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211925 08/14/2012 a- CITY OF CARMEL, INDIANA VENDOR: 358593 Page 1 of 1 ONE CIVIC SQUARE REPUBLIC WASTE SERVICES OF INDIANA CARMEL, INDIANA 46032 PO BOX 9001099 CHECK AMOUNT: $2,186.74 LOUISVILLE KY 40290-1099 „o o CHECK NUMBER: 211925 CHECK DATE: 8/14/2012 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 651 5023990 07610012782 200 . 73 OTHER EXPENSES 651 5023990 076100127825 364 . 01 OTHER EXPENSES 1091 4350101 731001273204 553 . 75 TRASH COLLECTION 1120 4350101 24302 761001273084 25 . 00 TRASH SERVICE 1110 4350101 761001273098 154 . 00 TRASH COLLECTION 1120 4350101 24302 761001273099 315 . 85 TRASH SERVICE 1205 4350101 26460 761001273100 105 . 00 TRASH COLLECTION AT C 1115 4350900 761001273101 26 . 40 OTHER CONT SERVICES 2201 4350100 26271 761001273102 160 . 00 TRASH COLLECTION 1125 4350101 761001278247 150 . 00 TRASH COLLECTION 1207 4350101 20711 761001281384 132 . 00 TRASH SERVICE REPUBLIC CITY OF CARMEL POLICE Invoice SERVICES Page 1 of 2 832 Langsdale Ave Indianapolis,IN 46202-1150 Current Invoice Charges Police Firing Range 9609 Hazel Dell Pkwy (1-1) CSA 002755 Carmel,IN 1 -Front Load(8 Yd) Scheduled Service (S4) Account Number 3-0761-0034698 Invoice Date July 25,2012 Date Description Reference Quantity Unit Price Amount Invoice Number 0761-001273098 07/25 Basic Service 08/01/12-08/31/12 $77.00 $77.00 Previous Balance $154.00 police Headquarters 3 Civic Sq (L2) CSA 002756 - Payments/Adjustments $0.00 Carmel,IN Unpaid Balance $154.00 Current Invoice Charges $154.00 1 -Front Load(8 Yd) Scheduled Service (S1) Date Description Reference Quantity Unit Price Amount 07/25 Basic Service 08/01/12-08131/12 $77.00 $77.00 Current Invoice Charges $154.00 o Q 0 $308.00 Due By: 08/14/12 Customer Service (317)917-7300 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. H .__,-. ...:.:. .......aF�.'O:'t:::6:f.�",�,1%"<E<av::? 1JAYS€ ;.:.,_:;.r.,__... .:.s.._„v:.6tT.,AAYB.�':::-�,� 154.00 154.00 0.00 0.00 To pay on-line or sign up for Past Due Balance $154.00 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 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 1 761-001273098 I 43-501.01 I $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 Thursday, August 09, 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)) 07/25/12 761-001273098 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 4f REPUBLIC CARMEL CLAY PARK'S Invoice ►fi� SERVICES Page 1 of 2 832 Langsdale Ave Indianapolis,IN 46202-1150 Current Invoice Charges r.,q WTM Carmel Clay Park's 1411E 116th St (L1) CSA 94811711 Carmel,IN Q w 2-Front Load(8 Yd) Scheduled Service (S1) Account Number 3-0761-1410948 Invoice Date July 25,2012 Date Description Reference Quantity Unit Price Amount Invoice Number 0761-001278247 07/25 Basic Service 08/01/12-08131/12 $150.00 $150.00 Previous Balance $150.00 Current Invoice Charges $150.00 Payments/Adjustments $0.00 Unpaid Balance $150.00 Current Invoice Charges $150.00 h $300.00 Due By: 08/14/12 o 0 0 =;�:r:�,.,�.�-„� Purchase Customer Service .(317)917-7300 Description DUm P`S«:�r Ao N_�_6 k2 P.O.# P Qr F G.L.g#e ta�a-�2—�' }^�JSoI 0 0 o o Budget Descr ��1� � CQ�—L_ -C A Y �.:'.- . AUG 2 2012 Effective 4/16/2012:SERVICE INTERRUPTION Purchaser Date POLICY CHANGE All accounts with a balance over 60 days will experience a service interruption unless Approval Date BY: prior arrangements are made. ,;nr: ,<:«...�,>.>.: U -........�._..,�_.............. `:;. 