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Home My WebLink About216483 01/15/2013 CITY OF CARMEL, INDIANA VENDOR: 358593 Page 1 of 1 �f y�, ONE CIVIC SQUARE REPUBLIC WASTE SERVICES OF INDIA CHECK AMOUNT: $1,352.74 s� � CARMEL, INDIANA 46032 PO BOX 9001099 _off LOUISVILLE KY 40290-1099 CHECK NUMBER: 216483 CHECK DATE: 1/1512013 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1120 4350101 1448383 25 . 00 'TRASH COLLECTION 1110 4350101 1448396 154 . 00'TRASH COLLECTION 1205 R4350101 26460 1448398 105 . 00 ''TRASH COLLECTION AT C 2201 R4350100 26271 1448400 160 . 00 'TRASH COLLECTION 651 5023990 1453539 200 . 73-'OTHER EXPENSES 651 5023990 1453540 364 . 01 /OTHER EXPENSES 1207 4350101 1456751 344 . 00-'TRASH COLLECTION ilk REPUBLIC CITY OF CARMEL POLICE Invoice SERVICES Page 1 of 2 832 Langsdale Ave Indianapolis,IN 46202-1150 Payments/Adjustments Date Description Reference Amount 12/17 Payment-Thank You 215482 -$154.00 ` o Account Number 3-0761-0034698 Current Invoice Charges Invoice Date December 25,2012 Police Firing Range 9609 Hazel Dell Pkwy (Li) CSA 002755 Invoice Number 0761-001448396 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 Quantity Unit Price Amount Current Invoice Charges $154.00 12/25 Basic Service 01/01/13-01/31/13 $77.00 $77.00 Police Headquarters 3 Civic Sq (L2) CSA 002756 Carmel,IN u ". 1 -Front Load(8 Yd) Scheduled Service (S1) $154.00 Date Description Reference Quantity Unit Price Amount 12/25 Basic Service 01/01/13-01/31/13 $77.00 $77.00 Due By: 01/14/13 Current Invoice Charges $154.00 n 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. MCtJi3fiF.J1'1;..: ��j110 3"a&` INK 40MAY-Sr 11��s�5 +,tfAY'3y 154.00 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 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 z of z Check Processing: In accordance with Federal Reserve Board guidelines, when you provide a aleck as payment, you authorize us to use information from your check to make a one-time electronic fund t;ansier 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: wwvr.electronicpayments.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. WARRANT NO. Prescribed by State Board of Accounts City Form No.201 (Rev.1995) t ALLOWED 20 ACCOUNTS PAYABLE VOUCHER es #761 IN SUM OF $ CITY OF CARMEL '. 099 An invoice or bill to be properly itemized must show: kind of service,where performed, dates service rendered, by 0290-1099 whom, rates per day, number of hours, rate per hour, number of units, price per unit, etc. $154.00 Payee Purchase Order No. NT OF APPROPRIATION FOR Terms gel Police Department Date Due Invoice Invoice Description Amount NVOICE NO. ACCT#/TITLE AMOUNT Board Members Date Number (or note attached invoice(s) or bill(s)) 1 hereby certify that the attached invoice(s), or 12/25/12 0761-001448396 monthly payment $154.00 61-001448396 43-501.01 $154.00 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 Thursday, January 10, 2013 Chief of Police Title i Cost distribution ledger classification if I hereby certify that the attached invoice(s), or bill(s), is(are)true and correct and I have audited same in accordance claim paid motor vehicle highway fund with IC 5-11-10-1.6 20 Clerk-Treasurer CAREPUBLIC CITY OF CARMEL FIRE DEPT Invoice ZOA SERVICES Page 1 of 2 832 Langsdale Ave Indianapolis,IN 46202-1150 Payments/Adjustments Date Description Reference Amount 12/22 Payment-Thank You 215402 -$25.00 Account Number 3-0761-0034441 Current Invoice Charges Invoice Date December 25,2012 Training Facility 510 3rd Ave SW (L1) CSA 002792 Invoice Number 0761-001448383 Carmel,IN Previous Balance $25.00 Payments/Adjustments -$25.00 1 -Front Load(2 Yd) Scheduled Service (S1) Unpaid Balance $0.00 Current Invoice Charges $25.00 Date Description Reference Quantity Unit Price Amount 12/25 Basic Service 01/01/13-01/31/13 $25.00 $25.00 Current Invoice Charges $25.00 $25.00 Due By: 01/14/13 Customer Service (317)917-7300 00 0 0 Your next Invoice may reflect a rate adjustment,if you have any questions after receiving your next invoice please contact us. Effective 4/1612012:SERVICE INTERRUPTION POLICY CHANGE All accounts with a balance over 60 days will experience a service interruption unless prior arrangements are made. I 4N URRENTF f.. 7 60.CfAYS, „ 50'+#�AY.S 3r, s. 