217798 02/26/2013 \,f CITY OF CARMEL, INDIANA VENDOR: 366093 Page 1 of 1
ONE CIVIC SQUARE REPUBLIC WASTE SERVICE-TRASH COMCK AMOUNT: $80,898.33
CARMEL, INDIANA 46032 ATTN:NANCY COLLINS
o� 832 LANGSDALE AVE CHECK NUMBER: 217798
INDIANAPOLIS IN 46202-1150
CHECK DATE: 2/26/2013
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
601 5023990 80, 898 . 33 OTHER EXPENSES
Republic Services
832 Langsdale Ave
Indianapolis, IN 46202-1150
ATTN: Nancy Collins
Account# 3-0761-9761020
$$$$ Collected By Carmel Utilities
Feb 9 to Feb 24 $ 16,711.47 2012 Rate
Less Administrative Fee 2012 $ (473.75)
1,895 Payments
Feb 9 to Feb 24 $ 66,378.11 2013 Rate
Less Administrative Fee 2013 $ (1,827.50)
7,310 Payments
Cart Deliveries-January $ 110.00
Payment to Republic $ 80,898.33
Prescribed by State Board of Accounts
Form No.301(Rev.1995) ACCOUNTS PAYA LE VOUCHER 6",TO �✓ �s
ADDRESS 83d L4-6-10R1t
Invoice Date Invoice Number Item Amount
, may c)OUC7 3
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 ex pt
Signature Title
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.
19
icer Title
Voucher No. Warrant No.
ACCOUNTS PAYABLE DETAILED ACCOUNTS
MUNICIPAL WATER DEPT. ANOT'
CARMEL, INDIANA
3(,P(p0r avor Of
eja LaNC.soa��
Total Amount of Voucher $
c
Deductions
Y
Amount of War(ra�nt� $
Month of
VOUCHER RECORD Acct.
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
Total
Allowed
Board of Control
Filed
Official Title
BOYCE FORMS•SYSTEMS 1.800-382-8702 325 '