221843 07/11/2013 CITY OF CARMEL, INDIANA VENDOR: 366093 Page 1 of 1
ONE CIVIC SQUARE REPUBLIC WASTE SERVICE-TRASH COMCK AMOUNT: $83,772.49
�`. CARMEL, INDIANA 46032 ATTN.NANCY COLLINS
832 LANGSDALE AVE CHECK NUMBER: 221843
INDIANAPOLIS IN 46202-1150
CHECK DATE: 7/11/2013
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
601 5023990 6/29-7/12 83 , 772 . 49 OTHER EXPENSES
Republic Services
832 Langsdale Ave
Indianapolis,IN 46202-1150
ATTN: Nancy Collins
Account# 3-0761-9761020
$$$$ Collected By Carmel Utilities
June 29 to July 12 $ 86,144.24 2013 Rate
Less Administrative Fee 2013 $ (2,371.75)
9,487 Payments
Payment to Republic $ 83,772.49
Prescribed by State Board of Accounts
Form No.301(Re".'995' ACCOUNTS PAYAP4E pVOUCHER/
TO 4i 1d�L1G - Re C, 0/j
ADDRESS 3?5,2- C At'i 50,4"/^ *'�- 77CLO" 4(&1)
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
"r (( do r3 ,� -1)
Mo. Day Yr. Sig ature 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. ` Officer Title
Voucher No. Warrant No.
ACCOUNTS PAYABLE DETAILED ACCOUNTS
MUNICIPAL WATER DEPT. ACCT.
NO.
CARMEL, INDIANA
VC-LOVOL.-c-
�a vs PALL 4A
f 1 AW'-y
Total Amount of Voucher $
Deductions
7A
Amount of Warrant $ 3
Month of u Y �J
VOUCHER RECORD Acct.
No.
Source of Supply
Water Treatment
Transmission and Dist.
Customer Accounts
Administrative and General
O eration-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