216862 01/29/2013 +«�f CITY OF CARMEL, INDIANA VENDOR: 358593 Page 1 of 1
ONE CIVIC SQUARE REPUBLIC WASTE SERVICES OF INDIA CHECK AMOUNT: $3,323.96
a CARMEL, INDIANA 46032 PO BOX 9001099
o� LOUISVILLE KY 40290-1099 CHECK NUMBER: 216862
CHECK DATE: 1129/2013
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
651 5023990 1163292 2 , 738 . 35 OTHER EXPENSES
1091 4350101 761001448492 425 . 61 TRASH COLLECTION
1125 4350101 761001453537 160 . 00 TRASH COLLECTION
CMEPUBLIC CARMEL UTILITIES HHW Invoice
4-4 SERVICES
Page 1 of 3
832 Langsdale Ave
Indianapolis,IN 46202-1150
Payments/Adjustments
QT"1mG Date Description Reference Amount
12/10 Payment-Thank You 214797 -$2,756.70
®0 1 12/27 Payment-Thank You 215752 -$2,262.05
Account Number 3-0761-1163292 Current Invoice Charges
Invoice Date December 31,2012 g
Invoice Number 0761-001458371 Carmel Utilities Hhw 901 N Range Line Rd (1_1) CSA 3292121010
Previous Balance $5,018.75 Carmel,IN
Payments/Adjustments -$5,018.75
Unpaid Balance $0.00 1 -Hooklift(30 Yd) Scheduled Service (S1) Comingled
Current Invoice Charges $2,738.35
Date Description Reference Quantity Unit Price Amount
12/04 Basic Service 1.0000 $153.15 $153.15
Receipt Number 48391
12/06 Basic Service 1.0000 $153.15 $153.15
Receipt Number 48391
NKwVM ' 0 12/11 Basic Service 1.0000 $153.15 $153.15
_��;738.35 Receipt Number 48391
12113 Basic Service 1.0000 $153.15 $153.15
Due By: 01/20/13 Receipt Number 48391
12/18 Basic Service 1.0000 $153.15 $153.15
Receipt Number 48391
0 MEDT&M 12/20 Basic Service 1.0000 $153.15 $153.15
Customer Service (317)917-7300 Receipt Number 48391
12/27 Basic Service 1.0000 $153.15 $153.15
Receipt Number 48391
12/28 Basic Service Bradley 1.0000 $153.15 $153.15
Receipt Number 62360
0 0 0 0 12/29 Basic Service 122912 1.0000 $153.15 $153.15
Effective 4/16/2012:SERVICE INTERRUPTION Receipt Number 62362
POLICY CHANGE All accounts with a balance over
60 days will experience a service interruption unless 1 -Rolloff(30 Yd) Scheduled Service (S3) Comingled
prior arrangements are made.
Date Description Reference Quantity Unit Price Amount
12/04 Basic Service 1.0000 $170.00 $170.00
Receipt Number 48393
12/11 Basic Service 1.0000 $170.00 $170.00
Receipt Number 48393
12/13 Basic Service 1.0000 $170.00 $170.00
CURRENT•" 30 DAYS J BO DAYS„" -- 90+DAYS
2,738.35 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.
• PleaSP SPP r-r-cirin fnr tarmc end rnndi4innc
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.
000843-000002-000002-001686 2311738 2240ST03 1 3
Page 3 of 3
R CARMEL UTILITIES HHW Republic Services #761
Account Number 3-0761-1163292
d REPUBLIC Invoice Date December 31, 2012 832 Langsdale Ave
fy� SERVICES Invoice Number 0761-001458371 Indianapolis, IN 46202-1150
Current Invoice Charges
Date Description Reference Quantity Unit Price Amount
Receipt Number 48393
12/18 Basic Service 1.0000 $170.00 $170.00
Receipt Number 48393
12/20 Basic Service 1.0000 $170.00 $170.00
Receipt Number 48393
12/27 Basic Service 1.0000 $170.00 $170.00
_ Receipt Number _48393
12/28 Basic Service Bradley 1.0000 $170.00 —$170.00 _ — --
Receipt Number 62361
12/29 Basic Service Bradley 1.0000 $170.00 $170.00
Receipt Number 62363
Current Invoice Charges $2,738.35
VOUCHER # 126575 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
07610014583 01-736H-08 $2,738.35
R
rP�
Voucher Total $2,738.35
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 12/28/2012
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
12/28/201; 0761001458: $2,738.35
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 J
Date Officer
of IIWPUBL/C CARMEL CLAY PARK'S Invoice
413 SERVICES
Page 1 of 2
832 Langsdale Ave
Indianapolis,IN 46202-1150
Payments/Adjustments
:'- Date Description Reference Amount
12/10 Payment-Thank You 214797 -$150.00
12/22 Payment-Thank You 215402 -$150.00
Account Number 3-0761-1410948 es; Current Invoice Char
Invoice Date December 25,2012 g
Invoice Number 0761-001453537 Carmel Clay Park's 1411 E 116th St (1-1) CSA 94811711
Previous Balance $300.00 Carmel,IN
Payments/Adjustments -$300.00 OKr
Unpaid Balance $0.00 2-Front Load(8 Yd) Scheduled Service (S1)
Current Invoice Charges $160.00 �
��
Date Description Reference Quantity Unit Price Amoun
12/10 Container Exchange Bradley 1.0000 $10.00 $10.00
Receipt Number 59809
12/25 Basic Service 01/01/13-01/31/13 $150.00 $150.00
=By?: 01/114/13 Current Invoice Charges $160.00
o
Customer Service . (317)917-7300 ' Purchase s� r A D.
