HomeMy WebLinkAbout215160 12/04/2012 - CITY OF CARMEL, INDIANA VENDOR: 358593 Page 1 of 1
0 )• ONE CIVIC SQUARE REPUBLIC WASTE SERVICES OF INDIA KECK AMOUNT: $425.61
CARMEL, INDIANA 46032 PO BOX 9001099
LOUISVILLE KY 40290-1099 CHECK NUMBER: 215160
CHECK DATE: 12/4/2012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1091 4350101 761001377468 425 . 61 TRASH COLLECTION
4VAREPUBLIC CARMEL CLAY PARKS Invoice
;04 SERVICES C EI V w
Page 1 of 2
832 Langsdale Ave
Indianapolis,IN 46202-1150
Payments/Adjustments NUTUZU1Z
p ,'..
Date Description BY: Refere ce Amount
10/20 Payment-Thank You -$181.60
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Account Number •3-0761-0036974 Current Invoice Charges
Invoice Date October 25,2012 Morton Center 1235 Central Park Dr E (L1) CSA 6974053112
Invoice Number 0761-001377468 Carmel,IN
Previous Balance $181.60
Payments/Adjustments -$181.60 1 -Front Load(4 Yd) Scheduled Service (S1)
Unpaid Balance $0.00 Date Description Reference Quantity Unit Price Amount
CurrentlnvoiceCharges $425.61 10/25 Basic Service 11/01/12-11/30/12 $84.13 $84.13
1 -Front Load(10 Yd) Scheduled Service (S2)
Date Description Reference Quantity Unit Price Amount
Basic Service 11/01/12-11/30/12 $243.99 $243.99
$425.61 1 -Front Load Recycling(6 Yd) Scheduled Service (S3) Corrugated Only
Due By: 11114112 Date Description Reference Quanti Unit Price Amount
10/25 Recycling Service 11/01/12-11/30/12 $41.82 $41.82
e e e 1 -Front Load Recycling(8 Yd) Scheduled Service (S4) Comingled
Customer Service (317)917-7300 Date Description Reference Quantity Unit Price Amount
10/25 Recycling Service 11/01/12-11/30/12 $55.67 $55.67
Current Invoice Charges $425.61
Purchase
PICKUP. M
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Effective 4/16/2012:SERVICE INTERRUPTION } 4 P or F
POLICY CHANGE All accounts with a balance over /'
60 days will experience a service interruption unless G.L, j O�f_ T 3�'Q
prior arrangements are made.
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425.61 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 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
10/25112 761001377468 Trash pickup MCC $ 425.61
Total $ 425.61
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
20y
Clerk-Treasurer
Voucher No. Warrant No.
358593 Republic Services#761 Allowed 20
P.O. Box 9001099
Louisville, KY 40290-1099
In Sum of$
I
$ 425.61
ON ACCOUNT OF APPROPRIATION FOR
109 - Monon Center
PO#or INVOICE NO. ACCT#/TITLE AMOUNT Board Members
Dept#
1091 761001377468 4350101 $ 425.61 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 ,
29-Nov 2012
Signature
$ 425.61 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund