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Home My WebLink About212356 08/28/2012 CITY OF CARMEL, INDIANA VENDOR: 358593 Page 1 of 1 ONE CIVIC SQUARE REPUBLIC WASTE SERVICES OF INDIA MECK AMOUNT: $3,216.15 ,\ ?o CARMEL, INDIANA 46032 PO BOX 9001099 �+ o� LOUISVILLE KY 40290-1099 CHECK NUMBER: 212356 CHECK DATE: 8/28/2012 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 651 5023990 07610012832 3 , 216 . 15 OTHER EXPENSES e REPUBLIC CARMEL UTILITIES HHW Invoice SERVICES 832 Langsdale Ave Page 1 of 3 Indianapolis,IN 46202-1150 Current Invoice Charges x Carmel Utilities Hhw 901 N Range Line Rd (1-7) CSA 32921 21 01 0 Carmel,IN 1 -Hooklift(30 Yd) Scheduled Service (S1) Comingled Account Number 3-0761-1163292 Invoice Date July 31,2012 Date Description Reference Quantity Unit Price Amount Invoice Number 0761-001283212 07/02 Basic Service 1.0000 $153.15 $153.15 Previous Balance $3,369.30 Receipt Number 79084 Payments/Adjustments $0.00 07/06 Basic Service 1.0000 $153.15 $153.15 Unpaid Balance $3,369.30 Receipt Number 81389 Current Invoice Charges $3,216.15 07/09 Basic Service 1.0000 $153.15 $153.15 Receipt Number 82017 07/13 Basic Service 1.0000 $153.15 $153.15 Receipt Number 85079 07/18 Basic Service 1.0000 $153.15 $153.15 Receipt Number 87287 0 07/23 Basic Service 1.0000 $153.15 $153.15 6,585.45 Receipt Number 89851 07/27 Basic Service 1.0000 $153.15 $153.15 Due By: 08/20/12 Receipt Number 93109 07/30 Basic Service 1.0000 $153.15 $153.15 ® o o Receipt Number 93715 Customer Service (317)917-7300 1 -Rolloff(30 Yd) Scheduled Service (S3) Comingled Date Description Reference Quantity Unit Price Amount 07/02 Basic Service 1.0000 $153.15 $153.15 Receipt Number 37829 0 0 0 0 07/05 Basic Service 1.0000 $153.15 $153.15 Receipt Number 37829 Effective 4/16/2012:SERVICE INTERRUPTION 07/06 Basic Service 1.0000 $153.15 $153.15 POLICY CHANGE All accounts with a balance over Receipt Number 37829 60 days will experience a service interruption unless prior arrangements are made. 07/09 BBSIC Service 1.0000 $153.15 $153.15 Receipt Number 37829 07/11 Basic Service 1.0000 $153.15 $153.15 Receipt Number 37829 07/13 Basic Service 1.0000 $153.15 $153.15 Receipt Number 37829 07/16 Basic Service 1.0000 $153.15 $153.15 ' RRENT,,' ��30 QAY5 €- 60 DAYS, 0§0 DAYS 3,216.15 3,369.30 0.00 0.00 Y T.n.r,�.._nn..1: s. . ^" ^•tiU.for -P_.act.tlr:iP,R.-a 12 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. 001442-000002-000002-002884 2306528 2240ST03 1 3 Page 3 of 3 CARMEL UTILITIES HHW Republic Services #761 Account Number 3-0761-1163292 5; REPUBLIC Invoice Date — July 31,2012 832 Langsdale Ave SERVICES Invoice Number 0761-001283212 Indianapolis, IN 46202-1150 Current Invoice Charges Date Description Reference Quantity Unit Price Amount Receipt Number 37829 07/18 Basic Service 1.0000 $153.15 $153.15 Receipt Number 37829 07/20 Basic Service 1.0000 $153.15 $153.15 Receipt Number 37829 07/23 Basic Service 1.0000 $153.15 $153.15 _ Receipt Number 37829 07/25 Basic Service 1.0000 $153.15 $153.15 Receipt Number 37829 07/27 Basic Service 1.0000 $153.15 $153.15 Receipt Number 37829 07/30 Basic Service 1.0000 $153.15 $153.15 Receipt Number 37829 Current Invoice Charges $3,216.15 1 J,- 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 8/20/2012 Invoice Invoice Description Date Number (or note attached invoice(s) or bill(s)) Amount 8/20/2012 0761001283: $3,216.15 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 VOUCHER # 125575 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 07610012832 01-736H-08 $3,216.15 Voucher Total $3,216.15 Cost distribution ledger classification if claim paid under vehicle highway fund