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HomeMy WebLinkAbout222560 07/30/2013 CITY OF CARMEL, INDIANA VENDOR: 358593 Page 1 of 1 ONE CIVIC SQUARE REPUBLIC WASTE SERVICES OF INDIA CHECK AMOUNT: $4,335.87 �a CARMEL, INDIANA 46032 PO BOX 9001099 LOUISVILLE KY 40290-1099 CHECK NUMBER: 222560 CHECK DATE: 7/30/2013 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1205 4350101 1657962 105 . 00 TRASH COLLECTION 1091 4350101 1658043 1, 092 . 64 TRASH COLLECTION 1125 4350101 1663129 150 . 00 TRASH COLLECTION 1207 4350101 20020 1665862 572 . 86 TRASH SERVICE 651 5023990 1667091 118 . 12 OTHER EXPENSES 651 5023990 1668198 2, 297 .25 OTHER EXPENSES 7;REPUBLIC CARMEL CLAY PARK'S Invoice ZVO SERVICES Page 1 of 2 832 Langsdale Ave Indianapolis,IN 46202-1150 Current Invoice Charges "- Carmel Clay Park's 1411 E 116th St (Li) CSA 94811711 Carmel,IN 2-Front Load(8 Yd) Scheduled Service (S1) Account Number 3-0761-1410948 Invoice Date June 25,2013 Date Description Reference Quantity Unit Price Amount Invoice Number 0761-001663129 06/25 Basic Service 07/01/13-07/31/13 $150.00 $150.00 Previous Balance $150.00 Current Invoice Charges $150.00 Payments/Adjustments $0.00 Unpaid Balance $150.00 Current Invoice Charges $150.00 CUM, � AO qtd//�3 $300.00 . ° �l -U� L/C-) Due By: 07/15/13 Customer Service (317)917-7300 ff'-N 7,—" 0,0 01 ° JUL - 5 2013 Effective 4/16/2012 SERVICE INTERRUPTION POLICY CHANGE All accounts with a balance over �g_�' 60 days will experience a service interruption unless 6 y�� prior arrangements are made CURREN_'C__. ,:::.,:<._:.:... :::..x,.34 DAYS,,:;: °.::.r< �.: :ia :::.:;60 E�AYS.:<.,,<M:... ::: :::�:<<.:.:._.90±;PAYS:°<:;; ::..;: 150.00 150.00 0.00 0.00 To pay on-line or sign up for Past Due 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 When we use information from your check to make an electronic fund transfer, funds may be withdrawn from your account as soon as the same day we receive your payment and you will not receive your check back from your financial institution.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.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. �R"A REPUBLIC CARMEL CLAY PARKS Invoice 4-4 SERVICES Page 1 of 2 832 Langsdale Ave Indianapolis,IN 46202-1150 Payments/Adjustments Date Description Reference Amount 05/28 Payment-Thank You 220325 -$425.61 Account Number •3-0761-0036974 Current Invoice Charges Invoice Date June 25,2013 Monon Center 1235 Central Park Dr E (1-1) CSA 6974053112 Invoice Number 0761-001658043 Carmel,IN Previous Balance $851.22 Payments/Adjustments -$425.61 1 -Front Load(4 Yd) Scheduled Service (S1) Unpaid Balance $425.61 Date Description Reference Quantity Unit Price Amou Current Invoice Charges $2,288.39 06/25 MGM3'-- 1.0000 $196.30 .19 06/25 Basic Service 07/01/13-07/31/13 $196.30 -961. 1� 1 -Front Load(10 Yd) Scheduled Service (S2) $`.u W .' o u. ,4 Date Description Reference Quantity nit Price •` - 06/25 Rate Adjustment 06/06/13-06/30/13 13.p2 tD 1.0000 $5Ca931 $267.3 $2.714.00 06/25 Basic Service 07.'01113-07/31113 Due By: 07/15/13 1 -Front Load Recycling(6 Yd) Scheduled Service (S3) Corrugated Only s .x ;;A; Date Description Reference Quantity Unit Price Amou rlL ° ° ° ' "" 06/25 1.0000 $292.74 .24 Customer Service (317)917-7300 06/25 Recycling Service 07/01/13-07/31/13 $292.74 4' 1 -Front Load Recycling(8 Yd) Scheduled Service (S4) Comingled y/. 