214456 11/07/2012 y
CITY OF CARMEL, INDIANA VENDOR: 00352479 Page 1 of 1
�F ONE CIVIC SQUARE WASTE MANAGEMENT
s CHECK AMOUNT: $228.14
CARMEL, INDIANA 46032 BILL PAYMENT CENTER
PO BOX 4648
o CHECK NUMBER: 214456
CAROL STREAM IL 60197-4648
CHECK DATE: 11/7/2012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1207 4350101 1765032-2479 228 . 14 TRASH COLLECTION
Page 1 of 3 VVA_/ -
Customer: BROOKSHIRE GOLF CLUB
® INVOICE Account Number: 600-0001510-2479-1
WASTE MANAGEME118T Invoice Date: 11/01/2012
Waste Management Invoice Number: 1765032-2479-0
Attn: Port-0 Let Billing Due Date: Due Upon Receipt
1411 Opus Place,Suite 400 WM ezPay Account ID: 00001-29232-93008
Downers Grove, IL 60515
(800)443-5646 Customer Service
(866)863-4834 FAX Total Current Charges Total Amount Due
228.14
;`Account"$ummar
Please pay total amount due.Thank you for your
Description business.
Previous Balance 228.39
Total Credits and Adjustments 0.00
Total Payments Received 228.39-
Total Current Charges 228.14
Total Amount Due 228.14
Total Amount Past Due 0.00
-—— -- —--- - -- - -
WASTE MANAGEMENT APPRECIATES THE OPPORTLINITY—"`—
;Service,Period OC�T�rv2012j„SERVICE ,:„. - r „ ,,a i , �,a,;+;,„ "s g TO SERVE YOU.TO INSURE PROPER APPLICATION OF YOUR
Description Amount PAYMENT,PLEASE USE THE ENCLOSED REMITTANCE STUB
Commercial 228.14 AND RETURN ENVELOPE.THANK YOU
Total Current Charges 228.14 Customers 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.
228.14 0.00 0.00 0.00 0.00 1 228.14
Page 3of3
Customer: BRDOKGH|RE GOLF CLUB
WWVAV—A 600'0001510'2479'1
WASTE mmAwwAGEmmEwmT Invoice Date: 11/01/2012
vv Invoice � 17O5032'2470'O a�emanuocmrn�
Attn: Pvn'o_uyBilling Due Date: Due Upon Receipt
1411 Opus Place,Suite 4on VVK8ezpoy Account ID: 00001'20232'03008
Downers Grove,|Lsos1n
ti
Date Ticket Description Quantity U/M Rate Amount
11/01/12 Pol 1x wk 2.00 173.34
11/01/12 Pol winterization fee 1.00 0.00
11/01/12 Fuel/environmental charge pol 54.80
Total Current Charges 228.14
Payment-thank you 228.39-
,
Total Payments Received 328.28'
�---~~_-__-----------_'---_ ��� '
|
Printed
^
�
From everyday collection to environmental protection,Think Green" Waste Management.
recycled paper.
FOR CHANGE OF ADDRESS OR ANY SERVICE ISSUES CONTACT NUMBER ON PAGE I
VOUCHER NO. WARRANT NO.
ALLOWED 20
Waste Management
IN SUM OF $
P.O. Box 4648
Carol Stream, IL 60197-4648
$228.14
ON ACCOUNT OF APPROPRIATION FOR
Brookshire Golf Club
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
1207 1 1765032-2479-0I 43-501.01 I $228.14 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 30, 2012
9"-224
Director, Brooks We 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))
11/01/12 I 1765032-2479-0 Trash I $228.14
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