212753 09/12/2012 CITY OF CARMEL, INDIANA VENDOR: 358593 Page 1 of 1
ONE CIVIC SQUARE REPUBLIC WASTE SERVICES OF INDIA MECK AMOUNT: $2,168.76
a CARMEL, INDIANA 46032 PO BOX 9001099
o� LOUISVILLE KY 40290-1099 CHECK NUMBER: 212753
CHECK DATE: 9/12/2012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1115 4350900 0761-0034749 26 .40 OTHER CONT SERVICES
1120 4350101 24302 0761-1306019 25 . 00 TRASH SERVICE
1110 4350101 0761-1306033 154 . 00 TRASH COLLECTION
1120 4350101 24302 0761-1306034 314 . 00 TRASH SERVICE
1205 4350101 26460 0761-1306035 105 . 00 TRASH COLLECTION AT C
2201 4350100 26271 0761-1306037 160 . 00 TRASH COLLECTION
1091 4350101 0761-1306138 669 . 62 TRASH COLLECTION
651 5023990 0761-13112 200 . 73 OTHER EXPENSES
1125 4350101 0761-1311237 150 . 00 TRASH COLLECTION
651 5023990 0761-1410955 364 . 01 OTHER EXPENSES
�R"A REPUBLIC CITY OF CARMEL Invoice
SERVICES
Page 1 of 2
832 Langsdale Ave
Indianapolis,IN 46202-1150
Payments/Adjustments
G1CQG Date Description Reference Amount
08/25 Payment-Thank You 211925 -$26.40
1 0
Account Number 3-0761-0034749 Current Invoice Charges
Invoice Date August 25,2012 Communications Department 31 1st Ave NW (L1) CSA 002772
Invoice Number 0761-001306036 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 08/25 Basic Service 09/01/12-09/30/12 $26.40 $26.40
Current Invoice Charges $26.40
$26.40
Due By: 09/14/12
0 o e
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.
3QUftitENC"s _":',:3t�'t3AY5 600AYS,::.
26.40 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 3-0761-0034749 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transfer, funds may be withdrawn from your account as soon as the same day we receive your payment and you will not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. I ACCT#/TITLE AMOUNT Board Members
1115 1 0761-0013060361 43-509.00 1 $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, September 04, 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))
08/25/12 0761-001306036 $26.40
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
e%REPUBL1C CARMEL UTILITIES Invoice
44 SERVICES Page 1 of 2
832 Langsdale Ave
Indianapolis,IN 46202-1150
Payments/Adjustments
Q° m Date Description Reference Amount
08/01 Payment-Thank You 211029 -$267.19
` o Q 08/25 Payment-Thank You 211925 -$364.01
Account Number 3-0761-1410955
Invoice Date August 25,2012 Current Invoice Charges
Invoice Number 0761-001311240 Carmel Utilities 9609 Hazel Dell Parkway (1-1)
Previous Balance $631.20 Carmel,IN
Payments/Adjustments -$631.20
Unpaid Balance $0.00 14-Front Load(2 Yd) Scheduled Service (S1)
Current Invoice Charges $364.01
Date Description Reference Quantity Unit Price Amount
08/25 Basic Service 09/01/12-09/30/12 $364.01 $364.01
Current Invoice Charges $364.01
° o
$364.0".
Due By: 09/14/12
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
364.01 0.00 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 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.
VOUCHER # 125659 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
0761-001311; 01-7362-05 $364.01
Voucher Total $364.01
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, raises 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 9/5/2012
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
9/5/2012 0761-001311 $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
Date Officer
ewREPUBLIC CITY OF CARMEL POLICE Invoice
1f►� SERVICES Page 1 of 2
832 Langsdale Ave
Indianapolis,IN 46202-1150
Payments/Adjustments
Q' Date Description Reference Amount
08701 Payment-Thank You 211029 -$154.00
30 Qo 08/25 Payment-Thank You 211925 -$154.00
Account Number 3-0761-0034698 Current Invoice Charges
Invoice Date August 25,2012
Invoice Number 0761-001306033 Police Firing Range 9609 Hazel Dell Pkwy (L1) CSA 002755
Previous Balance $308.00 Carmel,IN
Payments/Adjustments -$308.00
Unpaid Balance $0.00 1 -Front Load(8 Yd) Scheduled Service (S4)
Current Invoice Charges $154.00 Date Description Reference Quantity Unit Price Amount
08/25 Basic Service 09/01/12-09/30/12 $77.00 $77.00
Police Headquarters 3 Civic Sq (L2) CSA 002756
Carmel,IN
� o
1 -Front Load(8 Yd) Scheduled Service (S1)
$154.00 Date Description Reference Quantity Unit Price Amount
Due By: 09/14/12 08/25 Basic Service 09/01/12-09/30/12 $77.00 $77.00
0 0 0
Current Invoice Charges $154.00
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.
