219879 05/07/2013 CITY OF CARMEL, INDIANA VENDOR: 366093 Page 1 of 1
ONE CIVIC SQUARE REPUBLIC WASTE SERVICE-TRASH COMCK AMOUNT: $84,196.22
CARMEL, INDIANA 46032 ATTN:NANCY COLLINS
y o� 832 LANGSDALE AVE CHECK NUMBER: 219879
INDIANAPOLIS IN 46202-1150
CHECK DATE: 517/2013
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
601 5023990 4/22-5/5 84, 196 .22 OTHER EXPENSES
Republic Services
832 Langsdale Ave
Indianapolis, IN 46202-1150
ATTN: Nancy Collins
Account# 3-0761-9761020
$$$$ Collected By Carmel Utilities
Apr 22 to May 5 $ 86,579.97 2013 Rate
Less Administrative Fee 2013 $ (2,383.75)
9,535 Payments
Payment to Republic $ 84,196.22
Prescribed by State Board of Accounts
Form No.301(Rev.1995) ACCOUNTS PAYA AtEen VOUCHER
`44
TC1�ZJ( �I -- 5bbbi7
ADDRESS y /,� L4W G-5ogLL A,,4. ^JA.O`(
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 except
Mo. Day Yr. Signature Title
I hereby certify that the attached invoice(s), or bill(s), is (are)tr orrect and I have audited same in accordance
with IC 5-11-10-1.6.
Mo. Day Yr. Officer Title
Voucher No. Warrant No.
ACCOUNTS PAYABLE DETAILED ACCOUNTS
MUNICIPAL WATER DEPT. "NO
NO..
CARMEL, INDIANA
rh r Of
�3� Lpa�sDa�c A.�E
��•Ac/Y'AJ��u� �� �(CQ�D�+ 14AW-LY Coy.
Total Amount of Voucher $
Deductions
k4- to
Amount of Warrant $
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 De osits
Total
Allowed.
Board of Control
Filed
Official Title
ROYCE FORMS•SYSTEMS 1-800-382-8702 325