6411'f314Y _......... ...G �tREN"I',-.:::,;.::::�. :�:-......,:.:;34 t3AYS;��;�� :..:v� r:: 150.00 150.00 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"MEPUBLOC CARMEL CLAY PARKS Invoice 413 SERVICES 832 Langsdale Ave Page 1 of 2 Indianapolis,IN 46202-1150 Payments/Adjustments Date Description Reference Amount 07/12 Inv#001235460 Dated 06/25/12 -$16.10 For Site 00001 Service Group 01 Account Number 3-0761-0036974 ' Re: Basic Service w Invoice Date July 25,2012 es Current Invoice Char Invoice Number 0761-001273204 g Previous Balance $859.75 Monon Center 1235 Central Park Dr E (1-1) CSA 6974053112 Payments/Adjustments -$16.10 Carmel,IN Unpaid Balance $843.65 Current Invoice Charges $553.75 1 -Front Load(4 Yd) Scheduled Service (S1) Date Description Reference Quantity Unit Price Amount 07/25 Rate Adjustment 07/01/12-07/31/12 1.0000 $84.13 -$115.87 07/25 Basic Service 08/01/12-08/31/12 $84.13 $84.13 1 -Front Load(10 Yd) Scheduled Service (S2) $1,397.40 Date Description Reference Quantity Unit Price Amount Due By: 08114/12 07/25 Basic Service 08/01/12-08/31/12 $488.00 $488.00 1 -Front Load Recycling(6 Yd) Scheduled Service (S3) Corrugated Only 0 0 0 Date Description Reference Quantity Unit Price Amount Customer Service (317)917-7300 07/25 Recycling Service 08/01/12-08/31/12 $41.82 $41.82 1 -Front Load Recycling(8 Yd) Scheduled Service (S4) Comingled Date Description Reference Quantity Unit Price Amount o e o 0 07/25 Recycling Service 08/01/12-08/31/12 $55.67 $55.67 Effective 4116/2012:SERVICE INTERRUPTION PurchasCurrent Invoice Charges $553.75 POLICY CHANGE All accounts with a balance over Description !/U alt� �— M� / `�l 2 60 days will experience a service interruption unless y --� ��^y prior arrangements are made. P.O.# P or F � C T-1 N 'J ED G.L.# 1 091 - LA 3501 O 1 Bud et AUG. 9 2 2012 Line Descr 1 RAC LUC-ll7t� Purchaser Date Approval ,?k Date g 5 a, 6�DAYS! € 00S 553.75 843.65 0.00 0.00 To pay on-line or sign up for Past Due Balance $843.65 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 7/25/12 761001278247 Dumpster AO Aug'12 $ 150.00 7125112 731001273204 Dumpster MCC Aug'12 $ 553.75 Total $ 703.75 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$ $ 703.75 ON ACCOUNT OF APPROPRIATION FOR 101 - General Fund & 109 Monon Center PO#or INVOICE NO. ACCT#/TITLE AMOUNT Board Members Dept# 1125 761001278247 4350101 $ 150.00 1 hereby certify that the attached invoice(s), or 1091 731001273204 4350101 $ 553.75 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 9-Aug 2012 Signature $ 703.75 Accounts Payable Coordinator Cost distribution ledger classification if Title claim paid motor vehicle highway fund REPUBLIC CITY OF CARMEL STREET DEPT Invoice ty� SERVICES Page 1 of 2 832 Langsdale Ave Indianapolis,IN 46202-1150 Current Invoice Charges } Street Department 3400 W 131st St (L1) CSA 002764 Carmel,IN AM 2-Front Load(4 Yd) Scheduled Service (S1) Account Number 3-0761-0034751 Invoice Date July 25,2012 Date Description Reference Quantity Unit Price Amount Invoice Number 0761-001273102 07/25 Basic Service 08/01/12-08/31/12 $160.00 $160.00 Previous Balance $160.00 Current Invoice Charges $160.00 Payments/Adjustments $0.00 Unpaid Balance $160.00 Current Invoice Charges $160.00 $320.00 Due By: 08/14/12 Customer Service (317)917-7300 19O MW o 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. 30 MAYS:::::: <;.;:,:. 6tt:) AYS. i= 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 0761-001273102 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 �t Thursday, August 09, 2012 s Street Commissioner Title v 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)) 07/25/12 0761-001273102 $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 R . 