firing Range 9609 Hazel Dell Pkwy (L1) CSA 002755 Previous Balance $293.91 Carmel,IN Payments/Adjustments -$293.91 Unpaid Balance $0.00 1 -Front Load(8 Yd) Scheduled Service (S4) Current Invoice Charges $154.00 Date Description Reference Quantity Unit Price Amount 06/25 Basic Service 07/01/12-07/31/12 $77.00 $77.00 Police Headquarters 3 Civic Sq (1-2) CSA 002756 Carmel,IN Vo VAV AUEEDDR 1 -Front Load(8 Yd) Scheduled Service (S1) $1 54.00 Rate Description cription Reference Quantity Unit Price Amount Due By: 07/15/12 06/25 Basic Service 07/01/12-07/31112 $77.00 $77.00 0 0 0 Current Invoice Charges $154.00 Customer Service (317)917-7300 0 0 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. 154.00 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 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. VOUCHER NO. WARRANT NO. ALLOWED 20 Republic Services #761 IN SUM OF $ P.O. Box 9001099 Louisville, KY 40290-1099 $154.00 ON ACCOUNT OF APPROPRIATION FOR Carmel Police Department PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members 1110 1 0761-0012353531 43-501.01 1 $154.00 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 Wednesday, July 11, 2012 Chief of Police 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)) 06/25/12 0761-001235353 monthly payment $154.00 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 4V REPUBLIC CARMEL UTILITIES Invoice ►y� SERVICES Page 1 of 2 832 Langsdale Ave Indianapolis,IN 46202-1150 Payments/Adjustments GJt�G Date Description Reference Amount 05/26 Payment-Thank You 208849 -$219.11 06/25 Payment-Thank You 210113 -$173.07 Account Number 3-0761-1410954 Invoice Date June 25,2012 Current Invoice Charges Invoice Number 0761-001240465 Carmel Utilities 901 N Range Line Rd (L1) Previous Balance $346.14 Carmel,IN Payments/Adjustments -$392.18 Unpaid Balance -$46.04 1 -Front Load(8 Yd) Scheduled Service (S1) Current Invoice Charges $173.07 Date Description Reference Quantity Unit Price Amount 06/25 Basic Service 07/01/12-07/31/12 $126.13 $126.13 1 -Front Load(2 Yd) Scheduled Service (S2) o Date Description Reference Quantity Unit Price Amount $127.03 06/25 Basic Service 07/01/12-07/31/12 $46.94 $46.94 Due By: 07/15/12 Current invoice Charges $173.07 0 muff 0� 0 Customer Service (317)917-7300 wuumflun WWWDUDER]m Your next Invoice may reflect a rate adjustment,if you have any questions after receiving your next invoice please contact us. 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. eui A:: o QA 173.07 -46.04 0.00 0.00 To pay on-line or sign up for 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 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.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. 4 REPUBLIC CARMEL UTILITIES Invoice SERVICES Page 1 of 2 832 Langsdale Ave Indianapolis,IN 46202-1150 Payments/Adjustments LJ �G Date Description Reference Amount 05/26 Payment-Thank You 208849 -$460.83 ' ° 1l 06/25 Payment-Thank You 210113 -$364.01 Account Number 3-0761-1410955 Current Invoice Charges Invoice Date June 25,2012 g Invoice Number 0761-001240466 Carmel Utilities 9609 Hazel Dell Parkway (L1) Previous Balance $728.02 Carmel,IN Payments/Adjustments -$824.84 Unpaid Balance -$96.82 14-Front Load(2 Yd) Scheduled Service (S1) Current Invoice Charges $364.01 Date Description Reference Quantity Unit Price Amount 06/25 Basic Service 07/01/12-07/31/12 $364.01 $364.01 Current Invoice Charges $364.01 ° o $267.19 Due By: 07/15/12 @& maomm 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. O13AY5;.•<;< .; :: :=i 6 0.0 AYS:::,:;::a::::::::> 364.01 -96.82 0.00 0.00 To pay on-line or sign up for convenient auto pay, go to: AA • Visit our webs ite,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 conditinre 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. VOUCHER # 125249 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 07610012404 01-736H-08 $127.03 o X610©► a'(��1�.� o�.73G�.o 5 3 . 2'� Voucher Total $1 3 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 I Due Date 7/6/2012 Invoice Invoice Description Date Number (or note attached invoice(s) or bill(s)) Amount 7/6/2012 0761001240 $127.03 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 Date Officer