.:.:;.;:;:`:;CURRENT:. :DAY3�.°::.���.
>. ,��..;_"<�.`: :DAY _.�`%riss_;:y,�_m:-�..9E}�DAY3!l
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.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
$154.00
ON ACCOUNT OF APPROPRIATION FOR
Carmel Police Department
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
1110 761-001306033 43-501.01 $154.00
I hereby certify that the attached invoice(s), or
I
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, September 05, 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))
08/25/12 761-001306033 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
REPUBLIC CARMEL UTILITIES Invoice
SERVICES
Page 1 Of 2
832 Langsdale Ave
Indianapolis,IN 46202-1160
Payments/Adjustments
Date Description Reference Amount
08/01 Payment-Thank You 211029 -$127.03
' 0 08/25 Payment-Thank You 211925 -$200.73
Account Number 3-0761-1410954 es Current Invoice Char
Invoice Date August 25,2012 g
Invoice Number 0761-001311239 Carmel Utilities 901 N Range Line Rd (1_1)
Previous Balance $327.76 Carmel,IN
Payments/Adjustments -$327.76
Unpaid Balance $0.00 1 -Front Load(8 Yd) Scheduled Service (S1)
Current Invoice Charges $200.73
Date Description Reference Quantity Unit Price Amount
08/25 Basic Service 09/01/12-09/30/12 $143.79 $143.79
1 -Front Load(2 Yd) Scheduled Service (S2)
VWlim 0 Date Description Reference Quantity Unit Price Amount
$20073 08/25 Basic Service 09/01/12-09/30/12 $56.94 $56.94
Due By: 09/14/12 Current Invoice Charges $200.73
0 0 0�„
Customer Service (317)917-7300
00 10DIUMM 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.
.30bA Y
200.73 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 r-ee reversP side f r tp me and r. ndi inns
M NMI _ - 5`u 7
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.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.
.- RR"R'..,u
VOUCHER # 125668 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
07610013112 01-736H-08 $200.73
Voucher Total $200.73
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 9/5/2012
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
9/5/2012 0761001311; $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 IC 5-11-10-1.6
Date Off er
4V II EPUBLOC CARMEL CLAY PARKS Invoice
416 SERVICES
Page 1 of 2
832 Langsdale Ave
Indianapolis,IN 46202-1150
Payments/Adjustments
Date Description Reference Amount
08/01 Payment-Thank You 211029 -$743.88
RCqWf"n 08/25 Payment-Thank You 211925 -$553.75
Account Number 3-0761-0036974
08/10 Inv#001235460 Dated 06/25/12 x }� I ' -$83.76
For Site 00001 Service Group 01
Invoice Date August 25,2012 Re: Basic Service
Invoice Number 0761-001306138 08/10 Inv#001235460 Dated 06/25/12 SEP 4 4 2912 -$16.01
Previous Balance $1,397.40 For Site 00001 Service Group 01
Payments/Adjustments -$1,397.40 Re: Basic Service
Unpaid Balance $0.00 By; _
Current Invoice Charges $669.62 Current Invoice Charges
Monon Center 1235 Central Park Dr E (L1) CSA 6974053112
Carmel,IN
0 1 -Front Load(4 Yd) Scheduled Service (Si)
$669.62 Date Description Reference Quantity Unit Price Amount
08125 Basic Service 09/01/12-09/30/12 $84.13 $84.13
Due ay: 09/14/12;
1 -Front Load(10 Yd) Scheduled Service (S2)
0 0 o g Date Description Reference Quantity Unit Price Amount
Customer Service , (317)917-7300 08/25 Basic Service 09/01/12-09/30/12 $488.00 $488.00
1 -Front Load Recycling(6 Yd) Scheduled Service (S3) Corrugated Only
Date Description Reference Quantity Unit Price Amount
08/25 Recycling Service 09/01/12-09/30/12 $41.82 $41.82
1 -Front Load Recycling(8 Yd) Scheduled Service (S4) Comingled
Effective 4116/2012:SERVICE INTERRUPTION
POLICY CHANGE All accounts with a balance over Date Description Reference Quantity Unit Price Amount
60 days will experience a service interruption unless 08/25 Recycling Service 09/01/12-09/30/12 $55.67 $55.67
prior arrangements are made.
Pu thase Current Invoice Charges $669.62
De ription MCG �gr'l2
PA # 1091 AL360/OI PorF
G. #
Bu aet
U4, bescr
Pu haser Date
roval Date 669.62 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 qee 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.