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 ----------------------------------- ----------------------------3-0761-0034441------ -------------------- Page 2 of you CITY OF CARMEL FIRE DEPT provide a check aspayment, guidelines, when you p our account or to g' our check a make c or electronic f heck to make an electronicfund ill not Check Processin In accordance with Federal Reserve Boar 9. payment and you authorize us to use information from Y our account as soon as the same day we receive your pay process the payment a withd awn from ytion: When we use rthe ainformation t visit: www electronicpayments.o�and click transfer, funds may be our financial institution. For fu receive your check back from y on the Check Conversion tab. through the If service is canceled during period a billing cycle, the customer will remain the c stomerbwill not be entitled ed to a refund fort e p proration of billing, and apply if it is contrary to a g cycle. This provision will not app Y . end of the billing cycle. There will be no p applicable to this account or is otherwise between the notice ° tmun municipal contract or other writteln contract app current franchise agreement, prohibited by law. to require that payment for services be made only by check, credit card or money order, The Company reserves the right unless otherwise required by contract or app licable law. )rescribed by State Board of Accounts City Form No.201 (Rev.1995) ACCOUNTS PAYABLE VOUCHER CITY OF CARMEL %n invoice or bill to be properly itemized must show: kind of service, where performed, dates service rendered, by vhom, 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)) 0761-001448383 Trash $25.00 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 VOUCHER NO. WARRANT NO. ALLOWED 20 Republic Services IN SUM OF $ 832 Lansdale Avenue Indianapolis, IN 46202 $25.00 ON ACCOUNT OF APPROPRIATION FOR Carmel Fire Department PO#/Dept. INVOICE NO. I ACCT#/TITLE AMOUNT Board Members 1120 1 0761-0014483831 43-501.01 1 $25.00 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 14 2013 Fire Chief Title Cost distribution ledger classification if claim paid motor vehicle highway fund 4f REPUBLIC CITY OF CARMEL BROOKSHIRE GOLF Invoice SERVICES Page 1 of 2 832 Langsdale Ave Indianapolis,IN 46202-1150 Payments/Adjustments ' 3 �t , Date Description Reference Amount 12/10 Payment-Thank You 214797 -$407.00 12127 Payment-Thank You 215752 $281.00 Account Number 3-0761-0035460 Invoice Date December 31,2012 Current Invoice Charges Invoice Number 0761-001456751 Brookshire Golf Course 12120 Brookshire Pkwy (1-1) CSA 002765 Previous Balance $688.00 Carmel,IN Payments/Adjustments -$688.00 Unpaid Balance $0.00 1 -Front Load(8 Yd) Scheduled Service (S1) Current Invoice Charges $344.00 Date Description Reference Quantity Unit Price Amount 12/31 Basic Service 01/01/13-01/31/13 $69.00 $69.00 1 -Rolloff(20 Yd) On Call Service (S2) Date Description Reference Quantity Unit Price Amount 12/11 Basic Service Bob 1.0000 $275.00 $275.00 $344.00 Receipt Number 61370 Due By: 01/20/13 Current Invoice Charges $344.00 0 s Customer Service (317)917-7300 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. .CURRENT: i .34 DkF_f ..., ,60.DA"k In wK 9U+fDAYS �.._ 344.00 0.00 0.00 0.00 To pay on-line or sign up for 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 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. 