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Home My WebLink About220325 05/21/2013 CITY OF CARMEL, INDIANA VENDOR: 358593 Page 1 of 1 ONE CIVIC SQUARE REPUBLIC WASTE SERVICES OF INDIA yA CARMEL, INDIANA 46032 PO BOX 9001099 CHECK AMOUNT: $4,009.16 w,roH-o LOUISVILLE KY 40290-1099 CHECK NUMBER: 220325 CHECK DATE: 5/2112013 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 651 5023990 07610016006 2, 603 . 55 OTHER EXPENSES 1091 4350101 761001590633 425 . 61 TRASH COLLECTION 1125 4350101 761001595736 150 . 00 TRASH COLLECTION 1207 4350101 20020 761001598726 830 . 00 TRASH SERVICE e"AREPUBLIC CARMEL CLAY PARK'S Invoice Z4 SERVICES Page 1 of 2 832 Langsdale Ave Indianapolis,IN 46202-1150 Payments/Adjustments Date Description Reference Amount 04/15 Payment-Thank You 219011 -$121.50 • Account Number ,3-0761-1410948 Current Invoice Charges Invoice Date April 25,2013 Carmel Clay Park's 1411 E 116th St (L1) CSA 94811711 Invoice Number 0761-001595736 Carmel,IN Previous Balance $150.00 Payments/Adjustments -$121.50 2-Front Load(8 Yd) Scheduled Service (S1) Unpaid Balance $28.50 Date Description Reference Quantity Unit Price Amount Current Invoice Charges $150.00 04/25 Basic Service 05/01/13-05/31/13 $150.00 $150.00 Current Invoice Charges $150.00 o � • $178.50 Due By: 05/15113 • o • Customer Service (317)917-7300 Purchase (� �ICV- A � FTN JFD DescriptioJ_W '"` f P° P or MAY 0 2 2013 • • .� _ �i • • ��1. G.L.# 125-4-02-4 350!t7 I Effective 4116/2012:SERVICE INTERRUPTION Lifle DescrJJ&%k_QAJCf ------ POLICY CHANGE All accounts with a balance over 60 days will experience a service interruption unless Purchaser Date prior arrangements are made. Approval Date 90+<DAYS: 150.00 28.50 0.00 0.00 To pay on-line or sign up for Past Due Balance $28.50 convenient auto pay, go to: A 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 CARMEL CLAY PARK'S 3-0761-1410948 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 When we use information from your check to make an electronic fund transfer, funds may be withdrawn from your account as soon as the same day we receive your payment and you will not receive your check back from your financial institution.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.orq 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. R TiREPt18LIC CARMEL CLAY PARKS Invoice SERVICES Page 1 of 2 832 Langsdale Ave Indianapolis,IN 46202-1150 PaymentslAdjustments Date Description Reference Amount 04/15 Payment-Thank You 219011 -$425.61 Account Number ,3-0761-0036974 Current Invoice Charges Invoice Date April 25,2013 Monon Center 1235 Central Park Dr E (1-1) CSA 6974053112 Invoice Number 0761-001590633 Carmel,IN Previous Balance $425.61 Payments/Adjustments -$425.61 1 -Front Load(4 Yd) Scheduled Service (S1) Unpaid Balance $0.00 Date Description Reference Quantity Unit Price Amount Current Invoice Charges $425.61 04/25 Basic Service 05/01/13-05/31/13 $84.13 $84.13 1 -Front Load(10 Yd) Scheduled Service (S2) Date Description Reference Quantity Unit Price Amount 0 0 : g>;, , 04/25 Basic Service 05/01/13-05/31/13 $243.99 $243.99 $425.61 1 -Front Load Recycling(6 Yd) Scheduled Service (S3) Corrugated Only Due By: 05115113 Date Description Reference Quantity Unit Price Amount 04/25 Recycling Service 05/01/13-05/31/13 $41.82 $41.82 s o 0 1 -Front Load Recycling(8 Yd) Scheduled Service (S4) Comingled Customer Service (317)917-7300 Date Description Reference Quantity Unit Price Amount 04/25 Recycling Service 05/01/13-05/31/13 $55.67 $55.67 Current Invoice Charges $425.61 5 0 0 Effective 4/16/2012:SERVICE INTERRUPTION ro Purchase -TAAS# p1CKV P)0 C(_* -ON 7 E D POLICY CHANGE All accounts with a balance over 60 days will experience a service interruption unless prior arrangements are made. P.O..1 P or F MAY 0 2 2013 z� FBI.r cval ----' ,---- - .:r:;::::::: z _::;:; CURRENT,:.;::�:::;::>: ::. ..:. ::::.3q.tyAYS;,.,,;::::::..... .. :.