220324 05/21/2013 ��. CITY OF CARMEL, INDIANA VENDOR: 366093 Page 1 of 1
Q � ONE CIVIC SQUARE REPUBLIC WASTE SERVICE-TRASH COLL�E CHE
CARMEL, INDIANA 46032 ATTN:NANCY COLLINS CK AMOUNT: $94,363.36
832 LANGSDALE AVE CHECK NUMBER: 220324
INDIANAPOLIS IN 46202-1150
CHECK DATE: 5121/2013
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
601 5023990 94, 363 . 36 OTHER EXPENSES
Republic Services
832 Langsdale Ave
Indianapolis, IN 46202-1150
ATTN: Nancy Collins
Account# 3-0761-9761020
$$$$ Collected By Carmel Utilities
May 6 to May 19 $ 96,376.86 2013 Rate
Less Administrative Fee 2013 $ (2,653.50)
10,614 Payments
Overage Stickers (200 @ $2.50) $ 500.00
Cart Deliveries-April $ 140.00
Payment to Republic $ 94,363.36
i
Prescribed by State Board of Accounts
Form No.301(Re".'995) ACCOUNTS PAYAJ34E VOUCHER ,,ll
To c < < — 3(AeC63 A-xv
ADDRESS t-ll L,QW--OAC �,� SOY
Invoice Date Invoice Number Item Amount
ct">`l�ti�y a/ - VIIRV J9 9 yi 3�3, 3Co
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
a� 0,ao�
Mo. Day Yr. ignature Title
.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. X/
Mo. Day Yr. fficer Title
Voucher No. Warrant No.
ACCOUNTS PAYABLE DETAILED ACCOUNTS
MUNICIPAL WATER DEPT. ANO.
CARMEL, INDIANA
�p(�yt,1C - 3(Q(pLlka f
�-A^►pl(�SQ�cL II /
(/L✓AP0 �L y�apol A-�,td �N(
Total Amount of Voucher T $
Deductions
`/
Amount of Warrant $"(`/ 3 36'
Month of P ,"fr
Acct.
VOUCHER RECORD No.
Source of Supply
Water Treatment
Transmission and Dist.
Customer Accounts r
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