11 " .. -1 �d� k REPUBLIC CITY OF CARMEL p -g Invoice 44 SERVICES Page 1 of 2 832 Langsdale Ave 2 Indianapolis,IN 46202-1150 ��",NOW Current Invoice Charges '`" " City Hall 1 Civic Sq (1-1) CSA 002763 Carmel,IN 4. 1 -Front Load(6 Yd) Scheduled Service (S1) Account Number 3-0761-0034742 Invoice Date July 25,2012 Date Description Reference Quantity Unit Price Amount Invoice Number 0761-001273100 07/25 Basic Service 08/01/12-08/31/12 $105.00 $105.00 Previous Balance $105.00 Current Invoice Charges D-OO Payments/Adjustments $0.00 Unpaid Balance $105.00 Current Invoice Charges $105.00 $210.00 Due By: 08/14/12 Customer Service (317)917-7300 r oa o o O AUG 13 2012 ` 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. By :::::..:::_::: :<:6tJDAYSa :::.:gp...::DAYSr :;vn + 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: 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 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.electron icpayments.oM 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 0761-001273100 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, August 13, 2012 Director, Administration 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)) 07/25/12 0761-001273100 $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 �R"A REPUBLIC CITY OF CARMEL BROOKSHIRE GOLF Invoice 443 SERVICES Page 1 of 2 832 Langsdale Ave Indianapolis,IN 46202-1150 Payments/Adjustments cflli3 Date Description Reference Amount 08/01 Payment-Thank You 211029 -$132.00 Account Number 3-0761-0035460 Current Invoice Charges Invoice Date July 31,2012 Brookshire Golf Course 12120 Brookshire Pkwy (L1) CSA 002765 Invoice Number 0761-001281384 Carmel,IN Previous Balance $132.00 Payments/Adjustments -$132.00 1 -Front Load(8 Yd) Scheduled Service (S1) Unpaid Balance $0.00 Date Description Reference Quanti Unit Price Amount Current Invoice Charges $132.00 07/31 Basic Service 08/01/12-08/31/12 $132.00 $132.00 Current Invoice Charges $132.00 � � U $132.00 Due By: 08/20/12 Customer Service (317)917-7300 Ou0 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,.s:: 132.00 0.00 0.00 0.00 To 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 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 $132.00 ON ACCOUNT OF APPROPRIATION FOR Brookshire Golf Club PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members 20711 1 0761-0012813841 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 Friday, August 10, 2012 Director, Brookshir Golf Club Title Cost distribution ledger classification if claim paid motor vehicle highway fund Prescribed by State Board of Accounts City Form No.201 (Rev.1995) ACCOUNTS PAYABLE VOUCHER CITY OF CARMEL An invoice or bill to be properly itemized must show: kind of service,where performed, dates service rendered, by whom, rates per day, number of hours, rate per hour, number of units, price per unit, etc. Payee Purchase Order No. Terms Date Due Invoice Invoice Description Amount Date Number (or note attached invoice(s) or bill(s)) 07/31/12 1 0761-001281384 I Trash Collection I $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 REPUBLIC CITY OF CARMEL FIRE DEPT Invoice t�►� SERVICES Page 1 of 2 832 Langsdale Ave Indianapolis,IN 46202-1150 Current Invoice Charges Training Facility 510 3rd Ave SW (1-1) CSA 002792 Carmel,IN 1 -Front Load(2 Yd) Scheduled Service (S1) Account Number 3-0761-0034441 - Invoice Date July 25,2012 Date Description Reference Quantity Unit Price Amount Invoice Number 0761-001273084 07/25 Basic Service 08/01/12-08/31/12 $25.00 $25.00 Previous Balance $25.00 Current Invoice Charges $25.00 Payments/Adjustments $0.00 Unpaid Balance $25.00 Current Invoice Charges $25.00 o $50.00 Due By: 08/14/12 Customer Service (317)917-7300 0 0 0 0 M 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. .:. CURRENT. ::_:::::. 