213637 10/09/2012 CITY OF CARMEL, INDIANA VENDOR: 358593 Page 1 of 1
ONE CIVIC SQUARE REPUBLIC WASTE SERVICES OF INDIA y�
i CHECK AMOUNT: $1,680.74
CARMEL, INDIANA 46032 PO BOX 9001099
LOUISVILLE KY 40290-1099 CHECK NUMBER: 213637
CHECK DATE: 10/9/2012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1120 4350101 1343242 25 . 00 TRASH COLLECTION
1110 4350101 1343256 154 . 00 TRASH COLLECTION
1120 4350101 1343257 314 . 00 TRASH COLLECTION
1205 4350101 26460 1343258 105 . 00 TRASH COLLECTION AT C
1115 4350900 1343259 26 . 40 OTHER CONT SERVICES
2201 4350100 26271 1343260 160 . 00 TRASH COLLECTION
1091 4350101 1343359 181 . 60 TRASH COLLECTION
1125 4350101 1348442 150 . 00 TRASH COLLECTION
651 5023990 1410954 200 . 73 CONT SVS-HAZ WASTE
651 5023990 14109555 364 . 01 OTHER EXPENSES
REPUBLIC CITY OF CARMEL FL) )�40 0 Invoice
t!►ZI SERVICES ° t
.�p/ � _ Page 1 of 2
832 Langsdale Ave �S
Indianapolis,IN 46202.1150
Payments/Adjustments
G1UIG --► tip''' Date Description Reference Amount
09/22 Payment-Thank You 212753 -$105.00
Account Number 3-0761-0034742 Current Invoice Charges
Invoice Date September 25,2012 City Hall 1 Civic Sq (Li) CSA 002763
Invoice Number 0761-001343258 Carmel,IN
Previous Balance $105.00
Payments/Adjustments -$105.00 1 -Front Load(6 Yd) Scheduled Service (S1)
Unpaid Balance $0.00 Date Description Reference QUantl Unit Price Amount
Current Invoice Charges $105.00 09/25 Basic Service 10/01/12-10/31/12 $105.00 $105.00
Current Invoice Charges $105.00
o
$105.00
Due By: 10/15/12
0 0 0
Customer Service (317)917-7300
. 0 Q a
Effective 4/16/2012:SERVICE INTERRUPTION D
POLICY CHANGE All accounts with a balance over OCT T 0 Q U O
60 days will experience a service interruption unless 1 I
prior arrangements are made.
By
:::'::::::CURRENT��a;::::::.... ...xk..._::;�0 S. __.F m...60 p YS . .... .................9t).;GRAY ,......Ez
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 0761-001343258 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, October 08, 2012
Director, Administrati n
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))
09/25/12 0761-001343258 $105.00
f
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
4f WREPUBLIC CITY OF CARMEL Invoice
414 SERVICES Page 1 of 2
832 Langsdale Ave
Indianapolis,IN 46202-1150
Payments/Adjustments
W R.. :.. Date Description Reference Amount
09/22 Payment-Thank You 212753 -$26.40
Account Number -3-0761-0034749 Current Invoice Charges
Invoice Date September 25,2012 Communications Department 31 1st Ave NW (L1) CSA 002772
Invoice Number 0761-001343259 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 Quanti Unit Price Amount
Current Invoice Charges $26.40 09/25 Basic Service 10/01/12-10/31/12 $26.40 $26.40
Current Invoice Charges $26.40
N . o
$26.40
Due By: 10/15/12
0 0 °Jl
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:_;�::.:::.>::.:__;°; :.::: 0=)3AY5.:-::sss �:�i. :i?:;':_'.:60:pAY5<::::::-:,;:�<.;.• a3 AYS:; :;;:s:::;
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. I ACCT#/TITLE AMOUNT Board Members
1115 1 0761-0013432591 43-509.00 1 $26.40 I hereby certify that the attached invoice(s), or
bill(s) is (are)true and correct and that the
materials or services itemized thereon for
which charge is made were ordered and
received except
Wednesday, -tuber 03, 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))