<.sii.60..pAY8.�::::::.::::. :::::�::,:;> .90+:`pAY$�.A::::;•��:; 425.61 0.00 0.00 0.00 To pay on-line or sign up for convenient auto pay, go to: A 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 CARMEL CLAY PARKS 3-0761-0036974 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. ACCOUNTS PAYABLE VOUCHER CITY OF CARMEL An invoice of 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. 358593 Republic Services # 761 Terms P.O. Box 9001099 Louisville, KY 40290-1099 Invoice Invoice Description Date Number (or note attached invoice(s)or bill(s)) PO # Amount 4125113 761001595736 Dumpster A.O. May'13 $ 150.00 4/25/13 761001590633 Trash pickup MCC May'13 $ 425.61 Total $ 575.61 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 Voucher No. Warrant No. 358593 Republic Services#761 Allowed 20 P.O. Box 9001099 Louisville, KY 40290-1099 In Sum of$ $ 575.61 ON ACCOUNT OF APPROPRIATION FOR 101 - General / 109 MCC PO#or INVOICE NO. ACCT#/TITLE AMOUNT Board Members Dept# 1125 761001595736 4350101 $ 150.00 1 hereby certify that the attached invoice(s), or 1091 761001590633 4350101 $ 425.61 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 16-May 2013 Signature $ 575.61 Accounts Payable Coordinator Cost distribution ledger classification if Title claim paid motor vehicle highway fund gR"A REPUBLIC CARMEL UTILITIES HHW Invoice *'A SERVICES Page 1 of 3 832 Langsdale Ave Indianapolis,IN 46202-1150 Payments/Adjustments Date Description Reference Amount 04/29 Payment-Thank You 219468 -$2,144.10 7 . Account Number 3-0761-1163292 Current Invoice Charges Invoice Date April 30,2013 Carmel Utilities Hhw 901 N Range Line Rd (L1) CSA 3292121010 Invoice Number 0761-001600635 Carmel,IN Previous Balance $2,144.10 Payments/Adjustments -$2,144.10 1 -Hooklift(30 Yd) Scheduled Service (S1) Comingled Unpaid Balance $0.00 Date Description Reference Quantity Unit Price Amount Current Invoice Charges $2,603.55 04/02 Basic Service 1.0000 $153.15 $153.15 Receipt Number 48391 04/04 Basic Service 1.0000 $153.15 $153.15 Receipt Number 48391 04/09 Basic Service 1.0000 $153.15 $153.15 IpwUm ° :3=::.` Receipt Number 48391 Ir $2,603.55 04/11 Basic Service 1.0000 $153.15 $153.15 Receipt Number 48391 Due By: 05120/13 04/16 Basic Service 1.0000 $153.15 $153.15 Receipt Number 48391 0 0 ° y' '., 04/18 Basic Service 1.0000 $153.15 $153.15 Receipt Number 48391 Customer Service (317)917-7300 04/23 Basic Service 1.0000 $153.15 $153.15 Receipt Number 48391 04/25 Basic Service 1.0000 $153.15 $153.15 Receipt Number 48391 04/30 Basic Service 1.0000 $153.15 $153.15 Receipt Number 48391 Effective 4116/2012:SERVICE INTERRUPTION 1 -Recycle Rolloff(30yd) Scheduled Service (S3) Comingled POLICY CHANGE All accounts with a balance over 60 days will experience a service interruption unless Date Description Reference Quantity Unit Price Amount prior arrangements are made. 04/02 Basic Service 1.0000 $153.15 $153.15 Receipt Number 48393 04/04 Basic Service 1.0000 $153.15 $153.15 Receipt Number 48393 04/09 Basic Service 1.0000 $153.15 $153.15 Receipt Number 48393 ",Ya:CURRENT rE: .4, ., 30 DAYS"--°°' 2,603.55 0.00 0.00 0.00 To pay on-line or sign up for convenient auto paygo t0: 2A "Visit our website,www.disposal.com to make your payment electronically 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. 