90+: 1t .:.::::... 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. R 1 REPUBLIC CITY OF CARMEL FIRE DEPT Invoice SERVICES 832 Langsdale Ave Page 1 of 3 Indianapolis,IN 46202-1150 Current Invoice Charges Q �L Fire Station 41 2 Civic Sq (L1) CSA 002757 Carmel,IN Account Number 3-0761-0034703 1 -Front Load(8 Yd) Scheduled Service (S1) Invoice Date July 25,2012 Date Description Reference Quantity Unit Price Amount Invoice Number 0761-001273099 07/25 Basic Service 08/01/12-08/31/12 $132.00 $132.00 Previous Balance $314.00 Fire Station 42 3610 W 106th St (L2) CSA 002758 Payments/Adjustments $0.00 Carmel,IN Unpaid Balance $314.00 Current Invoice Charges $315.85 1 -Front Load(4 Yd) Scheduled Service (S1) Date Description Reference Quantity Unit Price Amount 07/25 Basic Service 07/10/12-07/31/12 1.0000 $56.00 -$40.50 1 -Front Load(2 Yd) Scheduled Service (S3) o e ��rr Date Description Reference Quanti Unit Price Amount $629.85 07/25 Basic Service 07/09/12-07/31/12 1.0000 $56.00 $42.35 Due By: 08/14/12 07/25 Basic Service 08/01/12-08131/12 $56.00 $56.00 Fire Station 43 3242 E 106th St (L3) CSA 002759 0 0 0 Carmel,IN Customer Service (317)917-7300 1 -Front Load(2 Yd) Scheduled Service (S1) Date Description Reference Quanti Unit Price Amount 07/25 Basic Service 08/01/12-08/31/12 $35.00 $35.00 0 0 0 0 Fire Station 44 5032 E 131st St (L4) CSA 002760 Carmel,IN Effective 4/16/2012:SERVICE INTERRUPTION 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 07/25 Basic Service 08/01/12-08/31/12 $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`;" 315.85 314.00 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. 001163-000002-000002-002326 2306264 2240ST03 1 3 Page 3 of 3 CITY OF CARMEL FIRE DEPT Republic Services #761 Account Number 3-0761-0034703 q 7)REPUBLIC 832 Langsdale Ave SERVICES Invoice Date July 25,2012 Invoice Number 0761-001273099 Indianapolis, IN 46202-1150 Current Invoice Charges Date Description Reference Quantity Unit Price Amount 07/25 Basic Service 07/02/12-07/31/12 1.0000 $56.00 -$55.23 1 -Front Load(4 Yd) Scheduled Service (S4) Date Description Reference Quantity Unit Price Amount 07/25 Basic Service 07/02/12-07/31/12 1.0000 $56.00 $55.23 07/25 Basic Service 08101/12-08/31/12 $56.00 $56.00 Current Invoice Charges $315.85 VOUCHER NO. WARRANT NO. ALLOWED 20 Republic Services IN SUM OF $ 832 Lansdale Avenue Indianapolis, IN 46202 $340.85 ON ACCOUNT OF APPROPRIATION FOR Carmel Fire Department PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members 1120 0761-001273099 43-501.01 $315.85 1 hereby certify that the attached invoice(s), or 1120 0761-001273084 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 AUG 13'2012 5.. 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 4n invoice or bill to be properly itemized must show: kind of service,where performed, dates service rendered, by Nhom, 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)) 0761-001273099 $315.85 0761-001273084 $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 q OA REPUBLIC CITY OF CARMEL Invoice ;W SERVICES Page 1 of 2 832 Langsdale Ave Indianapolis,IN 46202-1150 Payments/Adjustments Date Description Reference Amount 07/21 Payment-Thank You 210525 -$26.40 Account Number 3-0761-0034749 Current Invoice Charges Invoice Date July 25,2012 Communications Department 31 1st Ave NW (L1) CSA 002772 Invoice Number 0761-001273101 Carmel,IN Previous Balance $26.40 Payments/Adjustments -$26.40 1 -Front Load(4 Yd) Scheduled Service (S4) Unpaid