R"A
� REPUBLIC CARMEL CLAY PARK'S Invoice
W SERVICES Page 1 of 2
832 Langsdale Ave
Indianapolis,IN 46202-1150
Payments/Adjustments
QQCflL' Date Description Reference Amount
08/01 Payment-Thank You 211029 -$150.00
0 08/25 Payment-Thank You 211925 -$150.00
Account Number 3-0761-1410948 Current Invoice
Invoice Date August 25,2012 Charges
Invoice Number 0761-001311237 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
08/25 Basic Service 09/01/12-09/30/12 $150.00 $150.00
Current Invoice Charges $150.00
o
$150.00
Due By: 09/14/12
Customer Service (317)917-7300
17:
Purchase �'P
00 0 0
Description -- S 41 20 i�
P.O.# PorF
Effective 4116/2012:SERVICE INTERRUPTION 7,C
POLICY CHANGE All accounts with a balance over G.L.# ���—�- �✓����/ `
60 days will experience a service interruption unless v
prior arrangements are made. EUdoet
Line Descr
Purchaser D at"_
Approval
„, .60 bAY$
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.
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
8/25/12 761001311237 Dumpster AO Sep'12 $ 150.00
8/25/12 761001306138 Dumpster MCC Sep'12 $ 669.62
Total $ 819.62
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$
$ 819.62
ON ACCOUNT OF APPROPRIATION FOR
101 -General Fund & 109 Monon Center
PO#or INVOICE NO. ACCT#/TITLE AMOUNT Board Members
Dept#
1125 761001311237 4350101 $ 150.00 1 hereby certify that the attached invoice(s), or
1091 761001306138 4350101 $ 669.62 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
6-Sep 2012
Signature
$ 819.62 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund
�R"A REPUBLIC CITY OF CARMEL �(� ��� Invoice
ly1 g SERVICES 02/�� Page 1 of 2
832 Lan sdale Ave 5
Indianapolis,IN 46202-1150
Payments/Adjustments
Q � Date Description Reference Amount
08/01 Payment-Thank You 211029 -$105.00
0 08/25 Payment-Thank You 211925 -$105.00
Account Number 3-0761-0034742 Current Invoice Charges
Invoice Date August 25,2012
Invoice Number 0761-001306035 City Hall 1 Civic Sq (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
08/25 Basic Service 09/01/12-09/30/12 $105.00 $105.00
Current Invoice Charges $105.00
$105.00
Due By: 09114/12
o o o d� °
Customer Service (317)917-7300
SEP 1 0 2012
Effective 4/16/2012.SERVICE INTERRUPTION
POLICY CHANGE All accounts with a balance over
60 days will experience a service interruption unless By
prior arrangements are made.
?= CURREN C; ':30 DAYS::.:::::::::::::: O.pAYS_:.;.:..;:::::::
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.electron icpayments.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.
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 0761-001306035 46-501.01 $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
Mon y, September 10, 2012
ore
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))
08/25/12 0761-001306035 $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
'a REPUBLIC CITY OF CARMEL STREET DEPT Invoice
4-4 SERVICES
Page 1 of 2
832 Langsdale Ave
Indianapolis,IN 46202-1150
Payments/Adjustments
Date Description Reference Amount
08/01 Payment-Thank You 211029 -$160.00
0 08/25 Payment-Thank You 211925 -$160.00
Account Number 3-0761-0034751 Current Invoice Charges
Invoice Date August 25,2012 g
Invoice Number 0761-001306037 Street Department 3400 W 131st St (1-1) 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
08/25 Basic Service 09/01/12-09/30112 $160.00 $160.00
Current Invoice Charges $160.00
$160.00
Due By: 09/14/12
@& WDUE&M
Customer Service (317)917-7300
0 0 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.
CURREt�i1:.-':;': .30:DAYS «,;::.6tf:PAYS:
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
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.
"A REP(JBj,IC CITY OF CARMEL STREET DEPT Invoice
SERVICES
Page 1 of 2
832 Langsdale Ave
Indianapolis,IN 46202-1150
Payments/Adjustments
Date Description Reference Amount
08/01 Payment-Thank You 211029 -$160.00
` o o' 'fit 08/25 Payment-Thank You 211925 -$160.00
Account Number 3-0761-0034751 . Current Invoice Charges
Invoice Date August 25,2012 g
f Invoice Number 0761-001306037 Street Department 3400 W 131st St (Li) CSA 002764
Previous Balance $320.00 r 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
, 08/25 Basic Service 09/01/12-09/30/12 $160.00 $160.00
Current Invoice Charges $160.00
$160.00
Due By: 09/14/12
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.
i
r
,.culzNr-;;::::,r. , < �a,t�Axs.. 6�rIDaYs: ;: naY ;-n:2
160.00 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
t±vww.disposal.com or to sign up for our convenient automatic payment plan.
