213693 10/09/2013 °�ewF CITY OF CARMEL, INDIANA VENDOR: 00352479 Page 1 of 1
q � ONE CIVIC SQUARE WASTE MANAGEMENT
®loo CARMEL, INDIANA 46032 BILL PAYMENT CENTER CHECK AMOUNT: $228.39
PO BOX 4648 CHECK NUMBER: 213693
CAROL STREAM IL 60197-4648
CHECK DATE: 10/9/2012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1207 4350101 1764699-2479 228 . 39 TRASH COLLECTION
Page 1 of 3
INVOICE Customer: BROOKSHIRE GOLF CLUB
V
® Account Number: 600-0001510-2479-1
WASTE MANAGEMENT Invoice Date: 10/01/2012
Waste Management Invoice Number: 1764699-2479-7
Attn: Port-O Let Billing Due Date: Due Upon Receipt
1411 opus Place,Suite 400 WM ezPay Account ID: 00001-29232-93008
Downers Grove, IL 60515
(800)443-5646 Customer Service
(866)863-4834 FAX Total,Current Charges Total Amount Due
228.39 -:22839'`: ,
(- -- - -L „
"11'6GCOUnt,�$-Umma y. `�`....�tb....s°. t.f.,"�'��.E3i..i
Please pay total amount due.Thank you for your
Description _ _ business.
Previous Balance 227.10
Total Credits and Adjustments 0.00
Total Payments Received 227.10-
Total Current Charges 228.39
Total Amount Due 228.39
Total Amount Past Due 0.00
WASTE:MANAGEMENT APPP.ECIATES TFIEtOP_PORT,U�!ITY.-
.rierVlGf',;p @PIO[9, TO SERVE YOU.TO INSURE PROPER APPLICATION OF YOUR
Description Amount PAYMENT,PLEASE USE THE ENCLOSED REMITTANCE STUB
Commercial 228.39 AND RETURN ENVELOPE.THANK YOU
Total Current Charges 228.39 Custom ers carrying a balance due of 60 days or greater are
subject to service cutoff and an automatic resume fee.
If full payment of the invoiced amount is not received within 30 days of the invoice date, you
will be charged a monthly late fee of 1.5% of the unpaid amount, with a minimum monthly
charge of$5.00, or such lesser late fee allowed under applicable law, regulation or contract.
Additionally, if your service is suspended for non-payment,you may be charged a resume fee
to restart your service. For each returned check, a fee will be assessed on your next billing
equal to the maximum amount permitted by applicable state law.
Want to pay this bill on-line?Visit www.wm.com and click on
My Account to make a convenient,secure payment.
Gur_rent Due.„; `+Over°30, t; ,R `,, sOver, 60 ;f =-,i0'ver 90'w` Over;12U.. 4 jeTotal Due,
� , ..
228.39 0.00 0.00 228.39
Page 3 of 3
wj�n Customer: BROOKSHIRE GOLF CLUB
Account Number: 600-0001510-2479-1
WASTE MANAGEMENT Invoice Date: 10/01/2012
Waste Management Invoice Number: 1764699-2479-7
Attu: Port-O Let Billing Due Date: Due Upon Receipt
1411 Opus Place,Suite 400 WM ezPay Account ID: 00001-29232-93008
Downers Grove, IL 60515
Service Location.,;600t157,0:;B.rooksh:ire,,Golf.Clubi:;,12420Brookshire;P.kw ,Cad,mel`Inz46033,,3314 �,�;,�� '"���'; �X�a"W�';;.ti."; , ;,;�;"��r
Date Ticket Description Quantity U/M Rate Amount
10/01/12 Pol 1x wk 2.00 173.34
10/01/12 Pol winterization fee 1.00 0.00
10/01/12 Fuel/environmental charge pol 55.05
Total Current Charges 228.39
Payments;,Receiyed ir .�
Payment-thank you 227.10-
Total Payments Received 227.10-
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s From everyday collection to environmental protection,Think Green! Think Waste Management. 1ery;apaPQ1
°o FOR CHANGE OF ADDRESS OR ANY SERVICE ISSUES CONTACT NUMBER ON PAGE 1
IICIi!lillllilillll!I!IIIUIIIIIIII!li!IIIIIIII!IIII 00-E L 9 1000
VOUCHER NO. WARRANT NO.
ALLOWED 20
Waste Management
IN SUM OF $
P.O. Box 4648
Carol Stream, IL 60197-4648
$228.39
ON ACCOUNT OF APPROPRIATION FOR
Brookshire Golf Club
PO#/Dept. INVOICE NO. ACCT#!TITLE AMOUNT
Board Members
1207 1 1764699-2479-7 I 43-501.01 I $228.39 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, September 28, 2012
d (4
Director, Brooks re 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))
10/01/12 I 1764699-2479-7I Trash I $228.39
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