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Home My WebLink About215752 12/18/2012 CITY OF CARMEL, INDIANA VENDOR: 358593 Page 1 of 1 ONE CIVIC SQUARE REPUBLIC WASTE SERVICES OF INDIA MECK AMOUNT: $2,569.45 CARMEL, INDIANA 46032 PO BOX 9001099 ray LOUISVILLE KY 40290-1099 CHECK NUMBER: 215752 CHECK DATE: 12/18/2012 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1115 4350900 0034749 26 .40 OTHER CONT SERVICES 1207 4350101 0035460 281 . 00 TRASH COLLECTION 651 5023990 1163292 2 , 262 . 05 OTHER EXPENSES euAREPUBLIC CARMEL UTILITIES HHW Invoice 44 SERVICES 832 Langsdale Ave Page 1 of 3 Indianapolis,IN 46202-1150 Payments/Adjustments Date Description Reference Amount 11/03 Payment-Thank You 214058 -$2,297.25 ;A ount Number -3-0761-1163292 Current Invoice Charges ice Date November 30,2012 - Carmel Utilities Hhw 901 N Range Line Rd (1-1) CSA 3292121010 Invoice Number 0761-001419634 Carmel,IN Previous Balance $5,053.95 Payments/Adjustments -$2,297.25 1 -Hooklift(30 Yd) Scheduled Service (S1) Comingled Unpaid Balance $2,756.70 Date Description Reference Quantity Unit Price Amount Current Invoice Charges $2,262.05 11/01 Basic Service 1.0000 $153.15 $153.15 Receipt Number 3853 11/07 Basic Service 1.0000 $153.15 $153.15 Receipt Number 42931 11/13 Basic Service Jp Email 1.0000 $153.15 $153.15 ° `"' Receipt Number 47882 =By: 11/15 Basic Service 1.0000 $153.15 $153.15 Receipt Number 48391 20/12 11/20 Basic Service 1.0000 $153.15 $153.15 Receipt Number 48391 e o = 11/27 Basic Service 1.0000 $153.15 $153.15 Receipt Number 48391 Customer Service (317)917-7300 11/29 Basic Service 1.0000 $153.15 $153.15 Receipt Number 48391 1 -Rolloff(30 Yd) Scheduled Service (S3) Comingled 0 0 0 o Date Description Reference Quantity Unit Price Amount F 11/01 Basic Service 1.0000 $170.00 $170.00 Effective 4/1612012:SERVICE INTERRUPTION Receipt Number 5831 POLICY CHANGE All accounts with a balance over 11/07 Basic Service 1.0000 $170.00 $170.00 60 days will experience a service interruption unless Receipt Number 42933 prior arrangements are made. 11/09 Basic Service 1.0000 $170.00 $170.00 Receipt Number 42933 11/13 Basic Service Jp Email 1.0000 $170.00 $170.00 Receipt Number 47882 11/20 Basic Service 1.0000 $170.00 $170.00 Receipt Number 48393 „yam ,-;,,CURRENT F .: 30 DAYS :mi60..DAYS 2,262.05 2,756.70 0.00 0.00 To pay on-line or sign up for Past Due Balance $2,756.70 convenient auto pay, go to: D A • Visit our website,www.disposal.com to make your payment electronically www.aisposai.com or to s:gn up for our conveniart autor:atic payment plan. Please see reverse side for terms and conditions CARMEL UTILITIES HHW 3-0761-1163292 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. VOUCHER # 126358 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 07610014196 01-736H-08 $2,262.05 Voucher Total $2,262.05 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 12/12/2012 Invoice Invoice Description Date Number (or note attached invoice(s) or bill(s)) Amount 12/12/201; 0761001419E $2,262.05 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 Date Officer 4R"A REPUBLIC CITY OF CARMEL BROOKSHIRE GOLF � Invoice (y16 SERVICES Page 1 of 2 832 Langsdale Ave Indianapolis,IN 46202-1150 Payments/Adjustments "'Q � ' • .'.. Date Description Reference Amount 11/03 Payment-Thank You 214058 -$132.00 Account Number 3-0761-0035460 Current Invoice Charges Invoice Date November 30,2012 Brookshire Golf Course 12120 Brookshire Pkwy (L1) CSA 002765 Invoice Number 0761-001417482 Carmel,IN Previous Balance $539.00 Payments/Adjustments -$132.00 1 -Front Load(8 Yd) Scheduled Service (S1) Unpaid Balance $407.00 Date Description Reference Quantity Unit Price Amount Current Invoice Charges $281.00 1 x/30 Rate Adjustment 11/01/12-12/31/12 1.0000 $69.00 -$126.00 11/30 Basic Service 12/01/12-12/31/12 $132.00 $132.00 1 -Rolloff(20 Yd) On Call Service (S2) 0 'q. „ Date Description Reference Quantity Unit Price Amount 'j'"` °°° 11/14 Basic Service Bob 1.0000 $275.00 $275.00 $688,00 Receipt Number 49010 Due By: 12/20/12 Current Invoice Charges $281.00 0 0 0 w , Customer Service (317)917-7300 AUFNEGM 0 o . 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. 363r//'S,1 4, 281.00 407.00 0.00 0.00 To pay on-line or sign up for Past Due Balance $407.00 convenient auto pay, go to: D 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 BROOKSHIRE GOLF 3-0761-0035460 Page 2 oil 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 $281.00 ON ACCOUNT OF APPROPRIATION FOR Brookshire Golf Club PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members r 1207 1 0761-0014174821 43-501.01 1 $281.00 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 Tuesday, December 11, 2012 Director, Brookshi 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)) 11/30/12 1 0761-0014174821 Trash Collection $281.00 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 �R7�REPUBLIC CITY OF CARMEL Invoice ZV6 SERVICES Page 1 of 2 832 Langsdale Ave Indianapolis,IN 46202-1150 Payments/Adjustments _ Date Description Reference Amount 11/26 Payment-Thank You 214417 -$26.40 Account Number ,3-0761-0034749 Current Invoice Charges Invoice Date November 25,2012 Communications Department 31 1st Ave NW (L1) CSA 002772 Invoice Number 0761-001408909 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 Quanti Unit Price Amount Current Invoice Charges $26.40 11/25 Basic Service 12/01/12-12/31/12 $26.40 $26.40 Current Invoice Charges $26.40 $26.40 Due By: 12/15/12 0 0 0� Customer Service (317)917-7300 Your next Invoice may reflect a rate adjustment,if you have any questions after receiving your next invoice please contact us. Effective 4/16/2012:SERVICE INTERRUPTION POLICY CHANGE All accounts with a balance over 60 days will experience a service interruption unless prior arrangements are made. DAYS, z........ %60 DAY$<.:;:>;::.. 1,12 ...H,.9tf, _DAYS 26.40 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 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 $ 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 Board Members 1115 1 0761-0014089091 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, December 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)) 11/25/12 0761-001408909 $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