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HomeMy WebLinkAbout224109 09/10/2013 CITY OF CARMEL, INDIANA VENDOR: 358593 Page 1 of 2 ONE CIVIC SQUARE REPUBLIC WASTE SERVICES OF INDIA CHECK AMOUNT: $5,322.45 CARMEL, INDIANA 46032 PO BOX 9001099 LOUISVILLE KY 40290-1099 CHECK NUMBER: 224109 CHECK DATE: 9/10/2013 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 651 5023990 1702801 2 , 450 .40 OTHER EXPENSES 1120 4350101 1725330 25 . 00 TRASH COLLECTION 1110 4350101 1725340 154 . 00 TRASH COLLECTION 1120 4350101 1725341 540 . 00 TRASH COLLECTION 1205 4350101 1725342 105 . 00 TRASH COLLECTION 1115 4350101 1725343 26 .40 TRASH COLLECTION 2201 4350100 1725344 160 . 00 BUILDING REPAIRS & MA 1091 4350101 1725423 750 . 93 TRASH COLLECTION 601 5023990 1726167 69 . 00 OTHER EXPENSES 601 5023990 1726173 69 . 00 OTHER EXPENSES 601 5023990 1726266 166 . 00 OTHER EXPENSES 1125 4350101 1730542 150 . 00 TRASH COLLECTION 651 5023990 1730544 223 . 55 OTHER EXPENSES CITY OF CARMEL, INDIANA VENDOR: 358593 Page 2 of 2 ONE CIVIC SQUARE REPUBLIC WASTE SERVICES OF INDIANA CARMEL, INDIANA 46032 PO BOX 9001096 CHECK AMOUNT: $5,322.45 LOUISVILLE KY 40290-1099 CHECK NUMBER: 224109 CHECK DATE: 9/10/2013 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 651 5023990 1730545 433 . 17 OTHER EXPENSES qR'AREPUBLIC CITY OF CARMEL POLICE Invoice ts►ZI SERVICES Page 1 of 2 832 Langsdale Ave Indianapolis,IN 46202-1160 Payments/Adjustments Date Description Reference Amount 07/29 Payment-Thank You 222135 -$154.00 ° 08/23 Payment-Thank You 223173 -$154.00 Account Number 3-0761-0034698 Current Invoice Charges Invoice Date August 25,2013 g Invoice Number 0761-001725340 Police Firing Range 9609 Hazel Dell Pkwy (1-1) CSA 002755 Previous Balance $308.00 Carmel,IN Payments/Adjustments -$308.00 Unpaid Balance $0.00 1 -Front Load(8 Yd) Scheduled Service (S4) Current Invoice Charges $154.00 Date Description Reference Quantity Unit Price Amount 08/25 Basic Service 09/01/13-09/30/13 $77.00 $77.00 Police Headquarters 3 Civic Sq (L2) CSA 002756 ° Carmel,IN 1 -Front Load(8 Yd) Scheduled Service (S1) -- - — - - — — — - irate Reference Quantity Unit Price Amount Due By: 09/14/13 08/25 Basic Service 09/01/13-09/30/13 $77.00 $77.00 Current Invoice Charges $154.00 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. 154.00 0.00 0.00 0.00 To pay on-line or sign up for - — 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 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.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. 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 0761-0017253401 43-501.01 1 $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 Thursday, September 05, 2013 Chief of Police Title Cost distribution ledger classification if claim paid motor 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 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)) 08/25/13 0761-001725340 trash collection $154.00 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 i' ���REPUBLIC CITY OF CARMEL STREET DEPT Invoice SERVICES 832 Langsdale Ave Page 1 of 2 Indianapolis,IN 46202-1150 Payments/Adjustments Date Description Reference Amount 07/29 Payment-Thank You 222135 -$160.00 0 08/23 Payment-Thank You 223173 -$160.00 Account Number 3-0761-0034751 Current Invoice Charges Invoice Date August 25,2013 g Invoice Number 0761-001725344 Street Department 3400 W 131st St (L1) CSA 002764 Previous Balance $320.00 Carmel,IN Payments/Adjustments -$320.00 Unpaid Balance $0.00 2-Front Load(4 Yd) Scheduled Service (S1) Current Invoice Charges $160.00 Date Description Reference Quantity Unit Price Amount 08/25 Basic Service 09/01/13-09/30/13 $160.00 $160.00 Current Invoice Charges $160.00 G � 0 Due By: 09/14/13 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. 