HomeMy WebLinkAbout222135 07/17/2013 CITY OF CARMEL, INDIANA VENDOR: 358593 Page 1 of 1
ONE CIVIC SQUARE REPUBLIC WASTE SERVICES OF INDIAN
CARMEL, INDIANA 46032 PO BOX 9001099 CHECK AMOUNT: $1,320.12
' .� LOUISVILLE KY 40290-1099
CHECK NUMBER: 222135
CHECK DATE: 7/17/2013
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
651 5023990 1410954 223 . 55 OTHER EXPENSES
651 5023990 14109555 433 . 17 OTHER EXPENSES
1120 4350101 1657950 25 . 00 TRASH COLLECTION
1110 4350101 1657960 154 . 00 TRASH COLLECTION
1120 4350101 1657961 298 . 00 TRASH COLLECTION
1115 4350101 1657963 26 .40 TRASH COLLECTION
2201 4350100 1657964 160 . 00 BUILDING REPAIRS & MA
i
"4 REPUBLIC CITY OF CARMEL POLICE Invoice
W SERVICES Page 1 of 2
832 Langsdale Ave
Indianapolis,IN 46202-1150
Current Invoice Charges
Police Firing Range 9609 Hazel Dell Pkwy (1-1) CSA 002755
Carmel,IN
1 -Front Load(8 Yd) Scheduled Service (S4)
Account Number 3-0761-0034698
Invoice Date June 25,2013 Date Description Reference Quantity Unit Price Amount
Invoice Number 0761-001657960 06/25 Basic Service 07/01/13-07/31/13 $77.00 $77.00
Previous Balance $154.00 police Headquarters 3 Civic Sq (L2) CSA 002756
Payments/Adjustments $0.00 Carmel,IN
Unpaid Balance $154.00
Current Invoice Charges $154.00 1 -Front Load(8 Yd) Scheduled Service (S1)
Date Description Reference Quantity Unit Price Amount
06/25 Basic Service 07/01/13-07/31/13 $77.00 $77.00
Current Invoice Charges $154.00
$3.08w.00___ --
Due By: 07/15/13
Customer Service (317)917-7300
00 0 0
Effective 4/1612012:SERVICE_INTERRUPTION
POLICY CHANGE All accounts with a balance over
60 days will experience a service interruption unless
prior arrangements are made.
URREN7: .... .:. '. 7:.-30:bAYS:__:•- �: >.-:.... YS�F....,�_=..._ ..�,_9Uv>D Y8. .............
154.00 154.00 0.00 0.00
To pay on-line or sign up for Past Due Balance $154.00
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.
. Pleace see-reverse side for terms and conditions
CITY OF CARMEL POLICE 3-0761-0034698 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))
06/25/13 761-001657960 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.
ALLOWED 20
Republic Services#761
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,-H*-6616579601 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
Wednesday, July 10, 2013
Chief of Police
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund
TRW REPUBLIC CITY OF CARMEL FIRE DEPT Invoice
44A SERVICES
Page 1 of 2
832 Langsdale Ave
Indianapolis,IN 46202-1150
Current Invoice Charges
Training Facility 510 3rd Ave SW (L1) CSA 002792
Carmel,IN
1 -Front Load(2 Yd) Scheduled Service (S1)
Account Number 3-0761-0034441
Invoice Date June 25,2013 Date Description Reference Quantity Unit Price Amount
Invoice Number 0761-001657950 06/25 Basic Service 07/01/13-07/31/13 $25.00 $25.00
Previous Balance $25.00
Current Invoice Charges $25.00
Payments/Adjustments $0.00
Unpaid Balance $25.00
Current Invoice Charges $25.00
0 K'
_$50.00_._
Due By: 07/15/13
Customer Service (317)917-7300
00 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.
� � . .�.. .�..._... ....�. .�. 90 t:GURRENT DAYS .DAY .°a
25.00 25.00
0.00
To pay on-line or sign up for Past Due Balance $25.00
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
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.