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)) 12/31/12 0761-001456751 Trash Removal $344.00 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 VOUCHER NO. WARRANT NO. ALLOWED 20 Republic Services#761 IN SUM OF $ P. O. Box 9001099 Louisville, KY 40290-1099 $344.00 ON ACCOUNT OF APPROPRIATION FOR Brookshire Golf Club PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members 20020 1 0761-001456751 I 43-501.01 I $344.00 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, January 09, 2013 Z� A 6L" i Director, Broo hire'Golf Club Title Cost distribution ledger classification if claim paid motor vehicle highway fund v 6�� R�REPUBLIC CITY OF CARMEL aLi' �o� Invoice f!►� SERVICES 1 Z Page 1 of 2 832 Langsdale Ave Indianapolis,IN 46202-1150 Payments/Adjustments � ..;" Date Description Reference Amount 12/10 Payment-Thank You 214797 -$105.00 u' 12/22 Payment-Thank You 215402 -$105.00 Account Invoice Date December De emb 1-0034742 Invoice er25,2012 : Current Invoice Charges Invoice Number 0761-001448398 City Hall 1 Civic Sci (1-1) CSA 002763 Previous Balance $210.00 Carmel,IN Payments/Adjustments -$210.00 Unpaid Balance $0.00 1 -Front Load(6 Yd) Scheduled Service (S1) Current Invoice Charges $105.00 Date Description Reference Quantity Unit Price Amount 12/25 Basic Service 01/01/13-01/31/13 $105.00 $105.00 Current Invoice Charges $105.00 OW_ _ O ,:. .:.. .... ...,r. $105.00 Due By: 01114113 " Customer Service (317)917-7300 Your next Invoice may reflect a rate adjustment,if D you have any questions after receiving your next invoice please contact us. Jh�IV I n*` 14 2013 Effective 4/16/2012:SERVICE INTERRUPTION POLICY CHANGE Ail accounts with a balance over 60 days will experience a service interruption unless prior arrangements are made. By 11.1 uF n;.l 0.;OAYS DAYS 105.00 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 U1 Y OF GARMEL 3-0761-0034742 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. 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 0761-001448398 $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 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 0761-001448398 46-501.01 $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, January 14, 2013 �- Director, Administration Title Cost distribution ledger classification if claim paid motor vehicle highway fund 4R7�REPUBLIC CARMEL UTILITIES Invoice Z04 SERVICES 832 Langsdale Ave Page 1 of 2 Indianapolis,IN 46202-1150 Payments/Adjustments Date Description Reference Amount 12/10 Payment-Thank You 214797 -$200.73 o a 12/22 Payment-Thank You 215402 -$200.73 Account Number 3-0761-1410954 o Current Invoice Invoice Date December 25,2012 Charges Invoice Number 0761-001453539 Carmel Utilities 901 N Range Line Rd (L1) Previous Balance $401.46 Carmel,IN Payments/Adjustments -$401.46 Unpaid Balance $0.00 1 -Front Load(8 Yd) Sche uled Service (S1) Current Invoice Charges $200.73 Date Description ,.Y Reference Quantity Unit Price Amount 12/25 Basic Service 01/01/13-01/31113, $143.79 $143.79 ,o 1 -Front Load(2 Y ) Scheduled Service 2) : o e Date Descri do Reference Quantity Unit Price Amount 12/25 Basic Servi 01/01/13-01/31/13 $56.94 $56.94 $200.73 Due By: 01/14/13 Current Invoi Charges $200.73 ryy,qy 0 1 Q 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. YS��,F ,..., 200.73 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 UTILITIES 3-0761-1410954 rage z of z 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.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 wW not apply 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. 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 1/8/2013 Invoice Invoice Description Date Number (or note attached invoice(s) or bill(s)) Amount 1/8/2013 0761001453! $200.73 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 II i /13 Date Officer VOUCHER # 126477 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 07610014535 01-736H-08 $200.73 Voucher Total $200.73 Cost distribution ledger classification if claim paid under vehicle highway fund REPUBLIC CITY OF CARMEL STREET DEPT Invoice SERVICES 832 Langsdale Ave Page 1 of 2 Indianapolis,IN 46202-1150 Payments/Adjustments a0 41�'V Date Description Reference Amount 12/22 Payment-Thank You 215402 -$160.00 o Account Number 3-0761-0034751 Current Invoice Charges Invoice Date December 25,2012 Street Department 3400 W 131st St (L1) CSA 002764 Invoice Number 0761-001448400 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 Quantity Unit Price Amount Current Invoice Charges $160.00 t $160.00 $160.00 12/25 Basic Service 01/01/13-01/31/13 Current Invoice Charges $160.00 o o $160.00 Due By: 01/14/13 1._ 0 U ur Customer Service (317)917-7300 o 0 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. ME Ct1 DAYS ��. 9.O±DAYS 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 CITY OF CARMEL STREET DEPT 3-0761-0034751 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. 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 07d61-001448400 $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 20 Clerk-Treasurer 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 107d61-0014484001 43-501.001 $160.00 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 w / Friday,iJanuary 11, 2013 "Street! "Commissioner Title Cost distribution ledger classification if claim paid motor vehicle highway fund REPUBLIC CARMEL UTILITIES Invoice ty� SERVICES Page 1 of 2 832 Langsdale Ave Indianapolis,IN 46202-1150 Payments/Adjustments A* Date Description Reference Amount 12710 Payment-Thank You 214797 -$364.01 . 12/22 Payment-Thank You 215402 -$364.01 Account Number 3-0761-1410955 Invoice Date December 25,2012 Current Invoice Charges Invoice Number 0761-001453540 Carmel Utilities 9609 Hazel Dell Parkway (L1) Previous Balance $728.02 Carmel,IN Payments/Adjustments -$728.02 Unpaid Balance $0.00 14-Front Load(2 Yd) Scheduled Service (S1) Current Invoice Charges $364.01 Date Description Reference Quanti Unit Price Amount 12/25 Basic Service 01/01/13-01/31/13 $364.01 $364.01 Current Invoice Charges $364.01 $364.01 Due By: 01/14/13 O.. Customer Service (317)917-7300 Effective 4/1612012:SERVICE INTERRUPTION POLICY CHANGE All accounts with a balance over 60 days will experience a service interruption unless prior arrangements are made. ; ..i.fbS�.CU.°ITENT, /�.fg..F.. .''7/,J�i, .i° 3. i„•.f.� i3k .,r,,.7i..!A7 -s%,Y,C,..s!a:a'..x&..cam. ..:'#.DA,; �ai. 364.01 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 -------- ----- -Page 2 of 2 ------------- 3-0761-1410955 _ _______ ------------------- payment, you --- CARMEL UTILITIES you rovide a check as pay ----- uidelines, when y p our account or to ur check to make an electronicfuwill not our check to make cone-time electronic fund transfer from y meat and you Check Processing-. In accordance with Federal Reserve oar g authorize us to use information from y We receive your pay process the payment as a check transactoiur account as soon as the same day transfer, funds may be withdrawn from y receive your check back from your financial institution. For further information visit: www elect ronicpayments.org and click on the Check Conversion tab. h the responsible for all charges, fees and taxes through If service is canceled during a billing cycle, the customer will remain resp I it is contrary to a end of the billing cycle. There will be no proration of billing, and lin the cycle. This provision will tlnot app refund fort e p municipal contract, or other written contract applicable to this account or is otherwise between the notice oermination and the end of the current billing current franchise agreement, prohibited by law. check, credit card or money order, an reserves the right to require that payment for services be made only by The Company applicable law. unless otherwise required by contract or app 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 1/10/2013 Invoice Invoice Description Date Number (or note attached invoice(s) or bill(s)) Amount 1/10/2013 0761001453! $364.01 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 VOUCHER # 126482 WARRANT # ALLOWED 358593 i 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 07610014535 01-7362-05 $364.01 Voucher Total $364.01 Cost distribution ledger classification if claim paid under vehicle highway fund