92, Date Description Reference Quantity Unit Price Amou 06/25 Bate A<#jt+strneM—t36f96f1?r96139H3— 1.0000 $389.69 4.53 06/25 Recycling Service 07/01/13-07/31/13 $389.69 _S38r9_--69 Effective 4/16/2012:SERVICE INTERRUPTION & 7 POLICY CHANGE All accounts with a balance over Current Invoice Charges $ 288$9 60 days will experience a service interruption unless prior arrangements are made. Mn54 I PICKU PMc C JU t)3 00 JUG. '- 5 2_913 1091- �-35o1D� - 4 URRENT;; ': 6Q:DAYS:<x>x: :'< A;.SU±DAY$'.: - . .. _.. --__---- ----- DAY _---- 39 425.61 0.00 0.00 To pay on-line or sign up for p ce W5.61 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.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. ACCOUNTS PAYABLE VOUCHER CITY OF CARMEL An invoice of 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. 358593 Republic Services # 761 Terms P.O. Box 9001099 Louisville, KY 40290-1099 Invoice Invoice Description Date Number (or note attached invoice(s) or bill(s)) PO# Amount 6/25/13 761001663129 Dumpster A.O. Jul'13 $ 150.00 6/25/13 761001658043 Trash pickup MCC Jul'13 $ 1,092.64 Total $ 1,242.64 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 II Voucher No. Warrant No. 358593 Republic Services #761 Allowed 20 P.O. Box 9001099 Louisville, KY 40290-1099 In Sum of$ $ 1,242.64 ON ACCOUNT OF APPROPRIATION FOR 101 - General / 109 MCC PO#or Board Members INVOICE NO. ACCT#/TITLE AMOUNT Dept# 1125 761001663129 4350101 $ 150.00 1 hereby certify that the attached invoice(s), or 1091 761001658043 4350101 $ 1,092.64 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 25-Jul 2013 Signature $ 1,242.64 Accounts Payable Coordinator Cost distribution ledger classification if Title claim paid motor vehicle highway fund L/ 3 5-&l 6 l k s"A REPUBLIC CITY OF CARMEL / Z S- Invoice 411A SERVICES Page 1 of 2 832 Langsdale Ave Indianapolis,IN 46202-1150 Current Invoice Charges City Hall 1 Civic Scl (1-1) CSA 002763 Carmel,IN 1 -Front Load(6 Yd) Scheduled Service (S1) Account Number 3-0761-0034742 Invoice Date June 25,2013 Date Description Reference Quantity Unit Price Amount Invoice Number 0761-001657962 06/25 Basic Service 07/01/13-07/31/13 $105.00 $105.00 Previous Balance $105.00 Current Invoice Charges $105.00 Payments/Adjustments $0.00 Unpaid Balance $105.00 Current Invoice Charges $105.00 o $210.00 Due By: 07/15/13 - Q MKWOMM- Customer Service (317)917-7300 Effective 4/16/2012:SERVICE INTERRUPTION D POLICY CHANGE All accounts with a balance over 60 days will experience a service interruption unless prior arrangements are made. J:�L 2 9 2 013 By CURRENT::,. 30 DAY5 n .: :.:.,. ,,,..::3,.r6© 105.00 105.00 0.00 0.00 To pay on-line or sign up for Past Due Balance $105.00 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 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.