� REPUBLIC CITY OF CARMEL FIRE DEPT Invoice
4# SERVICES Page 1 of 2
832 Langsdale Ave
Indianapolis,IN 46202-1150
Current Invoice Charges
Q Fire Station 41 2 Civic Sq (Li) CSA 002757
Carmel,IN
o
1 -Front Load(8 Yd) Scheduled Service (S1)
Account Number 3-0761-0034703
Invoice Date June 25,2013 Date Description Reference Quantity Unit Price Amount
Invoice Number 0761-001657961 06/25 Basic Service 07/01/13-07/31/13 $132.00 $132.00
Previous Balance $298.00 Fire Station 42 3610 W 106th St (1-2) CSA 002758
Payments/Adjustments $0.00 Carmel,IN
Unpaid Balance $298.00
Current Invoice Charges $298.00 1 -Front Load(2 Yd) Scheduled Service (S3)
Date Description Reference Quantity Unit Price Amount
06/25 Basic Service 07/01/13-07/31/13 $56.00 $56.00
Fire Station 43 3242E 106th St (1-3) CSA 002759
° Carmel, IN
_ $596.00 1 -Front L_e)ad(2 Yd) Sche u!cd Servicc (S1)
Due By: 07/15/13 Date Description Reference Quantity Unit Price Amount
06/25 Basic Service 07/01/13-07/31/13 $35.00 $35.00
Fire Station 44 5032E 131st St (1-4) CSA 002760
Customer Service (317)917-7300 Carmel,IN
1 -Front Load(2 Yd) Scheduled Service (S1)
Date Description Reference Quantity Unit Price Amount
0 0 0 0 06/25 Basic Service 07/01/13-07/31/13 $35.00 $35.00
Effective 4/16/2012:SERVICE INTERRUPTION Fire Station 46 540 W 136th St (1-6) CSA 002762
POLICY CHANGE All accounts with a balance over Carmel,IN
60 days will experience a service interruption unless
prior arrangements are made. 1 -Front Load(3 Yd) Scheduled Service (S5)
Date Description Reference Quantity Unit Price Amount
06/25 Basic Service 07/01/13-07/31/13 $40.00 $40.00
Current Invoice Charges $298.00
+DA
, . Y$
3 :PAYS 90 t
----..__._-- _. ......_-_.
298.00 298.00 0.00 0.00
To pay on-line or sign up for Past Due Balance $298.00
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
CITY OF CARMEL FIRE DEPT 3-0761-0034703 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))
0761-001657961 $298.00
0761-001657950 $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
, 20
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. ACCT#/TITLE AMOUNT Board Members
1120 =001657961 43-501.01 $298.00 1 hereby certify that the attached invoice(s), or
1120 &744m9@4 43-501.01 $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
�I IL 11 2013
Fire Chief
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund
qf -AREPUB IC CITY OF CARMEL STREET DEPT Invoice
SERVICES
Page 1 of 2
832 Langsdale Ave
Indianapolis,IN 46202-1150
Current Invoice Charges
Street Department 3400 W 131st St (L1) CSA 002764
>� Carmel,IN
2-Front Load(4 Yd) Scheduled Service (S1)
Account Number 3-0761-0034751
Invoice Date June 25,2013 Date Description Reference Quantity Unit Price Amount
Invoice Number 0761-001657964 06/25 Basic Service 07/01/13-07/31113 $160.00 $160.00
Previous Balance $160.00 Current Invoice Charges $160.00
Payments/Adjustments $0.00
Unpaid Balance $160.00
Current Invoice Charges $160.00
$320.00
Due By: 07/15113
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.
DAYS.,:: 90±.:DAYS.:.
_...._..._ ___....._...... _._._ ..__- _...._._...____.__.-_----•--.-------.--.._. ..__.___.._.___...._..._.__.__.....-_.____._......._..._._.-.....__......_.._...._.
