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Home My WebLink About223629 08/27/2013 CITY OF CARMEL, INDIANA VENDOR: 358593 Page 1 of 1 ONE CIVIC SQUARE REPUBLIC WASTE SERVICES OF INDIANA CARMEL, INDIANA 46032 PO Box 9001096 CHECK AMOUNT: $2,475.40 LOUISVILLE KY 40290-1099 CHECK NUMBER: 223629 CHECK DATE: 8/27/2013 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1120 4350101 1692294 25 . 00 TRASH COLLECTION 651 5023990 1702801 2,450 .40 OTHER EXPENSES e-AREPURL►C CARMEL UTILITIES HHW Invoice 41*4 SERVICES Page 1 of 3 832 Langsdale Ave Indianapolis,IN 46202-1150 Payments/Adjustments Date Description Reference Amount ° 07/08 Payment-Thank You 221216 -$2,450.40 Account Number 3-0761-1163292 Current Invoice Charges Invoice Date July 31,2013 Carmel Utilities Hhw 901 N Range Line Rd (L1) CSA 3292121010 Invoice Number 0761-001702801 Carmel,IN Previous Balance $4,747.65 Payments/Adjustments -$2,450.40 1 -Hooklift(30 Yd) Scheduled Service (S1) Comingled Unpaid Balance $2,297.25 Date Description Reference Quanti Unit Price Amount Current Invoice Charges $2,450.40 07/02 Basic Service 1.0000 $153.15 $153.15 Receipt Number 48391 07/05 Basic Service 1.0000 $153.15 $153.15 Receipt Number 48391 07/09 Basic Service 1.0000 $153.15 $153.15 Receipt Number 48391 $4,747.65 07/11 Basic Service 1.0000 $153.15 $153.15 •P Receipt Number 48391 Due By: 08/20/13 07/16 Basic Service 1.0000 $153.15 $153.15 Receipt Number 48391 o o 0 07/18 Basic Service 1.0000 $153.15 $153.15 Receipt Number 48391 Customer Service (317)917-7300 07/23 Basic Service 1.0000 $153.15 $153.15 Receipt Number 48391 07/25 Basic Service 1.0000 $153.15 $153.15 Receipt Number 48391 0 0 ° 0 07/30 Basic Service 1.0000 $153.15 $153.15 Receipt Number 48391 Effective 4116/2012:SERVICE INTERRUPTION 1 -Recycle Rolloff(30yd) Scheduled Service (S3) Comingled POLICY CHANGE All accounts with a balance over 60 days will experience a service interruption unless Date Description Reference Quanti ty Unit Price Amount prior arrangements are made. 07/02 Basic Service 1.0000 $153.15 $153.15 Receipt Number 48393 07/09 Basic Service 1.0000 $153.15 $153.15 Receipt Number 48393 07/16 Basic Service 1.0000 $153.15 $153.15 Receipt Number 48393 RRENT..q .,. d'T)AYS`, ',,, ,r;, 60r.C3;AYS' .... 9.0+D�►YS,` 2,450.40 2,297.25 0.00 0.00 To pay on-line or sign up for Past Due Balance $2,297.25 convenient auto-pay, go.to: DA Visit our website,www.disposal.com to make your payment electronically MMM/:CLIS!�OSaLCn _ __�_T or to sign up for our convenient automatic payment plan: - ^Piea`se`see reverse side forte�ms � - - -'�-- _ CARMEL UTILITIES HHW 3-0761-1163292 Page 2 of 3 Check Processing: In accordance with Federal Reserve Board guidelines, when you provide a check as payment, you authorize us to use information from your check to make a one-time electronic fund transfer from your account or to process the payment as a check transaction. When we use information from your check to make an electronic fund transfer, funds may be withdrawn from your account as soon as the same day we receive your payment and you will not receive your check back from your financial institution. For further information visit: www.electronicpayments.org and click on the Check Conversion tab. If service is canceled during a billing cycle, the customer will remain responsible for all charges, fees and taxes through the end of the billing cycle. There will be no proration of billing, and the customer will not be entitled to a refund for the period between the notice of termination and the end of the current billing cycle. This provision will not apply if it is contrary to a current franchise agreement, municipal contract, or other written contract applicable to this account or is otherwise prohibited by law. The Company reserves the right to require that payment for services be made only by check, credit card or money order, unless otherwise required by contract or applicable law. " i♦ g '*�s :.