001450-000002-000002-002900 2316059 2240ST03 1 3 0 Page 3 of 3 CARMEL UTILITIES HHW Republic Services #761 Account Number 3-0761-1163292 cc WREPUBLIC 832 Langsdale Ave SERVICES Invoice Date April 30, 2013 Invoice Number 0761-001600635 Indianapolis, IN 46202-1150 Current Invoice Charges Date Description Reference Quantity Unit Price Amount 04/11 Basic Service 1.0000 $153.15 $153.15 Receipt Number 48393 04/16 Basic Service 1.0000 $153.15 $153.15 Receipt Number 48393 04/23 Basic Service 1.0000 $153.15 $153.15 Receipt Number 48393 - 04/25 Basic Service 1.0000 $153.15 $153.15 Receipt Number 48393 04/30 Basic Service 1.0000 $153.15 $153.15 Receipt Number 48393 Current Invoice Charges $2,603.55 r�•t r. 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 5/14/2013 Invoice Invoice Description Date Number (or note attached invoice(s) or bill(s)) Amount 5/14/2013 0761001600E $2,603.55 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 Date Officer VOUCHER # 135482 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 07610016006 01-736H-08 $2,603.55 Voucher Total $2,603.55 Cost distribution ledger classification if claim paid under vehicle highway fund REPUBLIC CITY OF CARMEL BROOKSHIRE GOLF Invoice SERVICES 832 Langsdale Ave Page 1 of 2 Indianapolis,IN 46202-1150 Payments/Adjustments Date Description Reference Amount 04729 Payment-Thank You 219468 -$69.00 Account Number 3-0761-0035460 Current Invoice Charges Invoice Date April 30,2013 Brookshire Golf Course Ro/FI 12120 Brookshire Pkwy (L1) CSA 002765 Invoice Number 0761-001598726 Carmel,IN Previous Balance $69.00 Payments/Adjustments -$69.00 1 -Front Load(8 Yd) Scheduled Service (Si) Unpaid Balance $0.00 Current Invoice Charges $830.00 Date Description Reference Quantity Unit Price Amount 04/30 Basic Service 05/01/13-05/31/13 $69.00 $69.00 1 -Rolloff(20 Yd) On Call Service (S2) Date Description Reference Quantity Unit Price Amount o r;, ;.;:`.aYucc 04/02 Basic Service Bob 1.0000 $275.00 $275.00 $830.00 Receipt Number 16754 ---- f3rngkshiw�nlf rn��.go Pt 12120 Brookshire PI:Wy (L2) Due B : G5/2U%13 Y Carmel IN o 0 0` 2-Portable Unit Scheduled Service (S1) Customer Service (317) Description Reference Quantity Unit Price Amount 917-7300 04/01 Container Delivery 2.0000 $35.00 $70.00 04/08 Basic Service 2.0000 $30.00 $60.00 04/15 Basic Service 2.0000 $30.00 $60.00 04/22 Basic Service 2.0000 $30.00 $60.00 0 0 o" o - ''` 04/29 Basic Service 2.0000 $30.00 $60.00 04/30 Portable Service 04/01/13-04/30/13 $176.00 $176.00 Effective 4/16/2012:SERVICE INTERRUPTION POLICY CHANGE All accounts with a balance over Current Invoice Charges $830.00 60 days will experience a service interruption unless prior arrangements are made. U RE �:. :.:....... �.:....:. .... ......;��; ::::_•::.:::.:.: GAYS'�;':`;':;��; ". `�9�:-,.GAYS'->:rt.;:�:=Y: 830.00 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.electron icpayments.orq 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. I 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)) 04/30/13 1 0761-001598726 Trash $830.00 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 VOUCHER NO. WARRANT NO. ALLOWED 20 Republic Services #761 IN SUM OF $ P. O. Box 9001099 Louisville, KY 40290-1099 $830.00 ON ACCOUNT OF APPROPRIATION FOR Brookshire Golf Club PO#/Dept. INVOICE NO. ACCT#/TITLE I AMOUNT Board Members 20020 0761-0015987261 43-501.01 1 $830.00 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, May 07, 2013 Director, Brooks e Golf Club Title Cost distribution ledger classification if claim paid motor vehicle highway fund