160.00 160.00 0.00 0.00
To pay on-line or sign up for Past Due Balance $160.00
convenient auto pay, go to: A A ° Visit our wehsite,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
I
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))
06/25/13 0761-001657964 $160.00
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 ALLOWED 20
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 I AMOUNT Board Members
2201 } 1 657964 I 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
0
4/nes J ly'42,2013
St�ee���mlriifler
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund
i
�R"A REPUBLIC CARMEL UTILITIES Invoice
11-16 SERVICES Page 1 of 2
832 Langsdale Ave
Indianapolis,IN 46202-1150
Current Invoice Charges
Carmel Utilities 901 N Range Line Rd (L1)
Carmel,IN
1 -Front Load(8 Yd) Scheduled Service (S1)
Account Number 3-0761-1410954
Invoice Date June 25,2013 Date Description Reference Quantity Unit Price Amount
Invoice Number 0761-001663131 06/25 Basic Service 07/01/13-07/31/13 $159.61 $159.61
Previous Balance $200.73 1 -Front Load(2 Yd) Scheduled Service (S2)
Payments/Adjustments $0.00
Unpaid Balance $200.73 Date Description Reference Quantity Unit Price Amount
Current Invoice Charges $223.55 06/25 Basic Service 07/01/13-07/31/13 $63.94 $63.94
Current Invoice Charges $223.55
_$424.28 _
Due By: 07/15/13
Customer Service (317)917-7300
00 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.
: -:Clt_RRENI' t>AYS.>_.....:._...: _....,�:_..5�: A: sc;: �:`.:;�x':: ,; "=�.ig;.90+> Y
223.55 200.73 0.00 0.00
To pay on-line or sign up for Past Due Balance $200.73
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 cenditions
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.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.
�- a
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 7/9/2013
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
7/9/2013 0761001663' $223.55
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
7//./3
-�--
Date Officer
VOUCHER # 135919 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
�0�6�t6 -01-736H-08 $223.55
Voucher Total $223.55
Cost distribution ledger classification if
claim paid under vehicle highway fund
i
ART REPUBLIC CITY OF CARMEL Invoice
�� li SERVICES
Page 1 of 2
832 Langsdale Ave
Indianapolis,IN 46202-1150
Current Invoice Charges
Communications Department 31 1st Ave NW (L1) CSA 002772
Carmel,IN
1 -Front Load(4 Yd) Scheduled Service (S4)
Account Number 3-0761-0034749
Invoice Date June 25,2013 Date Description Reference Quantity Unit Price Amount
Invoice Number 0761-001657963 06/25 Basic Service 07/01/13-07/31/13 $26.40 $26.40
Previous Balance $26.40 Current Invoice Charges $26.40
Payments/Adjustments $0.00
Unpaid Balance $26.40
Current Invoice Charges $26.40
$52.80 _
Due By: 07/15113
o' 0
Customer Service (317)917-7300
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.
GU .RELIT:; ;30:.DAY5; ;'
26.40 26.40 0.00 0.00
To pay on-line or sign up for Past Due Balance $26.40
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
1
I
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.
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))
06/25/13 0761-001657963 $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 �fr1-9916579631 43-501.01 I $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
Wednesday, July-1"0, 2013
Director
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund
"A REPUBLIC CARMEL UTILITIES Invoice
4-4 SERVICES
Page 1 of 2
832 Langsdale Ave
Indianapolis,IN 46202-1150
Current Invoice Charges
Carmel Utilities 9609 Hazel Dell Parkway (L1)
Carmel,IN
14-Front Load(2 Yd) Scheduled Service (Si)
Account Number 3-0761-1410955
Invoice Date June 25,2013 Date Description Reference Quantity Unit Price Amount
Invoice Number 0761-001663132 06/25 Basic Service 07/01/13-07/31/13 $433.17 $433.17
Previous Balance $433.17
Current Invoice Charges $433.17
Payments/Adjustments $0.00
Unpaid Balance $433.17
Current Invoice Charges $433.17
Due By: 07/15/13
o o
0
o .� ,
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.
�URRENT < -Y>:-° 60
433.17 433.17 I. 0.00 0.00
To pay on-line or sign up for Past Due Balance $433.17
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.electronicpaVments.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.
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 7/10/2013
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
7/10/2013 0761001663' $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 Officer
VOUCHER # 135981 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
i
-07.698616GgMf01-7362-05 $433.17
Iq,
Voucher Total $433.17
Cost distribution ledger classification if
claim paid under vehicle highway fund