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Home My WebLink About219468 04/24/2013 CITY OF CARMEL, INDIANA VENDOR: 358593 Page 1 of 1 `i ONE CIVIC SQUARE REPUBLIC WASTE SERVICES OF INDIA CHECK AMOUNT: $2,213.10 CARMEL, INDIANA 46032 Po sox sooloss 4 0:�o•� LOUISVILLE KY 40290-1099 CHECK NUMBER: 219468 CHECK DATE: 4/2412013 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1207 4350101 20020 69 . 00 0761-001560776 651 5023990 07610015624 2, 144 . 10 OTHER EXPENSES 5; WREPUBLIC CITY OF CARMEL BROOKSHIRE GOLF Invoice 443 SERVICES Page 1 of 2 832 Langsdale Ave Indianapolis,IN 46202-1150 Payments/Adjustments Date Description Reference Amount 03/09 Payment-Thank You 217799 -$69.00 0 :,_;j`,i.; 03/30 Payment-Thank You 218604 -$344.00 Account Number 3-0761-0035460 Invoice Date March 31,2013 Current Invoice Charges Invoice Number 0761-001560776 Brookshire Golf Course Ro/FI 12120 Brookshire Pkwy (1-1) CSA 002765 Previous Balance $413.00 Carmel,IN Payments/Adjustments -$41100 Unpaid Balance $0.00 1 -Front Load(8 Yd) Scheduled Service (S1) Current Invoice Charges $69.00 Date Description Reference Quantity Unit Price Amount 03/31 Basic Service 04/01/13-04/30/13 $69.00 $69.00 Current Invoice Charges $69.00 $69.00 Due By: 04120141^0 �¢ a a o `Z' OA a i Customer Service (317)917-7300 a o o" o 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-,;; �.; �,: 30 LAYS. SO.DAY.S.: 90+".DAYS 69.00 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 When we use information from your check to make an electronic fund transfer, funds may be withdrawn from your account as soon as the same day we receive your payment and you will not receive your check back from your financial institution.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. VOUCHER NO. WARRANT NO. ALLOWED 20 Republic Services#761 IN SUM OF $ P. O. Box 9001099 Louisville, KY 40290-1099 $69.00 ON ACCOUNT OF APPROPRIATION FOR Brookshire Golf Club PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members 20020 1 0761-0015607761 43-501.01 1 $69.00 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 Tuesday, April 09, 2013 Director, Brooks re Golf Club Title Cost distribution ledger classification if claim paid motor 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 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)) 03/31/13 0761-001560776 Trash I $69.00 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 e7WPUBLIC CARMEL UTILITIES HHW Invoice 4-0 SERVICES Page 1 of 3 832 Langsdale Ave Indianapolis,IN 46202-1150 Payments/Adjustments Date Description Reference Amount 03/09 Payment-Thank You 217799 -$2,908.35 ' • 03/30 Payment-Thank You 218604 -$1,990.95 Account Number 3-0761-1163292 Invoice Date March 31,2013 Current Invoice Charges Invoice Number 0761-001562406 Carmel Utilities Hhw 901 N Range Line Rd (L1) CSA 3292121010 Previous Balance $4,899.30 Carmel,IN Payments/Adjustments -$4,899.30 Unpaid Balance $0.00 1 -Hooklift(30 Yd) Scheduled Service (S1) Comingled Current Invoice Charges $2,144.10 , Date Description Reference Quanti Unit Price Amount 03/05 Basic Service 1.0000 $153.15 $153.15 Receipt Number 48391 03/07 Basic Service 1.0000 $153.15 $153.15 Receipt Number 48391 LEI ° 03/12 Basic Service 1.0000 $153.15 $153.15 $2,144.1 Receipt Number 48391 03/14 Basic Service 1.0000 $153.15 $153.15 Due By: 04/20/13 Receipt Number 48391 03/19 Basic Service 1.0000 $153.15 $153.15 • e e Receipt Number 48391 03121 Basic Service 1.0000 $153.15 $153.15 Customer Service (317)917-7300 Receipt Number 48391 03/26 Basic Service 1.0000 $153.15 $153.15 Receipt Number 48391 03/28 Basic Service 1.0000 $153.15 $153.15 Receipt Number 48391 oe e • 1 -Recycle Rolloff(30yd) Scheduled Service (S3) Comingled Effective 4/16/2012:SERVICE INTERRUPTION POLICY CHANGE All accounts with a balance over Date Description Reference Quantity Unit Price Amount 60 days will experience a service interruption unless 03/05 Basic Service 1.0000 $153.15 $153.15 prior arrangements are made. Receipt Number 48393 03/12 Basic Service 1.0000 $153.15 $153.15 Receipt Number 48393 03/19 Basic Service 1.0000 $153.15 $153.15 Receipt Number 48393 03/21 Basic Service 1.0000 $153.15 $153.15 CURRENT "'• 30 DAYS, 60.DAYS ". 90*DAYS:; ". 2,144.10 0.00 0.00 0.00 Lonpvenient on-line or sign up for auto pay, g0 t0: DA Visit our website,vvww.disposal.com to make your payment electroriically' ww.disposal.com or to sign up for our convenient automatic payment plan. • Please see reverse side for terms and conditions 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. 000991-000002-000002-001982 2314890 2240ST03 1 3 0 Page 3 of 3 CARMEL UTILITIES HHW Republic Services #761 R, Account Number 3-0761-1163292 m "REPUBLIC Invoice Date March 31, 2013 832 Langsdale Ave +1►� SERVICES Invoice Number 0761-001562406 Indianapolis, IN 46202-1150 Current Invoice Charges Date Description Reference Quantity Unit Price Amount Receipt Number 48393 03/26 Basic Service 1.0000 $15115 $153.15 Receipt Number 48393 03/28 Basic Service 1.0000 $153.15 $153.15 Receipt Number 48393 Current Invoice Charges $2,144.10 I VOUCHER # 135373 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 07610015624 01-736H-08 $2,144.10 Voucher Total $2,144.10 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 4/16/2013 Invoice Invoice Description Date Number (or note attached invoice(s) or bill(s)) Amount 4/16/2013 0761001562, $2,144.10 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 I/X 7-113 c --' - Date Officer