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215402 12/11/2012 *f CITY CIF CARMEL, INDIANA VENDOR: 358593 Page 1 of 1 ONE CIVIC SQUARE REPUBLIC WASTE SERVICES OF INDIA CHECK AMOUNT: $1,744.35 y' CARMEL, INDIANA 46032 PO BOX 9001099 LOUISVILLE KY 40290-1099 CHECK NUMBER: 215402 CHECK DATE: 12/11/2012 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1205 4350101 26460 0034742 105 . 00 TRASH COLLECTION AT C 2201 4350100 26271 0034751 160 . 00 TRASH COLLECTION 1120 4350101 1408892 25 . 00 TRASH COLLECTION 1120 4350101 1408907 314 . 00 TRASH COLLECTION 1091 4350101 1409005 425 . 61 TRASH COLLECTION 651 5023990 1410954 200. 73 OTHER EXPENSES 651 5023990 1410955 364 . 01 OTHER EXPENSES 1125 4350101 1414016 150 . 00 TRASH COLLECTION ART REPUBLIC CARMEL CLAY PARKS Invoice SERVICES 832 Langsdale Ave Page 1 of 2 Indianapolis,IN 46202-1150 Current Invoice Charges Q � Monon Center 1235 Central Park Dr E (L1) CSA 6974053112 Carmel,IN ' o Q 1 -Front Load(4 Yd) Scheduled Service (S1) Account Number 3-0761-0036974 Invoice Date November 25,2012 Date Description Reference Quantity Unit Price Amount Invoice Number 0761-001409005 11/25 Basic Service 12/01/12-12/31/12 $84.13 $84.13 Previous Balance $425.61 1 -Front Load(10 Yd) Scheduled Service (S2) Payments/Adjustments $0.00 Unpaid Balance $425.61 Date Description Reference Quantity Unit Price Amount Current Invoice Charges $425.61 11/25 Basic Service 12/01/12-12/31/12 $243.99 $243.99 1 -Front Load Recycling(6 Yd) Scheduled Service (S3) Corrugated Only Date Description Reference Quantity Unit Price Amount 11/25 Recycling Service 12/01/12-12/31/12 $41.82 $41.82 o $851.22 1 -Front Load Recycling(8 Yd) Scheduled Service (S4) Comingled Due By: 12/15/12 Date Description Reference Quantity Unit Price Amount 11/25 Recycling Service 12/01/12-12/31/12 $55.67 $55.67 @U amomm Current Invoice Charges $425.61 Customer Service (317)917-7300 Purchase Description I ►�Wv{� �)�IUP)��- �?�- __ P.O.# PorF DEC 3 2012 Effective 4/16/2012:SERVICE INTERRUPTION G.L.# i D`"I 1 —`+�3 5n I E)I — POLICY CHANGE All accounts with a balance over Bud 13et 60 days will experience a service interruption unless Line BY.— prior arrangements are made. Purchaser Date Approval Date 425.61 425.61 0.00 0.00 To pay on-line or sign up for Past Due Balance $425.61 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.electronicpaVments.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. REPUBLIC CARMEL CLAY PARK'S Invoice SERVICES Page 1 of 2 832 Langsdale Ave Indianapolis,IN 46202-1150 Current Invoice Charges Carmel Clay Park's 1411 E 116th St (L1) CSA 94811711 Carmel,IN o 2-Front Load(8 Yd) Scheduled Service (S1) Account Number 3-0761-1410948 Invoice Date November 25,2012 Date Description Reference Quantity Unit Price Amount Invoice Number 0761-001414016 11/25 Basic Service 12/01/12-12/31/12 $150.00 $150.00 Previous Balance $150.00 Current Invoice Charges $150.00 Payments/Adjustments $0.00 Unpaid Balance $150.00 Current Invoice Charges $150.00 $300.00 Due By: 12/15/12 0 Customer Service (317)917-7300 Purchase Description Dummier AG D�0, FRF 0 0 o o P.O.# PorF 2012 Effective 4/16/2012:SERVICE INTERRUPTION G.L.