221683 07/02/2013 CITY OF CARMEL, INDIANA VENDOR: 366093 Page 1 of 1
ONE CIVIC SQUARE REPUBLIC WASTE SERVICE-TRASH COLD
CARMEL, INDIANA 46032 ATfN NANCY COLLINS CHECK AMOUNT: $94,110.12
832 LANGSDALE AVE
CHECK NUMBER: 221683
INDIANAPOLIS IN 46202-1150
CHECK DATE: 7/2/2013
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
601 5023990 JUNE15-28 94, 110 . 12 OTHER EXPENSES
Republic Services
832 Langsdale Ave
Indianapolis, IN 46202-1150
ATTN: Nancy Collins
Account# 3-0761-9761020
$$$$ Collected By Carmel Utilities
June 15 to June 28 $ 96,615.12 2013 Rate
Less Administrative Fee 2013 $ (2,660.00)
10,640 Payments
Cart Deliveries-May $ 155.00
Payment to Republic $ 94,110.12
I
Prescribed by State Board of Accounts
Form No.301 (Rev.1995) ACCOUNTS PAYA! V?U C HER /TO P 5(,IC— 3C�Log 3
ADDRESS
Invoice Date Invoice Number Item Amount
g y
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
)
(dot3 Aec
Mo. Day Yr. Signature Title
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.
Mo. Day Yr. fficer Title
Voucher No. Warrant No.
ACCOUNTS PAYABLE DETAILED ACCOUNTS
MUNICIPAL WATER DEPT. ACCT.
N0.
CARMEL, INDIANA
4�V/iIIL-3G(pUa f
�(Cp;)0;, Ija14Ly C oL�, S
Total Amount of Voucher $
Deductions
I
Amount of Warrant` $
Month of L' ?i
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 Deposits
Total
Allowed
Board of Control
Filed
Official Title
BOYCE FORMS•SYSTEMS 1-800-382-8702 325