09/25/12 0761-001343259 $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
gR"A REPUBLIC CITY OF CARMEL FIRE DEPT Invoice
1f►'� SERVICES
Page 1 of 3
832 Langsdale Ave
Indianapolis,IN 46202-1150
Payments/Adjustments
QcflG _ Date Description Reference Amount
09/22 Payment-Thank You 212753 -$314.00
Account Number 3-0761-0034703 Current Invoice Charges
Invoice Date September 25,2012 Fire Station 41 2 Civic Sq (1-1) CSA 002757
Invoice Number 0761-001343257 Carmel,IN
Previous Balance $314.00
Payments/Adjustments -$314.00 1 -Front Load(8 Yd) Scheduled Service (S1)
Unpaid Balance $0.00 Date Description Reference Quantity Unit Price Amount
Current Invoice Charges $314.00 09/25 Basic Service 10/01/12-10/31/12 $132.00 $132.00
Fire Station 42 3610 W 106th St (1-2) CSA 002758
Carmel,IN
o 0 1 -Front Load(2 Yd) Scheduled Service (S3)
$.3i 1 4.00 Datc Descriptic— Reference Quantity Unit Price Amount
09/25 Basic Service 10/01/12-10/31/12 $56.00 $56.00
Due By: 10/15/12
Fire Station 43 3242 E 106th St (1-3) CSA 002759
Carmel,IN
Customer Service (317)917-7300 1 -Front Load(2 Yd) Scheduled Service (S1)
Date Description Reference Quantity Unit Price Amount
09/25 Basic Service 10/01/12-10/31/12 $35.00 $35.00
Fire Station 44 5032E 131st St (L4) CSA 002760
0 0 0 o Carmel,IN
Effective 4/16/2012:SERVICE INTERRUPTION 1 -Front Load(2 Yd) Scheduled Service (S1)
POLICY CHANGE All accounts with a balance over
60 days will experience a service interruption unless Date Description Reference Quantity Unit Price Amount
prior arrangements are made. 09/25 Basic Service 10/01/12-10/31/12 $35.00 $35.00
Fire Station 46 540 W 136th St (1-6) CSA 002762
Carmel,IN
1 -Front Load(4 Yd) Scheduled Service (S4)
CURRENT�.`L. ;:-:'_:.:- ,,3Q"t?AYS :; :,60 DAYS `W 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.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.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.
000994-000002-000002-001988 2308287 2240ST03 1 3
Page 3 of 3
CITY OF CARMEL FIRE DEPT Republic Services #761
R Account Number 3-0761-0034703
& WREPUBLIC Invoice Date September 25, 2012 832 Langsdale Ave
+j►� SERVICES Invoice Number 0761-001343257 Indianapolis, IN 46202-1150
Current Invoice Charges
Date Description Reference Quantity Unit Price Amount
09/25 Basic Service 10/01/12-10/31/12 $56.00 $56.00
Current Invoice Charges $314.00
REPUBLIC CITY OF CARMEL FIRE DEPT Invoice
SERVICES Page 1 of 2
832 Langsdale Ave
Indianapolis,IN 46202-1150
Payments/Adjustments
Q' Date Description Reference Amount
09/22 Payment-Thank You 212753 -$25.00
` o
Account Number •3-0761-0034441 Current Invoice Charges
Invoice Date September 25,2012 Training Facility 510 3rd Ave SW (L1) CSA 002792
Invoice Number 0761-001343242 Carmel,IN
Previous Balance $25.00
Payments/Adjustments -$25.00 1 -Front Load(2 Yd) Scheduled Service (S1)
Unpaid Balance $0.00 Date Description Reference Quantity Unit Price Amount
Current Invoice Charges $25.00 09125 Basic Service 10/01/12-10/31/12 $25.00 $25.00
Current Invoice Charges $25.00
$25.00
Due By: 10/15/12
0 0 0�_-
Customer Service (317)917-7300
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
DAYS:
t�R . ... ,.......,. t3A,,S. ... .. .
25.00 0.00 0.00 0.00
To pay on-line or sign up for
convenient auto pay, go to: A A • Visit our website,www.disposal.com to make your payment electronically
www.disposal.com or to sign up for our convenient automatic payment plan.