# Ii a s-�1-1�� -/-� ,6010 �POLICY CHANGE All accounts with a balance over Bucket j}—�pw C-��o�60 days will experience a service interruption unless Line Gescr I l�l prior arrangements are made. Purchaser Date Approval Date 150.00 150.00 0.00 0.00 To pay on-line or sign up for Past Due Balance $150.00 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 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 11/25/12 761001409005 Trash pickup MCC $ 425.61 11/25/12 761001414016 Dumpster AO Dec'12 $ 150.00 Total--F$ 575.61 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 , 20_ Clerk-Treasurer Voucher No. Warrant No. 358593 Republic Services#761 Allowed 20 P.O. Box 9001099 Louisville, KY 40290-1099 In Sum of$ $ 575.61 ON ACCOUNT OF APPROPRIATION FOR 101 -General 1 109 MCC PO#or INVOICE NO. ACCT#/TITLE AMOUNT Board Members Dept# 1091 761001409005 4350101 $ 425.61 1 hereby certify that the attached invoice(s), or 1125 761001414016 4350101 $ 150.00 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 6-Dec 2012 Signature $ 575.61 Accounts Payable Coordinator Cost distribution ledger classification if Title claim paid motor vehicle highway fund REPUBLIC CITY OF CARMEL STREET DEPT Invoice SERVICES Page 1 of 2 832 Langsdale Ave Indianapolis,IN 46202-1150 Payments/Adjustments Date Description Reference Amount 11/26 Payment-Thank You 214417 -$160.00 Account Number 03-0761-0034751 Current Invoice Charges Invoice Date November 25,2012 Street Department 3400 W 131st St (L1) CSA 002764 Invoice Number 0761-001408910 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 Quanti Unit Price Amount Current Invoice Charges $160.00 11/25 Basic Service 12/01/12-12/31/12 $160.00 $160.00 Current Invoice Charges $160.00 n a $160.00 Due By: 12/15112 0 0 0 Customer Service (317)917-7300 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 will experience a service interruption unless prior arrangements are made. 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 VOUCHER NO. WARRANT NO. ALLOWED 20 Republic Services 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 0761-001408910 I 43-501.001 $160.00 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 ti Friday Dece0i er 07, 2012 'Street(Commissioner 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 0761-001408910 $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 5-11-10-1.6 120 Clerk-Treasurer �d �R�REPUBL/C CITY OF CARMEL ��y`f�� �� Invoice SERVICES / Page 1 of 2 832 Langsdale Ave Z Indianapolis,IN 46202-1150 Current Invoice Charges City Hall 1 Civic Sq (1-1) CSA 002763 Carmel,IN a" 1 -Front Load(6 Yd) Scheduled Service (S1) Account Number 3-0761-0034742 Invoice Date November 25,2012 Date Description Reference Quantity Unit Price Amount Invoice Number 0761-001408908 11/25 Basic Service 12/01/12-12/31/12 $105.00 $105.00 Previous Balance $105.00 Current Invoice Charges $105.00 Payments/Adjustments $0.00 Unpaid Balance $105.00 Current Invoice Charges $105.00 $210.00 Due By: 12/15/12 ° Customer Service (317)917-7300 ° ° a a Effective 4/16/2012:SERVICE INTERRUPTION D POLICY CHANGE All accounts with a balance over DEC 10 2012 60 days will experience a service interruption unless prior arrangements are made. By G.Uf2REtV7v,„„M,...:.,,,.,. ";:;�`�.3Q DAYS,�. ' ��;-� n.y<.u�..,.,60VRYS9M&&...._90..... .: `•`°�x, 105.00 105.00 0.00 0.00 To pay on-line or sign up for Past Due Balance $105.00 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 VOUCHER NO. WARRANT NO. ALLOWED 20 Republic Services #761 IN SUM OF $ PO Box 9001099 Louisville, KY 40290-1099 $105.00 ON ACCOUNT OF APPROPRIATION FOR Administration Department PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members 26460 0761-001408908 43-501.01 $105.00 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 Monday, December 10, 2012 Director, Administration 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 0761-001408908 $105.00 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 REPUBLIC CARMEL UTILITIES Invoice ty� SERVICES Page 1 of 2 832 Langsdale Ave Indianapolis,IN 46202-1150 Current Invoice Charges