Balance $0.00 Date Description Reference Quantity Unit Price Amount Current Invoice Charges $26.40 07/25 Basic Service 08/01/12-08/31/12 $26.40 $26.40 Current Invoice Charges $26.40 $26.40 Due By: 08/14/12 o ©` 0.2: Customer Service (317)917-7300 �W ?' Effective 4/1612012:SERVICE INTERRUPTION POLICY CHANGE All accounts with a balance over 60 days will experience a service interruption unless prior arrangements are made. UIR €[54.'t7+eiY:3€ .:;:: : 9{t+;tA1lS:n: 26.40 0.00 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 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. VOUCHER NO. WARRANT NO. ALLOWED 20 Republic Services IN SUM OF $ P.O. Box 9001099 Louisville, KY 40290-1099 $26.40 ON ACCOUNT OF APPROPRIATION FOR Carmel Clay Communications PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members 1115 1 0761-001273101 I 43-509.00 I $26.40 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 Tuesday, August 07, 2012 Director 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)) 07/25/12 0761-001273101 $26.40 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 REPUBLIC CARMEL UTILITIES Invoice SERVICES Page 1 of 2 832 Langsdale Ave Indianapolis,IN 46202-1150 Current Invoice Charges Mm • Carmel Utilities 9609 Hazel Dell Parkway (L1) Carmel,IN "` 14-Front Load(2 Yd) Scheduled Service (S1) Account Number 3-0761-1410955 Invoice Date July 25,2012 Date Description Reference Quantity Unit Price Amount Invoice Number 0761-001278250 07125 Basic Service 08/01/12-08/31/12 $364.01 $364.01 Previous Balance $267.19 Current Invoice Charges $364.01 Payments/Adjustments $0.00 Unpaid Balance $267.19 Current Invoice Charges $364.01 $631.20 Due By: 08/14/12 Customer Service (317)917-7300 R o_c • 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. C13Rft�N'C:.<; 364.01 267.19 0.00 0.00 To pay on-line or sign up for Past Due Balance $267.19 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 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. r _ :... rot �R'AREPUBLIC CARMEL UTILITIES Invoice 4y11 SERVICES Page 1 of 2 832 Langsdale Ave Indianapolis,IN 46202-1150 Current Invoice Charges '' " ` `' Carmel Utilities 901 N Range Line Rd (L1) Carmel,IN 1 -Front Load(8 Yd) Scheduled Service (S1) Account Number 3-0761-1410954 Invoice Date July 25,2012 Date Description Reference Quantity Unit Price Amount Invoice Number 0761-001278249 07/25 Basic Service 08/01/12-08/31/12 $143.79 $143.79 Previous Balance $127.03 1 -Front Load(2 Yd) Scheduled Service (S2) Payments/Adjustments $0.00 Unpaid Balance $127.03 Date Description Reference Quantity Unit Price Amount Current Invoice Charges $200.73 07/25 Basic Service 08/01/12-08/31/12 $56.94 $56.94 Current Invoice Charges $200.73 .-r $327.76 Due By: 08/14/12 Customer Service (317)917-7300 00 0 0 Effective 4/16/2012:SERVICE INTERRUPTION POLICY CHANGE All accounts with a balance over 60 days will experience a service interruption unless prior arrangements are made. ,.»r 3 C3AYS .,,,,R 200.73 127.03 0.00 0.00 Y$-::;,.. To pay on-line or sign up for Past Due Balance $127.03 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. khrus. VOUCHER # 125440 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 07610012782 111-736H-08 $200.73 D 76/D0(27S�5ocl 7361-c)9 361Y(9/ Voucher Total 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 Due Date 8/7/2012 Invoice Invoice Description Date Number (or note attached invoice(s) or bill(s)) Amount 8/7/2012 0761001278: $200.73 I hereby certify that the attached invoice(s), or bill(s) is (are) true and correct and I have audited same in accordance with ICp 5-11-10-1.6 Date Officer