. Please see reverse side for terms and conditions
CITY OF CARMEL FIRE DEPT 3-0761-0034441 Page 2 of 2
Check Processing: In accordance with Federal Reserve Board guidelines, when you provide a check as payment, you
authorize us to use information from your check to make a one-time electronic fund transfer from your account or to
process the payment as a check transaction. When we use information from your check to make an electronic fund
transfer, funds may be withdrawn from your account as soon as the same day we receive your payment and you will not
receive your check back from your financial institution. For further information visit: www.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
IN SUM OF $
832 Lansdale Avenue
Indianapolis, IN 46202
$339.00
ON ACCOUNT OF APPROPRIATION FOR
Carmel Fire Department
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
1120 0761-001343257 43-501.01 j $314.00 1 hereby certify that the attached invoice(s), or
1120 0761-001343242 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 OCT - 8 2012
P .f'•D
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))
0761-001343257 $314.00
0761-001343242 $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
IV"A REPUBL/C CITY OF CARMEL POLICE Invoice
4-4 SERVICES
832 Langsdale Ave Page 1 Of 2
Indianapolis,IN 46202-1150
Payments/Adjustments
Qom Date Description Reference Amount
09/22 Payment-Thank You 212753 -$154.00
Account Number 3-0761-0034698 Current Invoice Charges
Invoice Date September 25,2012 Police Firing Range 9609 Hazel Dell Pkwy (L1) CSA 002755
Invoice Number 0761-001343256 Carmel,IN
Previous Balance $154.00
Payments/Adjustments -$154.00 1 -Front Load(8 Yd) Scheduled Service (S4)
Unpaid Balance $0.00 Date Description Reference Quantity Unit Price Amount
Current Invoice Charges $154.00 09/25 Basic Service 10/01/12-10/31/12 $77.00 $77.00
Police Headquarters 3 Civic Sq (L2) CSA 002756
Carmel,IN
0 1 -Front Load(8 Yd) Scheduled Service (S1)
$1 G A.v 00 Date Description Reference Quantity Unit Price Amount
y. i:t�fr
Due By: 10/15/12 09/25 Basic Service 10/01/17_-10/31/12 $77.00 $77,00
Current Invoice Charges $154.00
CD)W 0 0
Customer Service (317)917-7300
00 0 �
Effective 4/16/2012:SERVICE INTERRUPTION
POLICY CHANGE All accounts with a balance over
60 days will experience a service interruption unless
prior arrangements are made.
� !
. .
154.00 0.00 0.00 0.00
To pay on-line or sign up for
convenient auto pay, go to: A A • Visit our website,www.disposal.com to make your payment electronically
www.disposal.com or to sign up for our convenient automatic payment plan.
• Please see reverse side for terms and conditions
CITY OF CARMEL POLICE 3-0761-0034698 Page 2 of 2
Check Processing: In accordance with Federal Reserve Board guidelines, when you provide a check as payment, you
authorize us to use information from your check to make a one-time electronic fund transfer from your account or to
process the payment as a check transaction. When we use information from your check to make an electronic fund
transfer, funds may be withdrawn from your account as soon as the same day we receive your payment and you will not
receive your check back from your financial institution. For further information visit: www.electronicpayments.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 $
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 1 761-001343256 I 43-501.01 I $154.00 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
Tuesday, October 02, 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))
09/25/12 761-001343256 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
r„ -
qR"A REPUBLIC CITY OF CARMEL STREET DEPT Invoice
;►A SERVICES
Page 1 of 2
832 Langsdale Ave
Indianapolis,IN 46202-1150
Payments/Adjustments
Q �G Date Description Reference Amount
09/22 Payment-Thank You 212753 -$160.00
Account Number 3-0761-0034751 Current Invoice Charges
Invoice Date September 25,2012 Street Department 3400 W 131st St (1-1) CSA 002764
Invoice Number 0761-001343260 Carmel,IN
Previous Balance $160.00
Payments/Adjustments -$160.00 2-Front Load(4 Yd) Scheduled Service (S1)
Unpaid Balance $0.00 Date Description Reference Quantity Unit Price Amount
Current Invoice Charges $160.00 09/25 Basic Service 10/01/12-10/31/12 $160.00 $160.00
Current Invoice Charges $160.00
&gDaffim,:,
$160.00
Due By: 10115/12
0 0 �"
Customer Service (317)917-7300
00 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.