Carmel Utilities 901 N Range Line Rd (1_1) Carmel,IN o 1 -Front Load(8 Yd) Scheduled Service (S1) Account Number 3-0761-1410954 Invoice Date November 25,2012 Date Description Reference Quantity Unit Price Amount Invoice Number 0761-001414018 11/25 Basic Service 12/01/12-12/31/12 $143.79 $143.79 Previous Balance $200.73 1 -Front Load(2 Yd) Scheduled Service (S2) Payments/Adjustments $0.00 Unpaid Balance $200.73 Date Description Reference Quanti Unit Price Amount Current Invoice Charges $200.73 11/25 Basic Service 12/01/12-12/31/12 $56.94 $56.94 Current Invoice Charges $200.73 o $401.46 Due By: 12/15/12 0 0 0 Customer Service (317)917-7300 00 0 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. .........<.,,..ar ....... ...... ...,.,,,,. „ .:«<:,��::.:::.-�0,17AY8:>�«.. :::F:, _.,i:6tIpAYS ;�-;:,....«w Z=�904<DA ,:..,:,:,,_,: 200.73 200.73 0.00 0.00 To pay on-line or sign up for Past Due Balance $200.73 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 VOUCHER # 126301 WARRANT # ALLOWED 358593 IN SUM OF $ REPUBLIC WASTE SERVICES OF INDI PO BOX 9001099 4 LOUISVILLE, KY 40290-1099 l Carmel Wastewater Utility ON ACCOUNT OF APPROPRIATION FOR Board members PO# INV# ACCT# AMOUNT Audit Trail Code 07610014140 01-736H-08 $200.73 i i 1 i I Voucher Total $200.73 Cost distribution ledger classification if claim paid under 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 of service rendered, by whom, rates per day, number of units, price per unit, etc. Payee 358593 REPUBLIC WASTE SERVICES OF INDIANA Purchase Order No. PO BOX 9001099 Terms LOUISVILLE, KY 40290-1099 Due Date 12/4/2012 Invoice Invoice Description Date Number (or note attached invoice(s) or bill(s)) Amount 12/4/2012 0761001414( $200.73 i i I hereby certify that the attached invoice(s), or bill(s) is (are) true and i :orrect and I have audited same in accordance with IC 5-11-10-1.6 I Date Officer V "AREPUBLIC CARMEL UTILITIES Invoice ;04 SERVICES Page 1 of 2 832 Langsdale Ave Indianapolis,IN 46202.1150 Current Invoice Charges Carmel Utilities 9609 Hazel Dell Parkway (L1) Carmel,IN ' o 14-Front Load(2 Yd) Scheduled Service (S1) Account Number 3-0761-1410955 Invoice Date November 25,2012 Date Description Reference Quantity Unit Price Amount Invoice Number 0761-001414019 11/25 Basic Service 12/01/12-12/31/12 $364.01 $364.01 Previous Balance $364.01 Payments/Adjustments $0.00 Current Invoice Charges $364.01 Unpaid Balance $364.01 Current Invoice Charges $364.01 LWUM&Mgem $728.02 Due By: 12/15/12 0 0 0 Customer Service (317)917-7300 " W."WOE99M 0 0�jjj 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. DI, 3ba '05 364.01 364.01 0.00 0.00 To pay on-line or sign up for p ce $364.01 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 VOUCHER # 126269 WARRANT # ALLOWED 358593 IN SUM OF $ REPUBLIC WASTE SERVICES OF INDI PO BOX 9001099 LOUISVILLE, KY 40290-1099 Carmel Wastewater Utility ON ACCOUNT OF APPROPRIATION FOR Board members PO# INV# ACCT# AMOUNT Audit Trail Code 3-0761-14109 01-7362-05 $364.01 i 1 Voucher Total $364.01 Cost distribution ledger classification if claim paid under 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 of service rendered, by whom, rates per day, number of units, price per unit, etc. Payee 358593 REPUBLIC WASTE SERVICES OF INDIANA Purchase Order No. PO BOX 9001099 Terms LOUISVILLE, KY 40290-1099 Due Date 12/5/2012 Invoice Invoice Description Date Number (or note attached invoice(s) or bill(s)) Amount 12/5/2012 3-0761-1410! $364.01 hereby certify that the attached invoice(s), or bill(s) is (are)true and -orrect and I have audited same in accordance with IC 5-11-10-1.6 )ZIA 1/z (h--(YL� Date Officer eMEPUBLIC CITY OF CARMEL FIRE DEPT Invoice ZW SERVICES Page 1 of 3 832 Langsdale Ave Indianapolis,IN 46202-1150 Payments/Adjustments Qt�G Date Description Reference Amount 11/26 Payment-Thank You 214417 -$314.00 Account Number •3-0761-0034703 Current Invoice Charges Invoice Date November 25,2012 . Fire Station 41 2 Civic Sq (L1) CSA 002757 Invoice Number 0761-001408907 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 11/25 Basic Service 12/01/12-12/31/12 $132.00 $132.00 Fire Station 42 3610 W 106th St (L2) CSA 002758 Carmel,IN 0 1 -Front Load(2 Yd) Scheduled Service (S3) @ Datc Description Qeference Quantity Unit Price n.aunt .pJ��F.Ii� 11/25 Basic Service 12/01/12-12/31/12 $56.00 $56.00 Due By: 12/15/12 Fire Station 43 3242E 106th St (L3) CSA 002759 Carmel,IN 0 0 0 Customer Service (317)917-7300 1 -Front Load(2 Yd) Scheduled Service (S1) Date Description Reference Quantity Unit Price Amount 11/25 Basic Service 12/01112-12/31/12 $35.00 $35.00 Fire Station 44 5032 E 131st St (L4) CSA 002760 W.-Mum 0 0 Carmel,IN Your next Invoice may reflect a rate adjustment,if 1 -Front Load(2 Yd) Scheduled Service (S1) you have any questions after receiving your next invoice please contact us. Date Description Reference Quantity Unit Price Amount Effective 4/16/2012:SERVICE INTERRUPTION 11/25 Basic Service 12/01/12-12/31/12 $35.00 $35.00 POLICY CHANGE All accounts with a balance over 60 days will experience a service interruption unless Fire Station 46 540 W 136th St (L6) CSA 002762 prior arrangements are made. Carmel,IN 1 -Front Load(4 Yd) Scheduled Service (S4) CURRENT :: 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: AA • Visit our website,www.disposal.com to make your payment electronically VVWW.disposal.com or to sign up for our convenient automatic payment plan. �—._-- - . Please see reverse side for terms and conditions 001360-000002-000002-002720 2310382 2240ST03 1 3 Page 3 of 3 CITY OF OF CARMEL FIRE DEPT Republic Services #761 REPUBLIC Account Number 3-0761-0034703 g32 Langsdale Ave SERVICES Invoice Date November 25, 2012 Invoice Number 0761-001408907 Indianapolis, IN 46202-1150 Current Invoice Charges Date Description Reference Quantity Unit Price Amount 11/25 Basic Service 12/01/12-12/31/12 $56.00 $56.00 Current Invoice Charges $314.00 6REPUBLIC CITY OF CARMEL FIRE DEPT Invoice 44 SERVICES Page 1 of 2 832 Langsdale Ave Indianapolis,IN 46202-1150 Payments/Adjustments " .� Date Description Reference Amount 11/26 Payment-Thank You 214417 -$25.00 Account Number 13-0761-0034441 Current Invoice Charges Invoice Date November 25,2012 Training Facility 510 3rd Ave SW (L1) CSA 002792 Invoice Number 0761-001408892 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 11/25 Basic Service 12/01/12-12/31/12 $25.00 $25.00 Current Invoice Charges $25.00 D � O $25.00 Due By: 12/15/12 0 0 ,- Customer Service (317)917-7300 0 0 0 m" 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. IR I . ...... . ..T w 90}. .. i 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 VOUCHER NO. WARRANT NO. ALLOWED 20 Republic Services IN SUM OF $ 832 Lansdale Avenue Indianapolis, IN 46202 $339.00 ON ACCOUNT OF APPROPRIATION FOR Carmel Fire Department PO#/Dept. INVOICE NO. ACCT#!TITLE AMOUNT Board Members 1120 0761-001408892 43-501.01 j $25.00 1 hereby certify that the attached invoice(s), or 1120 0761-001408907 43-501.01 $314.00 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 DEC 10 2012 .P R Q � o a 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)) 0761-001408892 $25.00 0761-001408907 $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