HomeMy WebLinkAbout215482 12/12/2012 CITY OF CARMEL, INDIANA VENDOR: 358593 Page 1 of 1
+��f ONE CIVIC SQUARE REPUBLIC WASTE SERVICES OF INDIA CHECK AMOUNT: $154.00
CARMEL, INDIANA 46032 PO BOX 9001099
LOUISVILLE KY 40290-1099 CHECK NUMBER: 215482
CHECK DATE: 12/12/2012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1110 4350101 0034698 154 . 00 TRASH COLLECTION
REPUBLIC CITY OF CARMEL POLICE Invoice
fy� SERVICES Page 1 of 2
832 Langsdale Ave
Indianapolis,IN 46202-1150 -
Payments/Adjustments
GJCfl Date Description Reference Amount
11726 Payment-Thank You 214417 -$154.00
Account Number •3-0761-0034698 Current Invoice Charges
Invoice Date November 25,2012 Police Firing Range 9609 Hazel Dell Pkwy (L1) CSA 002755
Invoice Number 0761-001408906 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 Quanti Unit Price Amount
Current Invoice Charges $154.00 11/25 Basic Service 12/01/12-12/31/12 $77.00 $77.00
Police Headquarters 3 Civic Sq (L2) CSA 002756
Carmel,IN
M9 VM
0 1 -Front Load(8 Yd) Scheduled Service (S1)
$454.00 Date Description Reference Quantity Unit Price Amount
11/25 Basic Service 12/01/12-12/31112 $77.00 $77.00
Due By: 12115/12
Current Invoice Charges $154.00
0 0 0
Customer Service (317)917-7300
0 0 I o 0
Your next Invoice may reflect a rate adjustment,if
you have any questions after receiving your next
invoice please contact us.
Effective 4/16/2012:SERVICE INTERRUPTION
POLICY CHANGE All accounts with a balance over
60 days wiii experience a service interruption unless
prior arrangements are made.
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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transfer, funds may be withdrawn from your account as soon as the same day we receive your payment and you will not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.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#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. ACCT#/TITLE AMOUNT Board Members
1110 1 0761-0014089061 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
Wednesday, December 05, 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))
11/25/12 0761-001408906 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