.:CURRENT:::,. 904-DAYS
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
vwvw.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.
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. ACCT#/TITLE AMOUNT Board Members
26271 10761-0013432601 43-501.001 $160.00 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
Ai ;1
i Friday, October 05, 2012
11 i q
Street CommissiAer
�troot (.nmmiSCinnAr
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))
09/25/12 0761-001343260 $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
e" REPUBLIC CARMEL CLAY PARK'S Invoice
ZOA Page 1 of 2 SERVICES
832 Langsdale Ave
Indianapolis,IN 46202-1150
Payments/Adjustments
Q � Date Description Reference Amount
09/22 Payment-Thank You 212753 -$150.00
Account Number 3-0761-1410948 Current Invoice Charges
Invoice Date September 25,2012 Carmel Clay Park's 1411 E 116th St (Li) CSA 94811711
Invoice Number 0761-001348442 Carmel,IN
Previous Balance $150.00
Payments/Adjustments -$150.00 2-Front Load(8 Yd) Scheduled Service (S1)
Unpaid Balance $0.00 Date Description Reference Quantity Unit Price Amount
Current Invoice Charges $150.00 t
09/25 Basic Service 10/01/12-10/31/12 $150.00 $150.00
Current Invoice Charges $150.00
$150.00
Due By: 10/15/12
o
MED9MM
Purchase
Customer Service (317)917-7300 Description D u_n_ I(_QA(a-r •�. OCf'('�
P.O.# PorF
G.L.# 1\25-y-c2- g350101 '" 1012 7FIE)
0 0 o o Bud et r
Line Descr 1 1=215(-t CO L-LF�Tt o N T
Effective 4/16/2012:SERVICE INTERRUPTION i �C I 12
POLICY CHANGE All accounts with a balance over Purchaser Date
60 days will experience a service interruption unless Approval prior arrangements are made. Date
$01JAYS„.,.�.::;::::.:.
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.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.
R
9 REPUBUC CARMEL CLAY PARKS Invoice
SERVICES Page 1 of 2
832 Langsdale Ave
Indianapolis,IN 46202-1150
Payments/Adjustments
Date Description Reference Amount
09/22 Payment-Thank You 212753 -$669.62
Account Number 3-0761-0036974 Current Invoice Charges
Invoice Date September 25,2012 Monon Center 1235 Central Park Dr E (1-1) CSA 6974053112
Invoice Number 0761-001343359 Carmel,IN
Previous Balance $669.62
Payments/Adjustments -$669.62 1 -Front Load(4 Yd) Scheduled Service (S1)
Unpaid Balance $0.00 Date Description Reference Quantity Unit Price Amount
Current Invoice Charges $181.60 09/25 Basic Service 10/01/12-10/31/12 $84.13 $84.13
1 -Front Load(10 Yd) Scheduled Service (S2)
Date Description Reference Quantity Unit Price Amount
0 09/25 Rate Adjustment 09/01/12-09/30/12 1.0000 $243.99 -$244.01
09/25 Basic Service 10/01/12-10/31/12 $243.99 $243.99
$181.60
1 -Front Load Recycling(6 Yd) Scheduled Service (S31 Corrugated Only
Due By: 10/15/12
Date Description Reference Quantity Unit Price Amount
09/25 Recycling Service 10/01/12-10/31/12 $41.82 $41.82
0 0 0
Customer Service ,(317)917-7300 1 -Front Load Recycling(8 Yd) Scheduled Service (S4) Comingled
Date Description Reference Quantity Unit Price Amount
09/25 Recycling Service 10/01/12-10/31/12 $55.67 $55.67
Current Invoice Charges $181.60
0 0 0 0j=
Effective 4116/2012:SERVICE INTERRUPTION PUronase � �p
POLICY CHANGE All accounts with a balance over Description _..+'�t C.Oh &u;
60 days will experience a service interruption unless P.O.# l2! P Or F
prior arrangements are made.
G.L.# /[)9/ - Y3 50101 OCT 0 1 2012
Bpd et
Line Descr � 0o arc C-4iuQ
Purchaser Date
Approval Date I01 7-�,)
CUIREi�IT.:.:._,.. ... ._:..:. It#_DAYS.:: : ;:;:;;:°;"''' .6tft7AYS:::. ..:..:
181.60 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
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
9125/12 761001348442 Dumpster AO Oct'12 $ 150.00
9/25/12 761001343359 Dumpster MCC Oct'12 $ 181.60_-_
Total $ 331.60
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_
Cferk-Treasurer
Voucher No. Warrant No.
358593 Republic Services#761 Allowed 20
P.O. Box 9001099
Louisville, KY 40290-1099
In Sum of$
$ 331.60
ON ACCOUNT OF APPROPRIATION FOR
101 -General Fund & 109 Monon Center
PO#or INVOICE NO. ACCT#/TITLE AMOUNT Board Members
Dept#
1125 761001348442 4350101 $ 150.00 1 hereby certify that the attached invoice(s), or
1091 761001343359 4350101 $ 181.60 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
4-Oct 2012
Signature
$ 331.60 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund
REPUBLIC CARMEL UTILITIES Invoice
SERVICES Page 1 of 2
832 Langsdale Ave
Indianapolis,IN 46202-1150
Payments/Adjustments
GJCQG ' 3 Date Description Reference Amount
09122 Payment-Thank You 212753 -$200.73
Account Number 3-0761-1410954 Current Invoice Charges
Invoice Date September 25,2012 Carmel Utilities 901 N Range Line Rd (L1)
Invoice Number 0761-001348444 Carmel,IN
Previous Balance $200.73
Payments/Adjustments -$200.73 1 -Front Load(8 Yd) Scheduled Service (S1)
Unpaid Balance $0.00 Date Description Reference Quantity Unit Price Amount
Current Invoice Charges $200.73 09125 Basic Service 10/01/12-10/31/12 $143.79 $143.79
1 -Front Load(2 Yd) Scheduled Service (S2)
Date Description Reference Quantity Unit Price Amount
o 0 09125 Basic Service 10/01/12-10/31/12 $56.94 $56.94
$200.73 Current Invoice Charges $200.73
Due By: 10/15/12
0 0 0
Customer Service (317)917-7300
WRWUNIA 0 o�j
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.
_,:„
GUKREi11 3 t3AYS;: ..;:::<:;; .:: ;...: 6Q.'DAYS:: _; ,90+DAYS ;.
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 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.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 # 125856 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
07610013484 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 10/2/2012
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
10/2/2012 0761001348, $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 Officer
e-AREPUBL/C CARMEL UTILITIES Invoice
41) SERVICES Page 1 of 2
832 Langsdale Ave
Indianapolis,IN 46202-1150
Payments/Adjustments
Date Description Reference Amount
09722 Payment-Thank You 212753 -$364.01
Account Number 3-0761-1410955 Current Invoice Charges
Invoice Date September 25,2012 Carmel Utilities 9609 Hazel Dell Parkway (L1)
Invoice Number 0761-001348445 Carmel,IN
Previous Balance $364.01
Payments/Adjustments -$364.01 14-Front Load(2 Yd) Scheduled Service (S1)
Unpaid Balance $0.00 Date Description Reference Quantity Unit Price Amount
Current Invoice Charges $364.01 09/25 Basic Service 10/01/12-10/31/12 $364.01 $364.01
Current Invoice Charges $364.01
$364.01
Due By: 10/15/12
Customer Service (317)917-7300
MR)MEA 0 0
Effective 4/16/2012:SERVICE INTERRUPTION
POLICY CHANGE All accounts with a balance over
60 days will experience a service interruption unless
prior arrangements are made.
-;,
>,.....:.:..:::::.CURRENT;:;:::::c;::.:::.: :::.<:.:.:::$Q.f3AY$..,,.... .,._ ..::..:._. ..�.$�bAYS... �;....�.., ,..,,......9tt.... AY3..,..,_�.....
364.01 1 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 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 # 125850 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 i
1
Board members
'i
PO# INV# ACCT# AMOUNT Audit Trail Code
i
0761-001348, 01-7362-05 $364.01
1
I
i
i
t
i
t
I
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, 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 10/4/2012
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
10/4/2012 0761-001348 $364.01
c
hereby certify that the attached invoice(s), or bill(s) is (are) true and
:orrect and I have audited same in accordance with IC 5-11-10-1.6
/e/z- /,k---
Date Officer