222286 07/29/2013 CITY OF CARMEL, INDIANA VENDOR: 366093 Page 1 of 1
0 ONE CIVIC SQUARE REPUBLIC WASTE SERVICE-TRASH COMCK AMOUNT: $96,494.34
CARMEL, INDIANA 46032 ATfN:NANCY COLLINS
832 LANGSDALE AVE CHECK NUMBER: 222286
INDIANAPOLIS IN 46202-1150
CHECK DATE: 7/29/2013
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
601 5023990 7/15-7/28 96, 494 . 34 TRASH COLLECTION
Republic Services
832 Langsdale Ave
Indianapolis, IN 46202-1150
ATTN: Nancy Collins
Account# 3-0761-9761020
$$$$ Collected By Carmel Utilities
July 13 to July 28 $ 97,766.09 2013 Rate
Less Administrative Fee 2013 $ (2,691.75)
10,767 Payments
Overage Stickers (500 @ $2.50) $ 1,250.00
Cart Deliveries-June $ 170.00
Payment to Republic $ 96,494.34
Prescribed by State Board of Accounts
Form No.301 (Rev.1995) ACCOUNTS PAYABLE VOUCHER
TO 2100r> -
ADDRESS
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
Mo. Day Yr. SioWure 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. 1 /a
Mo. Day Yr. /Officer Title
Voucher No. Warrant No.
ACCOUNTS PAYABLE DETAILED ACCOUNTS
MUNICIPAL WATER DEPT. ACCT.
2)U(o053 CARMEL, INDIANA NO.
��V�rC- I�IA«cF,Avo �1�5
(?.3a Low(,s oar tiavc
Total Amount of Voucher $
Deductions
Amount of Warrant $
Month of Yr
Acct.
VOUCHER RECORD 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