. Please see reverse side for terms and conditions
Pay This Amount $160.00
R� Please Return This Portion Account Number 3-0761-0034751
SERVICES�����L'C With Payment Invoice Date August 25,2012
W
Invoice Number 0761-001306037
832 Langsdale Ave Payment Due Date September 14,2012
Indianapolis,IN 46202-1150
Return Service Requested
017678-000001-000001-017678 2307264 2240ST03 S 3
CITY OF CARMEL STREET DEPT Make Checks Payable To:
BONNIE CALLAHAN
3400 W 131ST ST REPUBLIC SERVICES#761
CARMEL IN 46074-8267 PO BOX 9001099
LOUISVILLE, KY 40290-1099
30761003475100000013060370000160000000160009
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 0761-001306037 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
Friday7Septe nber 07, 2012
/7 1 Street Commissr b
Title f V
Street Cor,� Nssioner
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))
08/25/12 0761-001306037 $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"A REP(/BL/C CITY OF CARMEL FIRE DEPT Invoice
ZW SERVICES
Page 1 of 2
832 Langsdale Ave
Indianapolis,IN 46202-1150
Payments/Adjustments
GS° Date Description Reference Amount
08/01 Payment-Thank You 211029 -$25.00
08/25 Payment-Thank You 211925 -$25.00
Account Number 3-0761-0034441 Current Invoice Charges
Invoice Date August 25,2012 g
Invoice Number 0761-001306019 Training Facility 510 3rd Ave SW (L1) 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
08/25 Basic Service 09/01/12-09/30/12 $25.00 $25.00
Current Invoice Charges $25.00
$25.00
Due By: 09/14/12
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.
,:::. : :;:..,: :: aY Y
5.:.,.:_,.:;..,.::; . ..: s13A S°;::�::':;:�.,.::. :>:;';,
25.00 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 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.
TRW REPUBLIC CITY OF CARMEL FIRE DEPT Invoice
Ifi2� SERVICES
Page 1 of 3
832 Langsdale Ave
Indianapolis,IN 46202-1150
Payments/Adjustments
p OMNI Go Date Description Reference Amount
08/01 Payment-Thank You 211029 -$314.00
08/25 Payment-Thank You 211925 -$315.85
Account Number 3-0761-0034703
Invoice Date August 25,2012 Current Invoice Charges
Invoice Number 0761-001306034 Fire Station 41 2 Civic Scl (L1) CSA 002757
Previous Balance $629.85 Carmel,IN
Payments/Adjustments -$629.85
Unpaid Balance $0.00 1 -Front Load(8 Yd) Scheduled Service (S1)
Current Invoice Charges $314.00
Date Description Reference Quantity Unit Price Amount
08/25 Basic Service 09/01/12-09/30/12 $132.00 $132.00
Fire Station 42 3610 W 106th St (L2) CSA 002758
Carmel,IN
° 0
_ 1 -Front Load(2 Yd) Scheduled Service (S3)
$314.00 Date Description Reference Quantity Unit Price Amount
Due By: 09/14/12 08/25 Basic Service 09/01/12-09/30/12 $56.00 $56.00
Fire Station 43 3242 E 106th St (L3) CSA 002759
0 0 o Carmel,IN
Customer Service (317)917-7300 1 -Front Load(2 Yd) Scheduled Service (S1)
Date Description Reference Quantity Unit Price Amount
08/25 Basic Service 09/01/12-09/30/12 $35.00 $35.00
0 0 w9woolam Fire Station 44 5032 E 131st St (L4) CSA 002760
Effective 4116/2012: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
08/25 Basic Service 09/01/12-09/30/12 $35.00 $35.00
Fire Station 46 540 W 136th St (L6) CSA 002762
Carmel,IN
1 -Front Load(4 Yd) Scheduled Service (S4)
CURRENt ;""' A 30 DAYS 40 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
www rlicnncal r_nm 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.electron icpayments.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.
000761-000002-000002-001522 2307270 2240ST03 1 3
Page 3 of 3
CITY OF CARMEL FIRE DEPT Republic Services #761
Account Number 3-0761-0034703
11�REPUBLICS Invoice Date August 25 2012 832 Langsdale Ave
+yZ+ SERVICES Invoice Number 0761-001306034 Indianapolis, IN 46202-1150
Current Invoice Charges
Date Description Reference Quantity Unit Price Amount
08/25 Basic Service 09/01/12-09/30/12 $56.00 $56.00
Current Invoice Charges $314.00
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
24302 0761-001306034 43-501.01 $314.00 1 hereby certify that the attached invoice(s), or
24302 0761-001306019 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
SEP 10 201Z
r
Fire Chief
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))
0761-001306034 $314.00
0761-001306019 $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