HomeMy WebLinkAbout216177 01/09/2013 CITY OF CARMEL, INDIANA VENDOR: 358593 Page 1 of 1
ONE CIVIC SQUARE REPUBLIC WASTE SERVICES OF INDIA yA
CARMEL, INDIANA 46032 PO Box 9001099 CHECK AMOUNT: $340.40
LOUISVILLE KY 40290-1099 CHECK NUMBER: 216177
CHECK DATE: 1/9/2013
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1120 4350101 34703 314 . 00 TRASH COLLECTION
1115 4350101 34749 26 .40 TRASH COLLECTION
�R"AREPUBLiC CITY OF CARMEL FIRE DEPT Invoice
44 SERVICES
Page 1 of 3
832 Langsdale Ave
Indianapolis,IN 46202-1150
Payments/Adjustments
-
<`; Date Description Reference Amount
12/22 Payment-Thank You 215402 -$314.00
Account Number 3-0761-0034703 Current Invoice Charges
Invoice Date December 25,2012 Fire Station 41 2 Civic Sci (1-1) CSA 002757
Invoice Number 0761-001448397 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 12/25 Basic Service 01/01/13-01/31/13 $132.00 $132.00
Fire Station 42 3610 W 106th St (L2) CSA 002758
Carmel,IN
e 1 -Front Load(2 Yd) Scheduled Service (S3)
$314.00 Date Description Reference Quantity Unit Price Amount
12/25 Basic Service 01/01/13-01/31/13 $56.00 $56.00
< Due By: 01/14/13
Fire Station 43 3242 E 106th St (L3) CSA 002759
�� a ,� o ' .•
Carmel,IN
Customer Service .(317)917-7300 1 -Front Load(2 Yd) Scheduled Service (S1)
Date Description Reference Quantity Unit Price Amount
12/25 Basic Service 01/01/13-01/31/13 $35.00 $35.00
Fire Station 44 5032 E 131st St (L4) CSA 002760
0101- Carmel,IN
Effective 4/16/2012:SERVICE INTERRUPTION 1 -Front Load(2 Yd) Scheduled Service (S1)
POLICY CHANGE All accounts with a balance over
60 days will experience a service interruption unless Date Description Reference Quanti Unit Price Amount
prior arrangements are made. 12/25 Basic Service 01/01/13-01/31/13
$35.00 $35.00
Fire Station 46 540 W 136th St (1-6) CSA 002762
Carmel,IN
1 -Front Load(4 Yd) Scheduled Service (S4)
' '',CURRENT..z,::::. ";"-`"3p DAYS• 60 DAYS,,
N
314.00 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 FIRE DEPT 3-0761-0034703 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.
A771.. ,
000534-000002-000002-001068 2311468 2240ST03_1 1 3
Page 3 of 3
CITY OF CARMEL FIRE DEPT Republic Services #761
R Account Number 3-0761-0034703
Q REPUBLIC 832 Langsdale Ave
SERVICES Invoice Date December 25, 2012
Invoice Number 0761-001448397 Indianapolis, IN 46202-1150
Current Invoice Charges
Date Description Reference Quantity Unit Price Amount
12/25 Basic Service 01/01/13-01/31/13 $56.00 $56.00
Current Invoice Charges $314.00
VOUCHER NO. WARRANT NO.
ALLOWED 20
Republic Services
IN SUM OF $
832 Lansdale Avenue
Indianapolis, IN 46202
$314.00
ON ACCOUNT OF APPROPRIATION FOR
Carmel Fire Department
PO#/Dept. INVOICE NO. I ACCT#/TITLE I AMOUNT Board Members
1120 1 0761-0014483971 43-501.01 1 $314.00 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 JAN - 7 2013
lqgwl"--L:�"0 V
Fire Chief
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund
Drescribed 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
Nhom, 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))
0761-001448397 $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
q "A REPUBLIC CITY OF CARMEL Invoice
40#4 SERVICES Page 1 of 2
832 Langsdale Ave
Indianapolis,IN 46202-1150
Current Invoice Charges
FF° Communications Department 31 1st Ave NW (L1) CSA 002772
Carmel,IN
1 -Front Load(4 Yd) Scheduled Service (S4)
Account Number 3-0761-0034749
Invoice Date December 25,2012 Date Description Reference Quantity Unit Price Amount
Invoice Number 0761-001448399 12/25 Basic Service 01/01/13-01/31/13 $26.40 $26.40
Previous Balance $26.40 Current Invoice Charges $26.40
Payments/Adjustments $0.00
Unpaid Balance $26.40
Current Invoice Charges $26.40
' o'
$52.80
Due By: 01/14/13
0
Customer Service (317)917-7300
s 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.
. r o :. 90+: S :H>s
ry.• .,,.,.:::::;:3Q,pAYS .. € _`;: sue'.,;;6 aJAYS , : <..` t7,'. ........ .
26.40 26.40 0.00 0.00
To pay on-line or sign up for Past Due Balance $26.40
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.electron icpayments.orq 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. I ACCT#/TITLE AMOUNT Board Members
Prior Year I hereby certify that the attached invoice(s), or
1115 10761-0014483991 43-501.01 $26.40
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, January'0 2013
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))
12/25/12 0761-001448399 $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