Description _
P.O.# PorF
_• „'
G.L.# its5-�I'- OZ -�-35��
o ° ." e' - ° •''.r;::'�� Line Descr ro�Sh ('.��lec�iD� --
Effective 4/16/2012:SERVICE INTERRUPTION Date ��� n 72013
POLICY CHANGE All accounts with a balance over Purchaser B
60 days will experience a service interruption unless . aVal Dai9-----
prior arrangements are made. ppr
taRRNM ";:-:::'s'f>r^: ;
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
CARMEL CLAY PARK'S 3-0761-1410948 Page z or 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 ail 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 PARKS Invoice
44 SERVICES Page 1 of 2
832 Langsdale Ave
Indianapolis,IN 46202-1150
Payments/Adjustments
; 1',I`r. Date Description Reference Amount
12/10 Payment-Thank You 215160 -$425.61
® `?"'k `° 12/22 Payment-Thank You 215402 -$425.61
R44 y
Account Number 3-0761-0036974 Current Invoice Charges
Invoice Date December 25,2012
Invoice Number 0761-001448492 Monon Center 1235 Central Park Dr E (L1) CSA 6974053112
Previous Balance $851.22 Carmel,IN
Payments/Adjustments -$851.22
Unpaid Balance $0.00 1 -Front Load(4 Yd) Scheduled Service (S1)
Current Invoice Charges $425.61
Date Description Reference Quantity Unit Price Amount
12/25 Basic Service 01/01/13-01/31/13 $84.13 $84.13
1 -Front Load(10 Yd) Scheduled Service (S2)
Date Description Reference Quantity Unit Price Amount
12/25 Basic Service 01/01/13-01/31/13 $243.99 $243.99
$425.61 1 -Front Load Recycling(6 Yd) Scheduled Service (S3) Corrugated Only
Due By: 01114/13
Date Description Reference Quantity Unit Price Amount
12/25 Recycling Service 01/01/13-01/31/13 $41.82 $41.82
Customer Service . (317)917-7300 1 -Front Load Recycling(8 Yd) Scheduled Sery ice (S4) Comingled
Date Description Reference Quantity Unit Price Amount
12/25 Recycling Service 01/01/13-01/31/13 $55.67 $55.67
Current Invoice Charges $425.61
o.o
YEffective 4/16/2012:SERVICE INTERRUPTION rchase � � �` �(�� t�/�' g
POLICY CHANGE All accounts with a balance over scription l p/ T
60 days will experience a service interruption unless # P Or F n
prior arrangements are made. 7BY: AN 0 7 2 U l 3
�.g# t OBI I-- 4_3/ 5010/
E.Ll ie Descr�
rchaser Date
proval Date
vVRbGNY K..ri A1 ° ySY7 AHM�0 }n.riV`t7t.`.^..N:'.»:,.,...
425.61 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 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.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.
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
12/25/12 761001453537 Dumpster A.O. Jan'13 $ 160.00
12/25/12 -76100-1448492 Trash pickup MCC $ 425.61
Total $ 585.61
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. _
358593 Republic Services# 761 Allowed 20
P.O. Box 9001099
Louisville, KY 40290-1099
In Sum of$
$ 585.61
ON ACCOUNT OF APPROPRIATION FOR
101 - General/ 109 MCC
PO#or INVOICE NO. ACCT#/TITLE AMOUNT Board Members
Dept#
1125 761001453537 4350101 $ 160.00 1 hereby certify that the attached invoice(s), or
1091 761001448492 4350101 $ 425.61 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
24-Jan 2013
Signature
$ 585.61 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund