HomeMy WebLinkAbout221216 06/18/2013 CITY OF CARMEL, INDIANA VENDOR: 358593 Page 1 of 1
ONE CIVIC SQUARE REPUBLIC WASTE SERVICES OF INDIA�p
CARMEL, INDIANA 46032 PO BOX 9001096 CHECK AMOUNT: $4,853.31
'+„« ? LOUISVILLE KY 40290-1099 CHECK NUMBER: 221216
CHECK DATE: 6/18/2013
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1120 4350101 1622211 25 . 00 TRASH COLLECTION
1110 4350101 1622221 154 . 00 TRASH COLLECTION
1120 4350101 1622222 298 . 00 TRASH COLLECTION
1205 4350101 1622223 105 . 00 TRASH COLLECTION
1115 4350101 1622224 26 . 40 TRASH COLLECTION
2201 4350100 1622225 160 . 00 BUILDING REPAIRS & MA
1091 4350101 1622310 425 . 61 TRASH COLLECTION
1125 4350101 1627411 150 . 00 TRASH COLLECTION
651 5023990 1627413 200 . 73 OTHER EXPENSES
651 5023990 1627414 433 . 17 OTHER EXPENSES
1207 4350101 20020 1630786 425 . 00 TRASH SERVICE
651 5023990 1633024 2, 450 . 40 OTHER EXPENSES
4R"AREPUBL/C CITY OF CARMEL BROOKSHIRE GOLF Invoice
ty16 SERVICES Page 1 of 2
832 Langsdale Ave
Indianapolis,IN 46202-1150
Payments/Adjustments
Date Description Reference Amount
05/28 Payment-Thank You 220325 -$830.00
e
Account Number 3-0761-0035460 Current Invoice Charges
Invoice Date May 31,2013 Brookshire Golf Course Ro/FI 12120 Brookshire Pkwy (L1) CSA 002765
Invoice Number 0761-001630786 Carmel,IN
Previous Balance $830.00
Payments/Adjustments -$830.00 1 -Front Load(8 Yd) Scheduled Service (S1)
Unpaid Balance $0.00 Date Description Reference Quantity Unit Price Amount
Current Invoice Charges $425.00 05/31 Basic Service 06/01/13-06/30/13 $69.00 $69.00
Brookshire Golf Course Pt 12120 Brookshire Pkwy (1-2)
Carmel,IN
0 2-Portable Unit Scheduled Service (S1)
Date =Desc-Option Reference Unit Prir-e_ Amount
ll 05/06 Basic Service 2.0000 $30.00 $60.00
Due By: 06/20/13 05/13 Basic Service 2.0000 $30.00 $60.00
05/27 Basic Service 2.0000 $30.00 $60.00
0 0 0 '3 05/31 Portable Service 05/01/13-05/31/13 $176.00 $176.00
Customer Service (317)917-7300 Current Invoice Charges $425.00
• ® 0 e
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.
/3AYS,-..�:..:::_s<:.., :`.�:�5;�;;A; :5�:t7AYS.?�wd�����_;�y,%.::,;':'911..+.:.CI.'Y ;H':' 's�t�:�
425.00 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.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))
05/31/13 0761-001630786 Trash $425.00
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
$425.00
ON ACCOUNT OF APPROPRIATION FOR
Brookshire Golf Club
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
20020 1 0761-0016307861 43-501.01 1 $425.00 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
Monday, June 17, 2013
Director, Brooks ire Golf Club
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund
ART REPUBLIC CITY OF CARMEL POLICE Invoice
SERVICES
Page 1 of 2
832 Langsdale Ave
Indianapolis,IN 46202-1150
Payments/Adjustments
Date Description Reference Amount
05/10 Payment-Thank You 219628 -$154.00
e xy
y
Account Number 3-0761-0034698 Current Invoice Charges
Invoice Date May 25,2013 Police Firing Range 9609 Hazel Dell Pkwy (L1) CSA 002755
Invoice Number 0761-001622221 Carmel,IN
Previous Balance $154.00
Payments/Adjustments -$154.00 1 -Front Load(8 Yd) Scheduled Service (S4)
Unpaid Balance $0.00 Date Description Reference Quantity Unit Price Amount
Current Invoice Charges $154.00 05/25 Basic Service 06/01/13-06/30/13 $77.00 $77.00
Police Headquarters 3 Civic Sq (L2) CSA 002756
Carmel,IN
1 -Front Load 8 Yd Scheduled Service S1
$154.00 Date Description Reference Quantity Unit Price Amount
- — °-- — —05/25 Basic Service 06101/13-06/30i i3 $77.00 $77.00
Due By: 06/14/13
Current Invoice Charges $154.00
Customer Service (317)917-7300
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.
':.':i;' ..&%`i:ii:::zti:[:;:;_•..ry-i; :;i .. ,,:s':�?ft::. .;,,:, cz::: .. q<,
J••:.;.:.:3{l.i�A.Y3, .:_<_„_� .: H:8(3:13AY�>r��N;��v�� ��z'��5d+'.f3AY
S�.
154.00 0.00 0.00 0.00 '(�
To pay on-line or sign up for
convenient auto pay, go to: AA • 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 POLICE 3-0761-0034608 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.
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))
05/25/13 0761-00162221 monthly payment $154.00
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
20
Clerk-Treasurer
VOUCHER NO. WARRANT NO.
Republic Services #761 ALLOWED 20
IN SUM OF $
P.O. Box 9001099
Louisville, KY 40290-1099
$154.00
ON ACCOUNT OF APPROPRIATION FOR
Carmel Police Department
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
1110 1 0761-00162221 I 43-501.01 I $154.00 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
Friday, June 14, 2013
Chief of Police
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund
e7�REPUBLIC CITY OF CARMEL FIRE DEPT Invoice
ZP-A SERVICES
Page 1 of 3
832 Langsdale Ave
Indianapolis,IN 46202-1150
Payments/Adjustments
Date Description Reference Amount
05_/13 Payment-Thank You 219880 -$298.00
° Q.
Account Number 3-0761-0034703 Current Invoice Charges
Invoice Date May 25,2013 Fire Station 41 2 Civic Sq (1-1) CSA 002757
Invoice Number 0761-001622222 Carmel,IN
Previous Balance $298.00
Payments/Adjustments -$298.00 1 -Front Load(8 Yd) Scheduled Service (S1)
Unpaid Balance $0.00 Date Description Reference Quaa!Lty Unit Price Amount
Current Invoice Charges $298.00 05/25 Basic Service 06/01/13-06/30/13 $132.00 $132.00
Fire Station 42 3610 W 106th St (L2) CSA 002758
Carmel,IN
o 1 -Front Load(2 Yd) Scheduled Service (S3)
$298.00 Date Description Reference Quantity Unit Price Amount
05!25 Basic Service 06/01/13-06/30/13 $56.00 $56.00
Due By: 06/14/13
Fire Station 43 3242E 106th St (L3) CSA 002759
Carmel,IN
Customer Service • (317)917-7300 1 -Front Load(2 Yd) Scheduled Service (S1)
Date Description Reference Quantity Unit Price Amount
05/25 Basic Service 06/01/13-06/30/13 $35.00 $35.00
Fire Station 44 5032 E 131st St (L4) CSA 002760
Carmel,IN
Effective 4/16/2012:SERVICE INTERRUPTION 1 -Front Load(2 Yd) Scheduled Service (S1)
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. 05/25 Basic Service 06/01/13-06/30/13 $35.00 $35.00
Fire Station 46 540 W 136th St (L6) CSA 002762
Carmel,IN
1 -Front Load(3 Yd) Scheduled Service (S5)
CURRENT .: ; :'./:-'30 DAM' _''° ::=60`DAYS: ;: 90#rDAYS"~:-
298.00 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-clicnnsaI_cnm or to sign up for our convenient automatic payment plan.
CITY OF CARMEL FIRE DEPT 3-0761-0034703 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.
001308-000002-000002-002616 2316974 2240ST03 1 3 0
Page 3 of 3
R CITY OF CARMEL FIRE DEPT Republic Services #761
REPUBLIC Invoice Date Number 3-0761-0034703 0 832 Langsdale Ave
SERVICES Invoice Number 0761-001622222 Indianapolis, IN 46202-1150
Current Invoice Charges
Date Description Reference Quantity Unit Price Amount
05!25 Basic Service 06/01/13-06/30/13 $40.00 $40.00
Current Invoice Charges $298.00
I
�R7�REPUBLIC CITY OF CARMEL FIRE DEPT Invoice
4014 SERVICES Page 1 of 2
832 Langsdale Ave
Indianapolis,IN 46202-1150
Payments/Adjustments
Date Description Reference Amount
05/13 Payment-Thank You 219880 -$25.00
e
Account Number -3-0761-0034441 Current Invoice Charges
Invoice Date May 25,2013 Training Facility 510 3rd Ave SW (L1) CSA 002792
Invoice Number 0761-001622211 Carmel,IN
Previous Balance $25.00
Payments/Adjustments -$25.00 1 -Front Load(2 Yd) Scheduled Service (S1)
Unpaid Balance $0.00 Date Description Reference Quanti Unit Price Amount
Current Invoice Charges $25.00 05/25 Basic Service 06/01/13-06/30/13 $25.00 $25.00
Current Invoice Charges $25.00
o
A_$25.00 _ - -
Due By: 06/14/13
e • o
•,t
Customer Service (317)917-7300
o ® 11011. 0
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.
x bEf t}r t�♦11ef k50,�1A1'S>; r.'>;-<:::
�,1� CURf�EN i.-;t:`.w".iSr7ii[ir�. ;i;;i;ii'' �}'�.1fY 1.�7:, n, ..nf... i
25.00 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
CITY OF CARMEL FIRE DEPT 3-0761-0034441 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.
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))
0761-001622222 $298.00
0761-001622211 $25.00
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
120
Clerk-Treasurer
VOUCHER NO. WARRANT NO.
ALLOWED 20
Republic Services
IN SUM OF $
832 Lansdale Avenue
Indianapolis, IN 46202
$323.00
ON ACCOUNT OF APPROPRIATION FOR
Carmel Fire Department
PO#/Dept. INVOICE NO. I ACCT#/TITLE AMOUNT Board Members
T
1120 1 0761-0016222221 43-501.01 1 $298.00 i hereby certify that the attached invoice(s), or
1120 1 0761-0016222111 43-501.01 1 $25.00 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
7 2013
Fire Chief
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund
�R"A REPUBLIC CITY OF CARMEL Invoice
fy14 SERVICES
Page 1 of 2
832 Langsdale Ave
Indianapolis,IN 46202-1150
Payments/Adjustments
Date Description Reference Amount
05/10 Payment-Thank You 219628 -$26.40
Account Number 3-0761-0034749 Current Invoice Charges
Invoice Date May 25,2013 Communications Department 31 1st Ave NW (L1) CSA 002772
Invoice Number 0761-001622224 Carmel,IN
Previous Balance $26.40
Payments/Adjustments -$26.40 1 -Front Load(4 Yd) Scheduled Service (S4)
Unpaid Balance $0.00 Date Description Reference Quantity Unit Price Amount
Current Invoice Charges $26.40 05/25 Basic Service 06/01/13-06/30/13 $26.40 $26.40
Current Invoice Charges $26.40
$26.40
Due By: 06/14/13
Customer Service (317)917-7300
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.
26.40 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
CITY OF CARMEL 3-0761-0034749 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.
1
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))
05/25/13 1 0761-001622224 I I $26.40
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
IN SUM OF $
P.O. Box 9001099
Louisville, KY 40290-1099
$26.40
ON ACCOUNT OF APPROPRIATION FOR
Carmel Clay Communications
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
1115 1 0761-0016222241 43-501.01 1 $26.40 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
Tuesd June 11, 2013
r�
director
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund
AREPUBLIC CITY OF CARMEL I Zo� Invoice
SERVICES
Page 1 of 2
832 Langsdale Ave
Indianapolis,IN 46202-1150
Payments/Adjustments
Date Description Reference Amount
05/13 Payment-Thank You 219880 -$105.00
e SS�YLY'n"
Account Number 3-0761-0034742 Current Invoice Charges
Invoice Date May 25,2013 City Hall 1 Civic Sq (L1) CSA 002763
Invoice Number 0761-001622223 Carmel,IN
Previous Balance $105.00
Payments/Adjustments -$105.00 1 -Front Load(6 Yd) Scheduled Service (S1)
Unpaid Balance $0.00 an
Date Description Reference Quti t Unit Price Amount
Current Invoice Charges $105.00 05/25 Basic Service 06/01/13-06/30/13 $105.00 $105.00
Current Invoice Charges $105.00
$105.00
Due By: 06114113
Customer Service (317)917-7300
Effective 4/16/2012:SERVICE INTERRUPTION
F
POLICY CHANGE All accounts with a balance over JUN
60 days will experience a service interruption unless 2013
prior arrangements are made.
L.
30..0AXS,::::=:�Y-:�. �..::....:::::.:::<5fliDAY'3?M'.':.....;�u.::..:,9ib±.AAYSt;'"ii_%'�.
105.00 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
W A,_ - i
CITY OF CARMEL 3-0761-0034742 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.
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))
05/25/13 0761-001622223 $105.00
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 $
PO Box 9001099
Louisville, KY 40290-1099
$105.00
ON ACCOUNT OF APPROPRIATION FOR
Administration Department
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
1205 1 0761-0016222231 43-501.01 1 $105.00 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
Mo day, June 17, 2013
Director, Administration
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund
O"AREPUBLIC CITY OF CARMEL STREET DEPT Invoice
1y*A SERVICES
Page 1 of 2
832 Langsdale Ave
Indianapolis,IN 46202-1150
Payments/Adjustments
Date Description Reference Amount
05/13 Payment-Thank You 219880 -$160.00
Account Number 3-0761-0034751 Current Invoice Charges
Invoice Date May 25,2013 Street Department 3400 W 131st St (L1) CSA 002764
Invoice Number 0761-001622225 Carmel,IN
Previous Balance $160.00
Payments/Adjustments -$160.00 2-Front Load(4 Yd) Scheduled Service (S1)
Unpaid Balance $0.00 Date Description Reference Quantity Unit Price Amount
Current Invoice Charges $160.00 05/25 Basic Service 06/01/13-06/30/13 $160.00 $160.00
Current Invoice Charges $160.00
$160.00
Due By: 06/14/13
Customer Service (317)917-7300
0 0 0 0
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.
CUR ::16;6A�CS.-;rsr,:.::::: 6#:PAYS �s <`'<., ::9# :D.YS
160.00 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
CITY OF CARMEL STREET DEPT 3-0761-0034751 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.
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))
05/25/13 0761-001622225 $160.00
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
IN SUM OF $
832 Lansdale Avenue
Indianapolis, IN 46202
$160.00
ON ACCOUNT OF APPROPRIATION FOR
Carmel Street Department
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
r
2201 1 0761-0016222251 43-501.001 $160.00 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
da&J *ftM 3
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund
�R7�REPUBLIC CARMEL CLAY PARK'S Invoice
fy13 SERVICES Page 1 of 2
832 Langsdale Ave -
Indianapolis,IN 46202-1150
Payments/Adjustments
Date Description Reference Amount
05/15 Inv#001557797 Dated 03/25/13 -$28.50
o For Site 00001 Service Group 01
r
Account Number 3-0761-1410948 Re: Basic Service
Invoice Date May 25,2013 Current Invoice Charges
Invoice Number 0761-001627411
Previous Balance $178.50 Carmel Clay Park's 1411 E 116th St (L1) CSA 94811711
Payments/Adjustments -$28.50 Carmel,IN (�(/
Unpaid Balance $150.00
Current Invoice Charges $586.64 2-Front Load(8 Yd) Scheduled Service (S1)
Date Description Reference Quantity Unit Pric Amount
05/25 Rate Adjustment 05/27/13-06/30/13 2.0000 $525.00 $436.64
05/25 Basic Service 06/01/13-06/30/13 $150.00 $150.00
® Current Invoice Charges $586.64
$736.64
Due By: 06114113
e • •
Customer Service (317)917-7300
Purchase uumpsiu- ko
Description lJ
P.O.# PorF
• ® • G.L.#
Effective 4/1612012:SERVICE INTERRUPTION Budoet ��AC,^
POLICY CHANGE All accounts with a balance over Line Descr_, U1�1�._J�,iLi+(,�I�{�+�1-� JUN 0 3 203
60.days will experience a service interruption unless Date
por arrangements are made. Purchaser
Approval Date
prTy 011 S /50-00
Gr'
......... 12REN :.,... ,,,. • __ �d pAY$,...a� :fV �m.64'i�AY ;�%'%. *tJAYB'`<;v;�fr�;:
5 4 150.00 0.00 0.00
To pay on-line or sign up for Past4lue Balance $150.00
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.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.
CAREPUBL/C CARMEL CLAY PARKS Invoice
614 SERVICES
Page 1 of 2
832 Langsdale Ave
Indianapolis,IN 46202-1150
Current Invoice Charges
Morton Center 1235 Central Park Dr E (1_1) CSA 6974053112
Carmel,IN
1 -Front Load(4 Yd) Scheduled Service (S1)
Account Number 3-0761-0036974
Invoice Date May 25,2013 Date Description Reference Quantity Unit Price Amount
Invoice Number 0761-001622310 05/25 Basic Service 06/01/13-06/30/13 $84.13 $84.13
Previous Balance $425.61 1 -Front Load(10 Yd) Scheduled Service (S2)
Payments/Adjustments $0.00
Unpaid Balance $425.61 Date Description Reference Quantity Unit Price Amount
Current Invoice Charges $425.61 05/25 Basic Service 06/01/13-06/30/13 $243.99 $243.99
1 -Front Load Recycling(6 Yd) Scheduled Service (S3) Corrugated Only
Date Description Reference Quantity Unit Price Amount
05/25 Recycling Service 06/01/13-06/30/13 $41.82 $41.82
d.�s
$851.22 1 -Front Load Recycling(8 Yd) Scheduled Service (S4) Comingled
Due B : 06114113 Date Description Reference Quantity Unit Price Amount
By: 05/25 Recycling Service 06/01/13-06/30/13 $55.67 $55.67
o M: 16111 Current Invoice Charges $425.61
Customer Service (317)917-7300
Purchase _11A W911 PIMP
T.771F�D
00 o P.O.# PorF
t� ��- JUN 0 3 2013
Effective 4116/2012:SERVICE INTERRUPTION C•L.# /0 ��
POLICY CHANGE All accounts with a balance over i3tlr� nt �/►�� /!/
ppri days will experience a service interruption unless I `' -'_
prior arrangements are made.
Purchaser Date
A;.",proval __--Date _
425.61 4 1 0.00 0.00
To pay on-line or sign up for Past Due Balance $425.6
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.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.
ACCOUNTS PAYABLE VOUCHER
CITY OF CARMEL
An invoice of bill to be properly itemized must esrhroow;rki mbe eof lunits, ere performed, dates service rendered, by
whom, rates per day, number of hours, rate p
Payee Purchase Order No.
Terms
358593 Republic Services # 761
P.O. Box 9001099
Louisville, KY 40290-1099
Invoice Invoice Description PO# Amount
Date Number (or note attached invoice(s)or bill(s)) $ 150.00
5/25/13 761001627411 Dumpster A.O. Jun'13 $ 425.61
5/25/13 761001622310 Trash pickup MCC Jun'13
I
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.
l; 358593 Republic Services #761 Allowed 20
P.O. Box 9001099
Louisville, KY 40290-1099
In Sum of$
i
I
$ 575.61
ON ACCOUNT OF APPROPRIATION FOR
101 -General / 109 MCC
PO#or INVOICE NO. ACCT#/TITL AMOUNT Board Members
Dept#
1125 761001627411 4350101 $ 150.00 1 hereby certify that the attached invoice(s), or
1091 761001622310 4350101 $ 425.61 bill(s) is (are)true and correct and that the
c materials or services itemized thereon for
which charge is made were ordered and
received except
a
13-Jun 2013
Signature
$ 575.61 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund
qR'AREPUBL/C CARMEL UTILITIES Invoice
W SERVICES Page 1 of 2
832 Langsdale Ave
Indianapolis,IN 46202-1150
Payments/Adjustments
Date Description Reference Amount
05/13 Payment-Thank You 219880 -$43117
Account Number 3-0761-1410955 Current Invoice Charges
Invoice Date May 25,2013 Carmel Utilities 9609 Hazel Dell Parkway (L1)
Invoice Number 0761-001627414 Carmel,IN
Previous Balance $433.17
Payments/Adjustments -$433.17 14-Front Load(2 Yd) Scheduled Service (S1)
Unpaid Balance $0.00 Date Description Reference Quantity Unit Price Amount
Current Invoice Charges $433.17 05/25 Basic Service 06/01/13-06/30/13 $433.17 $433.17
Current Invoice Charges $433.17
Due By: 06/14/13
Customer Service (317)917-7300 �� - (4
Effective 4116/2012:SERVICE INTERRUPTION
POLICY CHANGE All accounts with a balance over
60 days will experience a service interruption unless
prior arrangements are made.
;GLI#3RENT:-:, _Dq.
433.17 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 UTILITIES 3-0761-1410955 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.
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 6/11/2013
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
6/11/2013 07610016274 $433.17
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 6icer
VOUCHER # 135703 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
07610016274 01-7362-05 $433.17
Voucher Total $433.17
Cost distribution ledger classification if
claim paid under vehicle highway fund
REPUBLIC CARMEL UTILITIES HHW Invoice
SERVICES Page 1 of 3
832 Langsdale Ave
Indianapolis,IN 46202-1150
Payments/Adjustments ,
Date Description Reference Amount
05128 Payment-Thank You 220325 -$2,603.55
Account Number 3-0761-1163292 Current Invoice Charges
Invoice Date May 31,2013 Carmel Utilities Hhw 901 N Range Line Rd (1-1) CSA 3292121010
Invoice Number 0761-001633024 Carmel,IN
Previous Balance $2,603.55
Payments/Adjustments -$2,603.55 1 -Hooklift(30 Yd) Scheduled Service (S1) Comingled
Unpaid Balance $0.00 Date Description Reference Quantity Unit Price Amount
Current Invoice Charges $2,450.40 05/02 Basic Service 1.0000 $153.15 $153.15
Receipt Number 48391
05/07 Basic Service 1.0000 $153.15 $153.15
Receipt Number 48391
0 05/09 Basic Service 1.0000 $153.15 $153.15
Receipt Number 48391
$2,450.40 05114 Basic Service 1.0000 $153.15 $153.15
Receipt Number 48391
Due By: 06/20113 05/16 Basic Service 1.0000 $153.15 $153.15
Receipt Number 48391
01 0 0 `. ',a.:, _} ": 05/21 Basic Service 1.0000 $153.15 $153.15
Receipt Number 48391
Customer Service (317)917-7300 05/23 Basic Service 1.0000 $153.15 $153.15
Receipt Number 48391
05128 Basic Service 1.0000 $153.15 $153.15
Receipt Number 48391
Ogocf:o:0 0 0 05/30 Basic Service 1.0000 $153.15 $153.15
`J Receipt Number 48391
Effective 4/16/2012 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.
05/02 Basic Service 1.0000 $153.15 $153.15
Receipt Number 48393
05/07 Basic Service 1.0000 $153.15 $153.15
Receipt Number 48393
05/09 Basic Service 1.0000 $153.15 $153.15
Receipt Number 48393
CURRENT 30.DAYS 60 DAYS,' 90+"DAYS;
2,450.40 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
- - 6'L,VbiivAisp osal.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.
001093-000002-000002-002186 2317189 2240ST03 1 3 0
Page 3 of 3
R CARMEL UTILITIES HHW Republic Services #761
Account Number 3-0761-1163292
�REPUBL'C Invoice Date May 31, 2013 832 Langsdale Ave
If►� SERVICES Invoice Number 0761-001633024 Indianapolis, IN 46202-1150
Current Invoice Charges
Date Description Reference Quantity Unit Price Amount
05/14 Basic Service 1.0000 $153.15 $153.15
Receipt Number 48393
05/21 Basic Service 1.0000 $153.15 $153.15
Receipt Number 48393
05/28 Basic Service 1.0000 $153.15 $153.15
Receipt Number 48393
05/30 Basic Service 1.0000 $153.15 $153.15
Receipt Number 48393
Current Invoice Charges $2,450.40
MMP�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 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 6/11/2013
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
6/11/2013 0761001633( $2,450.40
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
Date U , 00cer
VOUCHER # 135692 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
07610016330 01-736H-08 $2,450.40
Voucher Total $2,450.40
Cost distribution ledger classification if
claim paid under vehicle highway fund
REPUBLIC CARMEL UTILITIES Invoice
Oy� SERVICES Page 1 of 2
832 Langsdale Ave
Indianapolis,IN 46202-1150
Payments/Adjustments
a Date Description Reference Amount
05/13 Payment-Thank You 219880 -$200.73
"o
Account Number •3-0761-1410954 Current Invoice Charges
Invoice Date May 25,2013 Carmel Utilities 901 N Range Line Rd (L1)
Invoice Number 0761-001627413 Carmel,IN
Previous Balance $200.73
Payments/Adjustments -$200.73 1 -Front Load(8 Yd) Scheduled Service (S1)
Unpaid Balance $0.00 Date Description Reference Quantity Unit Price Amount
Current Invoice Charges $200.73 05/25 Basic Service 06/01/13-06/30/13 $143.79 $143.79
1 -Front Load(2 Yd) Scheduled Service (S2)
Date Description Reference Quantity Unit Price Amount
® 05/25 Basic Service 06/01/13-06/30/13 $56.94 $56.94
V$2.@Q.7-3 — ___ ___ _ Current Invoice Charges $200.73
Due By: 06/14/13
12,10 o 1 ICU= e )
Customer Service (317)917-7300
00 0 0
Your next Invoice may reflect a rate adjustment,if
you have any questions after receiving your next
invoice please contact us
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.
"• ::�::
200.73 0.00 0.00 0,
To pay on-line or sign up for
convenient auto pay, go to: AA • 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 UTILITIES 3-0761-1410954 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.electroniepayments.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 hot 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.
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 6/5/2013
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
6/5/2013 0761001627, $200.73
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 0-1.pj
At
Date fficer
VOUCHER # 135681 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
07610016274 01-736H-08 $200.73
Voucher Total $200.73
Cost distribution ledger classification if
claim paid under vehicle highway fund