217015 02/12/2013 CITY OF CARMEL, INDIANA VENDOR: 366093 Page 1 of 1
t, ONE CIVIC SQUARE REPUBLIC WASTE SERVICE-TRASH COMCK AMOUNT: $83,311.94
CARMEL, INDIANA 46032 ATTN:NANCY COLLINS
832 LANGSDALE AVE CHECK NUMBER: 217015
INDIANAPOLIS IN 46202-1150
CHECK DATE: 2/12/2013
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
601 5023990 83 , 311 . 94 TRASH-CARMEL
Republic Services
832 Langsdale Ave
Indianapolis, IN 46202-1150
ATTN: Nancy Collins
Account# 3-0761-9761020
$$$$ Collected By Carmel Utilities
Jan 27 to Feb 8 $ 73,883.04 2012 Rate
Jan 27 to Feb 8 $ 11,849.40 2013 Rate
Less Administrative Fee
9682 Payments $ (2,420.50)
Payment to Republic $ 83,311.94
Prescribed by State Board of Accounts
Form No.301 (Rev.1995) ACCOUNTS PAYA VOUCHER
TO�V O(5I-IC- 3l,cUvl iWJrCY�L�aY
ADDRESS
Invoice Date Invoice Number Item Amount
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 exce
Signature Title
I hereby certify that the attached invoice(s), or bill(s), is (are)true and co.r ect and I have audited same in accordance
with IC 5-11-10-1.6.
19
Picer Title
Voucher No. Warrant No.
ACCOUNTS PAYABLE DETAILED ACCOUNTS
MUNICIPAL WATER DEPT. ACCT.
NO.
CARMEL, INDIANA
lza—kor Of
Total Amount of Voucher $
Deductions
cv Y
Amount of Warrant $
Month of -1 f
Acct.
VOUCHER RECORD No.
Source of Supply
Water Treatment
Transmission and Dist.
Customer Accounts
Administrative and General
Operation-Maintenance :>
Utility Plant in Service
Constr.Work in Progress
Materials and Supplies
Customers Deposits
f
Total
Allowed
Board of Control
Filed
Official Title
BOYCE FORMS•SYSTEMS 1-800-382-8702 325