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214417 11/07/2012 ».F CITY OF CARMEL, INDIANA VENDOR: 358593 Page 1 of 1 ONE CIVIC SQUARE REPUBLIC WASTE SERVICES OF INDIA _CHECK AMOUNT: $679.40 CARMEL, INDIANA 46032 PO BOX 9001099 9'I'«OM 2 LOUISVILLE KY 40290-1099 CHECK NUMBER: 214417 CHECK DATE: 11/7/2012 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1110 4350101 0761-0013773 154 . 00 TRASH COLLECTION 1115 4350900 0761-0013773 26 .40 OTHER CONT SERVICES 1120 4350101 0761-0013773 314 . 00 TRASH COLLECTION 1120 4350101 24302 0761-0013773 25 . 00 TRASH SERVICE 2201 4350100 26271 0761-0013773 160 . 00 TRASH COLLECTION 1,w REPUBLIC CITY OF CARMEL FIRE DEPT Invoice SERVICES Page 1 of 3 832 Langsdale Ave Indianapolis,IN 46202-1150 Payments/Adjustments Date Description Reference Amount 10/20 Payment-Thank You 213637 -$314.00 ` o Account Number •3-0761-0034703 Current Invoice Charges Invoice Date October 25,2012 Fire Station 41 2 Civic Sq (L1) CSA 002757 Invoice Number 0761-001377370 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 10/25 Basic Service 11/01/12-11/30/12 $132.00 $132.00 Fire Station 42 3610 W 106th St (1-2) CSA 002758 Carmel,IN 0 1 -Front Load(2 Yd) Scheduled Service (S3) $314.00 Date Description Reference Quantity Unit Price Amount 10/25 Basic Service 11/01/12-11/30/12 $56.00 $56.00 Due By: 11/14/12 Fire Station 43 3242E 106th St (L3) CSA 002759 0 0 0 Carmel,IN Customer Service - (317)917-7300 1 -Front Load(2 Yd) Scheduled Service (S1) Date Description Reference Quantity Unit Price Amount 10/25 Basic Service 11/01/12-11/30/12 $35.00 $35.00 Fire Station 44 5032 E 131st St (L4) CSA 002760 0 0 0 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. 10/25 Basic Service 11/01/12-11/30/12 $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 1 .30 DAYS, 60 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.disiaosal.com 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.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. 000858-000002-000002-001716 2309343 2240ST03 1 3 Page 3 of 3 CITY OF CARMEL FIRE DEPT Republic Services #761 Account Number 3-0761-0034703 1w "A REPUBLIC 832 Langsdale Ave SERVICES Invoice Date October 25, 2012 Invoice Number 0761-001377370 Indianapolis, IN 46202-1150 Current Invoice Charges Date Description Reference Quantity Unit Price Amount 10/25 Basic Service 11/01/12-11/30/12 $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 $314.00 ON ACCOUNT OF APPROPRIATION FOR Carmel Fire Department PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members 1120 1 0761-0013773701 43-501.01 1 $314.00 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 PSI -0 U 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)) 0761-001377370 $314.00 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 CITY OF CARMEL POLICE Invoice ty� SERVICES Page 1 of 2 832 Langsdale Ave Indianapolis,IN 46202-1150 Payments/Adjustments Date Description Reference Amount 10/20 Payment-Thank You 213637 -$154.00 Account Number 3-0761-0034698 Current Invoice Charges Invoice Date October 25,2012 Police Firing Range 9609 Hazel Dell Pkwy (L1) CSA 002755 Invoice Number 0761-001377369 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 10/25 Basic Service 11/01/12-11/30/12 $77.00 $77.00 Police Headquarters 3 Civic Sq (1-2) CSA 002756 Carmel,IN R o 1 -Front Load(8 Yd) Scheduled Service (S1) i 1-54.00 Date Description Reference Quantity Unit Price Amount ---- 10/25 Basic Service 11/01/12.-11/30/12 $77.00 $77.00 Due By: 11/14/12 Current Invoice Charges $154.00 a,•z>:. 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. ....... �....:,. 90 UAYS:>a: AYS.�':°:�;�%,.: 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.