- n--�`��,<�,y� .,y� � �� '^tar k �'`-yx�y''� k ,?;� �" .�� !ti';�z<�4�k '� �°KU� ,��$„ ,_ ,��,�?°l� v '� 'tea, _�• °��'� _.>,...`"f"<_., �.._��`.. 7i��r,t a;��acs .x�..._.., .� ..,. 001003-000002-000002-002006 2319472 2240ST03 1 3 0 Page 3 of 3 R CARMEL UTILITIES HHW Republic Services #761 �REPlJBLIC Account Number 3-0761-1163292 832 Langsdale Ave SERVICES Invoice Date July 31,2013 Invoice Number 0761-001702801 Indianapolis, IN 46202-1150 Current Invoice Charges Date Description Reference Quantity Unit Price Amount 07/18 Basic Service 1.0000 $153.15 $153.15 Receipt Number 48393 07123 Basic Service 1.0000 $153.15 $153.15 Receipt Number 48393 07/25 Basic Service 1.0000 $153.15 $153.15 Receipt Number 48393 07/30 Basic Gervice 1.0000 $153.15 $153.15 Receipt Number 48393 Current Invoice Charges $2,450.40 VOUCHER # 136237 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 07610017028 01-736H-08 $2,450.40 Voucher Total $2,450.40 Cost distribution ledger classification if claim paid under vehicle highway fund 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 8/20/2013 Invoice Invoice Description Date Number (or note attached invoice(s) or bill(s)) Amount 8/20/2013 0761001702f $2,450.40 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 REPUBLIC CITY OF CARMEL FIRE DEPT Invoice SERVICES Page 1 of 2 832 Langsdale Ave Indianapolis,IN 46202-1150 Payments/Adjustments Date Description Reference Amount 07/08 Payment-Thank You 221216 -$25.00 �• ejl YT � Account Number 3-0761-0034441 Current Invoice Charges Invoice Date July 25,2013 Training Facility 510 3rd Ave SW (L1) CSA 002792 Invoice Number 0761-001692294 Carmel,IN Previous Balance $50.00 Payments/Adjustments -$25.00 1 -Front Load(2 Yd) Scheduled Service (S1) Unpaid Balance $25.00 Current Invoice Charges $25.00 Date Description Reference Quantity Unit Price Amount 07/25 Basic Service 08/01/13-08/31/13 $25.00 $25.00 Current Invoice Charges $25.00 1$50.00._ _ - - - - Due By: 08/14/13 Customer Service (317)917-7300 0� Ulan«, Effective 411612012:SERVICE INTERRUPTION POLICY CHANGE All accounts with a balance over 60 days will experience a service interruption unless prior arrangements are made. ;;�. ::CUi'�RENT;.:�. ,>::> .. Q:I�AY$ .:�, °�.., z.:3•isr;aca6�flAYS.;, s, ,. �±�ltr:�$:.,��f,...:,. 25.00 25.00 0.00 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. prnneu enn rovuron cidn f—f.—and—AU.— 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.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. VOUCHER NO. WARRANT NO. ALLOWED 20 Republic Services IN SUM OF $ 832 Lansdale Avenue Indianapolis, IN 46202 $25.00 ON ACCOUNT OF APPROPRIATION FOR Carmel Fire Department PO#/Dept. INVOICE NO. ACCT#/TITLE I AMOUNT Board Members 1120 1-07&1°6016922941 43-501.01 I $25.00 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 AUG 2 6 2013 Fire Chief Title Cost distribution ledger classification if claim paid motor vehicle highway fund Irescribed by State Board of Accounts City Form No.201 (Rev. 1995) ACCOUNTS PAYABLE VOUCHER CITY OF CARMEL \n invoice or bill to be properly itemized must show: kind of service, where performed, dates service rendered, by vhom, 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)) 0761-001692294 $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 5-11-10-1.6 120 Clerk-Treasurer