217924 03/12/2013 CITY OF CARMEL, INDIANA VENDOR: 366093 Page 1 of 1
,� ONE CIVIC SQUARE REPUBLIC WASTE SERVICE-TRASH COMCK AMOUNT: $102,777.19
/�o CARMEL, INDIANA 46032 ATTN:NANCY COLLINS
_o� 632 LANGSDALE AVE CHECK NUMBER: 217924
INDIANAPOLIS IN 46202-1150
CHECK DATE: 3/12/2013
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
601 5023990 0225-0310 102, 777 . 19 TRASH
Republic Services
832 Langsdale Ave
Indianapolis, IN 46202-1150
ATTN: Nancy Collins
Account# 3-0761-9761020
$$$$ Collected By Carmel Utilities
Feb 25 to Mar 10 $105,687.19 2013 Rate
Less Administrative Fee 2013 $ (2,910.00)
11,640 Payments
Payment to Republic $102,777.19
Prescribed by State Board of Accounts
Form No.301(Rev.1995) ACCOUNTS PAYA E VOUCHER
TO 22 06"C- Q T
ADDRESS CJ7o� C/1uG SlI"ti
Invoice Date Invoice Number Item Amount
IS 14
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
qua << pi5 a
Si nature Titfe
I hereby certify that the attached invoice(s), or bill(s), is ( re)true d correct and I have audited same in accordance
with IC 5-11-10-1.6.
, 19
Officer Title
Voucher No. Warrant No.
ACCOUNTS PAYABLE DETAILED ACCOUNTS
MUNICIPAL WATER DEPT. ACCT.
NO.
CARMEL, INDIANA I
�jpU6tic^,��o� avor Of
e,3a0015 0A".4 /LS
'p„O, `,(( odd �ra kow,-v
Total Amount of Voucher $
Deductions l
I
I
i
Amount of Warrant $
Month of ILA L1, 19
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 ;
,i
fi
Total {
If
Allowed j
f
Board of Control
Filed j
Official Title
,i
BOYCE FORMS•SYSTEMS 1-800-382-8702 325