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 $ P.O. Box 9001099 Louisville, KY 40290-1099 $154.00 ON ACCOUNT OF APPROPRIATION FOR Carmel Police Department PO#/Dept. INVOICE NO. I ACCT#/TITLE AMOUNT Board Members 1110 1 0761-0013773791 43-501.01 1 $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 Friday, November 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)) 10/25/12 0761-001377379 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 e'OARIlEPUBL/C CITY OF CARMEL STREET DEPT Invoice SERVICES Page 1 of 2 832 Langsdale Ave Indianapolis,IN 46202-1150 JJ�� . Payments/Adjustments Date Description Reference Amount 10720 Payment-Thank You 213637 -$160.00 µAccount Number 3-0761-0034751 Current Invoice Charges Invoice Date October 25,2012 Street Department 3400 W 131st St (L1) CSA 002764 Invoice Number 0761-001377373 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 10/25 Basic Service 11/01/12-11/30/12 $160.00 $160.00 Current Invoice Charges $160.00 MOW $160.00 Due By: 11/14/12 Customer Service (317)917-7300 0o a o 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. R . . _. QYS. .`DA Y 8 :_:i...... :>'i' "'_90 160.00 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. VOUCHER NO. WARRANT NO. Republic Services ALLOWED 20 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 1 0761-001377373 I 43-501.00 $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 F..riday, Nbvember 02, 2012 v Street Commissioner I b Street ComrrTltleione; 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)) 10/25/12 0761-001377373 $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 qR-ARLPUBL/C CITY OF CARMEL Invoice 4#14 SERVICES Page 1 of 2 832 Langsdale Ave Indianapolis,IN 46202-1150 Payments/Adjustments Date Description Reference Amount 10120 Payment-Thank You 213637 -$26.40 o Account Number 3-0761-0034749 Current Invoice Charges Invoice Date October 25,2012 Communications Department 31 1st Ave NW (L1) CSA 002772 Invoice Number 0761-001377372 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 Qufta!L Unit Price Amount Current Invoice Charges $26.40 10/25 Basic Service 11/01/12-11/30/12 $26.40 $26.40 Current Invoice Charges $26.40 $26.40 Due By: 11/14/12 . a o o Customer Service (317)917-7300 0 o o 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. CUf�RENT::�,.,,::::r. DkYS,�:�€ „',,,,� 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 $ t P.O. Box 9001099 Louisville, KY 40290-1099 $26.40 ON ACCOUNT OF APPROPRIATION FOR Carmel Clay Communications PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT W Board Members 1115 1 0761-0013773721 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 Monday, November 05, 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)) 10/25/12 0761-001377372 $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 �R"A REPUBLIC CITY OF CARMEL FIRE DEPT Invoice 4 4+4 SERVICES Page 1 of 2 832 Langsdale Ave Indianapolis,IN 46202-1150 Payments/Adjustments Date Description Reference Amount 10/20 Payment-Thank You 213637 -$25.00 fzv, 1. Account Number ,3-0761-0034441 Current Invoice Charges Invoice Date October 25,2012 Training Facility 510 3rd Ave SW (L1) CSA 002792 Invoice Number 0761-001377356 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 10/25 Basic Service 11/01/12-11/30/12 $25.00 $25.00 Current Invoice Charges $25.00 o ~o k $25.00 Due By: 11114/12 ".s Customer Service (317)917-7300 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. .r.:.ClJfiREN .,..-:,,..... 30 DRYS.:::;'.:.:> : : '.:,:..,:.:<,>;;;:SO:DAYS ''",: `:.90+:DAYSr<° 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.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 $25.00 ON ACCOUNT OF APPROPRIATION FOR Carmel Fire Department PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members -T 24302 1 0761-0013773561 43-501.01 1 $25.00 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 ��3i Wef, 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 4n 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)) 0761-001377356 $25.00 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