211089 07/17/2012 .f CITY OF CARMEL, INDIANA VENDOR: 00352479 Page 1 of 1
ONE CIVIC SQUARE WASTE MANAGEMENT CHECK AMOUNT: $219.82
CARMEL, INDIANA 46032 BILL PAYMENT CENTER
s� PO BOX 4648 CHECK NUMBER: 211089
CAROL STREAM IL 60197-4648
CHECK DATE: 7/17/2012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1207 4350101 176334224795 219 . 82 TRASH COLLECTION
Page 1 of 3
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WA11-
"®'�� Customer: BROOKSHIRE GOLF CLUB
® V Account Number: 600-0001510-2479-1
WASTE MBANAGEMEINIT Invoice Date: 07/01/2012
Waste Management Invoice Number: 1763342-2479-5
Attn: Port-O_Let Billing Due Date: Due Upon Receipt
1411 Opus Place,Suite 400 WM ezPay Account ID: 00001-29232-93008
Downers Grove,IL 60515
(800)443-5646 Customer Service
(866)863-4834 FAX Total Current Charges Total Amount Due
219.82
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Please pay total amount due.Thank you for your
Description business.
Previous Balance 434.31
Total Credits and Adjustments 0.00
Total Payments Received 434.31-
Total Current Charges 219.82_
Total Amount Due 219.82
-.___TOtal_Am4unt P_ast_Due_ 0.00 V _
,y g .x,.,,,l;,.a v�y,i, i, ,,,, ., r t�;,; WASTE MANAGEMENT APPRECIATES THE OPPORTUNITY
Se;�vic'e Pe"rioii: JUN 2012,SERVICE n , r., �tr4�?.-Ov"5,,�� xi Y, TO SERVE YOU.TO INSURE PROPER APPLICATION OF YOUR
Description Amount PAYMENT,PLEASE USE THE ENCLOSED REMITTANCE STUB
Commercial 219.82 AND RETURN ENVELOPE.THANK YOU
Total Current Charges 219.82 On July 1,our Fuel Surcharge index increases from.055%
to.062%for each$.01 change in price as reported by the
US Dept of Energy. Payment of your invoice is considered
If full payment of the invoiced amount is not received within 30 days of the invoice date, you consent to this change. For more information visit
will be charged a monthly late fee of 1.5% of the unpaid amount, with a minimum monthly www.wm.com/fec.
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.
Want to pay this bill on-line?Visit www.wm.com and click on
My Account to make a convenient,secure payment.
W , _J .:�� LAN Over,30,, u," ll vFOver�9U"x g :4 9�er,1201 ° T,otal:Due ,
; �,Current�D'ue�� ,��. � '��i a�(,fx�F,�a� �.,.Over:',6. ,-�a��,,�, a�� ti,..'., ��.,�'�� .... N��ah. _. . . a�
219.82 0.00 0.00 0.00 0.00 219.82
Page 3 of 3
WA_/ Customer: BROOKSHIRE GOLF CLUB
® Account Number: 600-0001510-2479-1
WASTE a1ila4IMAGEMEINIT Invoice Date: 07/01/2012
Waste Management Invoice Number: 1763342-2479-5
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
^Servic'e:,Location. „!��60015,1O;.B�ookshire;Golf,;Club ';rv92120`:Brook§hire;�Pkw Carmelln�41i033=3314�";;�r +'b+, ?�,„f,.rvz,,r��� ;,.;� �t-�`,,�,t;
Date Ticket Description Quantity U/M Rate Amount
07/01/12 Pol 1x wk 2.00 173.34
07/01/12 Pol winterization fee 1.00 0.00
07/01/12 Fuel/environmental charge pol 46.48
Total Current Charges 219.82
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Pa ments,.Recelved Detallz• 2k 2, „.� �i ;r, ,u i�� ;.
.........s ..._._ t,,�;�^,:•;.r�'r .5�r.....lw.tF.,.bd 'rsi.'tr.5,.r.,�,��f...��t....;�,dF,XE..a ..��„' �i.�h.s'�z:�. i'�r,r-.�t�?M.,; ',,,. :.mac j, �r,'.7s::d <`t,"..4s�",..5.3.�-tm.i;?f.:,."I�:i'�,c,K3.,w. �;t
Payment-thank you 434.31-
--
----Total Payments Received _ _ _ 434.31-
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From everyday collection to environmental protection,Think Green! Think Waste Management. recycled paper.
°o 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
$219.82
ON ACCOUNT OF APPROPRIATION FOR
Brookshire Golf Club
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
1207 1 1763342-2479-5 I 43-501.01 I $219.82 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, July 02, 2012
Director, Brookshire off 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))
07/01/12 1763342-2479-5 Trash $219.82
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