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 0761-001657962 $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 0761-0016579621 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 Monday, July 29, 2013 Director, Administration Title Cost distribution ledger classification if claim paid motor vehicle highway fund 7)REPUBLIC CITY OF CARMEL BROOKSHIRE GOLF Invoice 64 SERVICES Page 1 of 2 832 Langsdale Ave Indianapolis,IN 46202-1150 Current Invoice Charges In 91 F Brookshire Golf Course Ro/FI 12120 Brookshire Pkwy (1-1) CSA 002765 _ Carmel,IN 1 -Front Load(8 Yd) Scheduled Service (S1) Account Number 3-0761-0035460 Invoice Date June 30,2013 Date Description Reference Quantity Unit Price Amount Invoice Number 0761-001665862 06/30 Rate Adjustment 06/19/13-07/31/13 1.0000 $132.00 $87.86 Previous Balance $425.00 06/30 Basic Service 07/01/13-07/31/13 $69.00 $69.00 Payments/Adjustments $0.00 Brookshire Golf Course Pt 12120 Brookshire Pkwy (L2) Unpaid Balance $425.00 Carmel,IN Current Invoice Charges $572.86 2-Portable Unit Scheduled Service (S1) Date Description Reference Quantity Unit Price Amount 06/03 Basic Service 2.0000 $30.00 $60.00 o o 06/10 Basic Service 2.0000 $30.00 $60.00 r k,c 06/17 Basic Service 2.0000 $30.00 $60.00 nR124 Basic Scrvica 2.0000 $30.00 QFn.nn _ w y Due Byy,:.: 0 7120/13 . 06/30 Portable Service 06/01/13-06/30/13 $176.00 $176.00 _ 0 Current Invoice Charges $572.86 e 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 ..:.... . N. : . .- ,.n..:.. : 90,+DAYS .30.DAYg: 6U:DAYS:;;;:=.::::-:::;:::� .,,,, 572.86 425.00 0.00 0.00 To pay on-line or sign up for Past Due Balance $425.00 - convenient auto pay, go to: DA 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 reve se 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.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)) 06/30/13 0761-001665862 Trash Removal $572.86 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 $572.86 ON ACCOUNT OF APPROPRIATION FOR Brookshire Golf Club PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members 20020 1 0761-0016658621 43-501.01 1 $572.86 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, July 12, 2013 Director, Brooks Me Golf Club Title Cost distribution ledger classification if claim paid motor vehicle highway fund REPUBLIC CARMEL UTILITIES WWTP Invoice ty� SERVICES / Page 1 of 2 832 Langsdale Ave O I• A J,C 5 Indianapolis,IN 46202-1150 Current Invoice Charges Wwtp 9609 Hazel Dell Pkwy (L1) CSA 002915 Indianapolis,IN _O•. -- y �-• 1 -Rolloff(40 Yd) On Call Service (S1) Account Number 3-0761-0058847 Invoice Date June 30,2013 Date Description Reference Quantity Unit Price Amount Invoice Number 0761-001667091 06/19 Container Delivery Laura 1.0000 $50.00 $50.00 Previous Balance $0.00 Receipt Number 60203 Payments/Adjustments $0.00 06/19 Fuel-Environmental Fee Laura 1.0000 $68.12 $68.12 Unpaid Balance $0.00 Receipt Number 60203 Current Invoice Charges $113.12 Current Invoice Charges $118.12 41 Due By: 07/20/13 0 b• Customer Service (317)917-7300 Effective 4/16/2012:SERVICE INTERRUPTION POLICY CHANGE All accounts with a balance over 60 days will experience a service interruption unless prior arrangements are made. M:­60 : tJ.�< +4YS. ��:`�.°•:=: °���sr�5d+"AAY$;�•: � 118.12 0.00 0.00 To pay on-line or sign up for convenient auto pay, go to: DA • 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 ternis and conditions CARMEL UTILITIES WWTP 3-0761-0058847 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 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 7/23/2013 Invoice Invoice Description Date Number (or note attached invoice(s) or bill(s)) Amount 7/23/2013 0761001667( $118.12 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 # 136028 