223368 08/26/2013 CITY OF CARMEL, INDIANA VENDOR: 366093 Page 1 of 1
ONE CIVIC SQUARE REPUBLIC WASTE SERVICE-TRASH COLL
� J� CCK AMOUNT: $83,430.34
CARMEL, INDIANA 46032 ATTN.NANCY COLLINS
row`a 832 LANGSDALE AVE CHECK NUMBER: 223368
INDIANAPOLIS IN 46202-1150
CHECK DATE: 8/26/2013
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
601 5023990 8/12-8/23 83 , 430 . 34 TRASN
Republic Services
832 Langsdale Ave
Indianapolis, IN 46202-1150
ATTN: Nancy Collins
Account# 3-0761-9761020
$$$$ Collected By Carmel Utilities
Aug 12 to Aug 23 $ 85,792.59 2013 Rate
Less Administrative Fee 2013 $ (2,362.25)
9,449 Payments
Payment to Republic $ 83,430.34
_ti
Prescribed by State Board of Accounts
Form No.301 (Rev.1995) ACCOUNTS PAYAB,L VOUCHER
TO VOy (-(C- - 3GCk
ADDRESS "o, QA-C4 ✓-L 'Lvgl/tVA/Ay
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
,/lo o6 do,�
Mo. Day Yr. Signature Title
I hereby certify that the attached invoice(s), or bill(s), is (are)true and orrect 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.
NO.
CARMEL, INDIANA
pv 3Ce(�D or Of
U A..,oS 0,4C,4 Q"4 y
vtrS �w
"�vOlpvAP K(oa—i��b r� IJcf `S
Total Amount of Voucher $
Deductions
` ( z '4346 y
Amount of Warrant ,3y3i) 3y
Month of/y"� �O Yr
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