214416 11/07/2012 CITY OF CARMEL, INDIANA VENDOR: 366093 Page 1 of 1
ONE CIVIC SQUARE REPUBLIC WASTE SERVICE-TRASH COMCK AMOUNT: $77,539.47
CARMEL, INDIANA 46032 ATTN NANCY COLLINS
832 LANGSDALE AVE CHECK NUMBER: 214416
INDIANAPOLIS IN 46202-1150
CHECK DATE: 11/7/2012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
601 5023990 77, 539.47 TRASH SERVIC
Republic Services
832 Langsdale Ave
Indianapolis, IN 46202-1150
ATTN: Nancy Collins
Account# 3-0761-9761020
$$$$ Collected By Carmel Utilities
Oct 22 to Nov 4 $ 79,801.47
Less Administrative Fee
9048 Payments $ (2,262.00)
Payment to Republic $ 77,539.47
Prescribed by State Board of Accounts
Form No.301 (Rev.1995) ACCOUNTS PAYABLE VOUCHER
"
TO�
�u3cic - �+�DS3
ADDRESS
Invoice Date Invoice Number Item Amount C
kA�5 14 0
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
Signature Title
I hereby certify that the attached invoice(s), or bill(s), is (are)true and cor ct and I have audited same in accordance
with IC 5-11-10-1.6.
19
icer Title
Voucher No. Warrant No.
ACCOUNTS PAYABLE DETAILED ACCOUNTS
MUNICIPAL WATER DEPT. ANOT
CARMEL, INDIANA
2�Pu�Uc--36cvo5 avor Of I!
yv0 tt1^'A"L
Total Amount of Voucher $ +
Deductions
B
Ah,iount of Warrant $
I
Month of
VOUCHER RECORD Acct.
No.
Source of Supply
Water Treatment I }
Transmission and Dist.
Customer Accounts
Administrative and General )
Operation-Maintenance
Utility Plant in Service
Constr.Work in Progress
Materials and Supplies I --
Customers Deposits
I ..
Total
Allowed
Board of Control
Filed
Official Title
BOYCE FORMS•SYSTEMS 1-800-382-8702 325