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 07610016670 01-7362-05 $118.12 Voucher Total $118.12 Cost distribution ledger classification if claim paid under vehicle highway fund P REPUBLIC CARMEL UTILITIES HHW Invoice 11►� SERVICES Page 1 of 3 832 Langsdale Ave Indianapolis,IN 46202-1150 Current Invoice Charges Carmel Utilities Hhw 901 N Range Line Rd (1-1) CSA 3292121010 o Carmel,IN 1 -Hooklift(30 Yd) Scheduled Service (S1) Comingled Account Number 3-0761-1163292 Invoice Date June 30,2013 Date Description Reference Quantity Unit Price Amount Invoice Number 0761-001668198 06/04 Basic Service 1.0000 $153.15 $153.15 Previous Balance $2,450.40 Receipt Number 48391 Payments/Adjustments $0.00 06/06 Basic Service 1.0000 $153.15 $153.15 Unpaid Balance $2,450.40 Receipt Number 48391 Current Invoice Charges $2,297.25 06/11 Basic Service 1.0000 $153.15 $153.15 Receipt Number 48391 06/13 Basic Service 1.0000 $153.15 $153.15 Receipt Number 48391 06/18 Basic Service 1.0000 $153.15 $153.15 Receipt Number 48391 06/20 Basic Service 1.0000 $153.15 $153.15 $4,747.65 Receipt Number 48391 06/25 Basic Service 1.0000 $153.15 $153.15 Due By: 07/20/13 Receipt Number 48391 06/27 Basic Service 1.0000 $153.15 $153.15 0 0 0 <„` Receipt Number 48391 Customer Service (317)917-7300 1 -Recycle Rolloff(30yd) Scheduled Service (S3) Comingled Date Description Reference Quantity Unit Price Amount 06/04 Basic Service 1.0000 $153.15 $153.15 Receipt Number 48393 0 0 0 0 06/11 Basic Service 1.0000 $153.15 $153.15 Receipt Number 48393 Effective 4/16/2012:SERVICE INTERRUPTION 06/13 Basic Service 1.0000 $153.15 $153.15 POLICY CHANGE All accounts with a balance over Receipt Number 48393 60 days will experience a service interruption unless 06/18 Basic Service 1.0000 $153.15 $153.15 prior arrangements are made. Receipt Number 48393 06/20 Basic Service 1.0000 $153.15 $153.15 Receipt Number 48393 06/25 Basic Service 1.0000 $153.15 $153.15 Receipt Number 48393 06/27 Basic Service 1.0000 $153.15 $153.15 M- CURRENT �r: <:•�«.30'DAY.S ' ;::' ': 60'DAYS' ',`_ 90+:DAYS 2,297.25 2,450.40 0.00 0.00 To pay on-line or sign up for = Past Due Balance $2,450.40 To auto pay, go to: DA Visit our website,www.disposal.com to make your payment electronically w_w.G'IS osal.carn or to sign up for our convenient automatic payment.plan. see reverse s'+ = = v - � .,a, �- -�'E ��sy ] � � - .•�s�,-,r -may - *5 _- e 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. it 001045-000002-000002-002090 2318303 2240ST03 1 3 0 Page 3 of 3 CARMEL UTILITIES HHW Republic Services #761 R Account Number 3-0761-1163292 5; 7)REPUBLIC 832 Langsdale Ave SERVICES tf►� Invoice Date June 30,2013 Indianapolis, IN 46202-1150 Invoice Number 0761-001668198 Current Invoice Charges Date Description Reference Quantity Unit Price Amount Receipt Number 48393 Current Invoice Charges $2,297.25 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 7/23/2013 Invoice Invoice Description Date Number (or note attached invoice(s) or bill(s)) Amount 7/23/2013 0761001668' $2,297.25 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 7/2 4,3 Date Officer i VOUCHER # 136009 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 07610016681 01-736H-08 $2,297.25 If I Voucher Total $2,297.25 Cost distribution ledger classification if claim paid under vehicle highway fund