4n.bAYSM9 160.00 0.00 0.00 0.00 To pay on-line or sign up for 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. — - ^base sea-reve me side for terms and conditions 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. VOUCHER NO. WARRANT NO. ALLOWED 20 Republic Services IN SUM OF $ 832 Lansdale Avenue Indianapolis, IN 46202 $160.00 ON ACCOUNT OF APPROPRIATION FOR Carmel Street Department PO#/Dept. INVOICE NO. I ACCT#/TITLE AMOUNT Board Members 2201 (0761-001725344 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 T ursday Ff pte r 05, 2013 Street Commissio Street Cgfpmissioner Cost distribution ledger classification if claim paid motor 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 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)) 08/25/13 0761-001725344 $160.00 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 Ilk R%REPUBLIC CARMEL CLAY PARK'S Invoice 44 SERVICES Page 1 of 2 832 Langsdale Ave Indianapolis,IN 46202-1150 Payments/Adjustments Date Description Reference Amount 08/05 Payment-Thank You 222560 -$150.00 ® 08/23 Payment-Thank You 223173 -$150.00 Account Number 3-0761-1410948 Invoice Date August 25,2013 ; Current Invoice Charges Invoice Number 0761-001730542 Carmel Clay Park's 1411 E 116th St (L1) CSA 94811711 Previous Balance $300.00 Carmel,IN Payments/Adjustments -$300.00 Unpaid Balance $0.00 2-Front Load(8 Yd) Scheduled Service (S1) Current Invoice Charges $150.00 Date Description Reference Quantity Unit Price Amount 08/25 Basic Service 09/01/13-09/30/13 $150.00 $150.00 Current Invoice Charges $150.00 ° m A 0.00 Due By: 09/14/13 so 0 0 SEP 0 3 2013 Customer Service (317)917-7300 BY: bUYAP5TER AO StPl3 Effective 4/16/2012:SERVICE INTERRUPTION I !nl+02 4350` c2' POLICY CHANGE All accounts with a balance over 60 days will experience a service interruption unless prior arrangements are made. ' `C',t1FiREt+I"t' . ....••:. �,Jt)pi4Y$, ..�' ��::<6#>t7AYS .::. ,f� ,.s>::9t)�,i�A1!S.��r,:_ 150.00 0.00 0.00 0.00 To pay on-line or sign up for 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. ESE �, 1e ,0 3 2013 R04REPUBLIC CARMEL CLAY PARKS Invoice if►4 5ERVlCES Page 1 of 3 832 Langsdale Ave Indianapolis,IN 46202-1150 Payments/Adjustments Date Description Reference Amount 08/05 Payment-Thank You 222560 -$1,092.64 e 08/23 Payment-Thank You 223173 -$590.49 Account Number 3-0761-0036974 07/30 Inv#001658043 Dated 06/25/13 $92.19 Invoice Date August 25,2013 For Site 00001 Service Group 01 Re: Basic Service Invoice Number 0761-001725423 07/30 Inv#001658043 Dated 06/25/13 -$86.35 Previous Balance $2,878.88 For Site 00001 Service Group 01 Payments/Adjustments -$2,792.76 Re: Basic Service Unpaid Balance $86.12 07/30 Inv#001658043 Dated 06/25/13 -$25.82 Current Invoice Charges $750.93 For Site 00001 Service Group 01 Re:Basic Service 07/30 Inv#001692387 Dated 07/25/13 $25.82 For Site 00001 Service Group 01 Re:Basic Service ° wtl� ` 07/30 Inv#001658043 Dated 06/25/13 -$193.17 �•�� For Site 00001 Service Group 02 Re:Basic Service Due By: 09/14/13 07/30 Inv#001658043 Dated 06/25/13 -$57.75 For Site 00001 Service Group 02 e o ® * Re:Basic Service If 07/30 Inv#001692387 Dated 07/25/13 $57.75 Customer Service (317)917-7300 For Site 00001 Service Group 02 Re:Basic Service 07/30 Inv#001658043 Dated 06/25/13 -$206.24 For Site 00001 Service Group 03 Purcl asp Re:Basic Service t cript on �CC" SEi p 113 rEffective 07/30 In v#001658043 Dated 06/25/13 ,Gil P or F -$257.15 For Site 00001 Service Group 03 4/16/2012:SERVICE INTERRUPTION Re:Basic Service G.L.# !09/-LICY CHANGE All accounts with a balance over days w�N experience a service interruption unless 07/30 Inv#001658043 Dated 06/25/13 F is'i.et $76.87 r arrangements are made. For Site 00001 Service Group 03 Line Descr Re:Basic Service Purchaser_ Date 07/30 Inv#001692387 Dated 07/25/13 $76.87 For Site 00001 Service Group 03 Apprcvai Date Re:Basic Service 07/30 Inv#001658043 Dated 06/25/13 -$274.53 - For Site 00001 Service Group 04 Re: Basic Service 13, GU1tiiEAIT 9 ! 60 DAYS_. ...9W"90±DAYS 750.93 86.12 0.00 0.00 To pay on-line or sign up for Past Due Balance $86.12 i convenient auto pay, go to'. AA Visit our website,www.disposal.com to make your payment electronically www.disposal.com or to sign up for our convenient automatic payment plan. 01... .---rn,. _-tae#n *e- ­A­AM- CARMEL CLAY PARKS 3-0761-0036974 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. 001423-000002-000002-002846 2320375 2240ST03 1 3 0 Page 3 of 3 R CARMEL CLAY PARKS Republic Services #761 Account Number 3-0761-0036974 REPUBLIC Invoice Date August 25,2013 832 Langsdale Ave SERVICES Invoice Number 0761-001725423 Indianapolis, IN 46202-1150 Current Invoice Charges Current Invoice Charges Monon Center 1235 Central Park Dr E (1-1) CSA 6974053112 Carmel,IN 1 -Front Load(4 Yd) Scheduled Service (S7) --- -----Date- Description Reference Quantity Unit Price Amount 08/25 Basic Service 09/01/13-09/30/13 $84.13 $84.13 1 -Front Load(10 Yd) Scheduled Service (S2) Date Description Reference Quantity Unit Price Amount 08/25 Basic Service 09/01/13-09/30/13 $569.31 $569.31 1 -Front Load Recycling(6 Yd) Scheduled Service (S3) Corrugated Only Date Description Reference Quantity Unit Price Amount 08/25 Recycling Service 09/01/13-09/30/13 $41.82 $41.82 1 -Front Load Recycling(8 Yd) Scheduled Service (S4) Comingled Date Description Reference Quantity Unit Price Amount 08/25 Recycling Service 09/01/13-09/30/13 $55.67 $55.67 Current Invoice Charges $750.93 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 8/25/13 761001730542 Dumpster A.O. Sep'13 $ 150.00 8/25/13 761001725423 Trash pickup MCC Sep'13 $ 750.93 Total $ 900.93 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. 358593 Republic Services #761 Allowed 20 P.O. Box 9001099 Louisville, KY 40290-1099 In Sum of$ $ 900.93 ON ACCOUNT OF APPROPRIATION FOR 101 -General / 109 MCC PO#or INVOICE NO. ACCT#/TITLE AMOUNT Board Members Dept# 1125 761001730542 4350101 $ 150.00 1 hereby certify that the attached invoice(s), or 1091 761001725423 4350101 $ 750.93 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 5-Sep 2013 Signature $ 900.93 Accounts Payable Coordinator Cost distribution ledger classification if Title claim paid motor vehicle highway fund ilk R7)REPUBLIC i CITY OF CARMEL UTILITIES Invoice Z04 SERVICES 832 Langsdale Ave Page 1 of 2 Indianapolis,IN 46202-1150 Payments/Adjustments Date Description Reference Amount 08/23 Payment-Thank You 223173 -$112.10 Account Number 3-0761-0060187 Current Invoice Charges Invoice Date August 25,2013 Water District Plant 3450 W 131st St (L1) CSA 2752 Invoice Number 0761-001726173 Carmel,IN Previous Balance $112.10 Payments/Adjustments -$112.10 1 -Front Load(6 Yd) Scheduled Service (S1) Unpaid Balance $0.00 Date Description Reference Quantity Unit Price Amount Current Invoice Charges $69.00 t 08/25 Basic Service 09/01/13-09/30/13 $69.00 $69.00 Current Invoice Charges $69.00 _$69-0i1 _ _ - Due By: 09/14/13 e e • one 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. 69.00 0.00 o.00 0.00 To pay on-line or sign up for convenient auto pay, g0 t0: 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. CITY OF CARMEL UTILITIES 3-0761-0060187 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. k "AREPUBLIC CITY OF CARMEL UTILITIES Invoice 44 SERVICES Page 1 of 2 832 Langsdale Ave Indianapolis,IN 46202-1160 Payments/Adjustments Date Description Reference Amount 08/23 Payment-Thank You 223173 -$124.37 ' e Account Number 3-0761-0059974 Current Invoice Charges Invoice Date August 25,2013 " City Of Carmel Utilities 5484 E 126th St (1-1) CSA 2753 Invoice Number 0761-001726167 Carmel,IN Previous Balance $124.37 Payments/Adjustments -$124.37 1 -Front Load(6 Yd) Scheduled Service (S1) Unpaid Balance $0.00 Date Description Reference Quantity Unit Price Amount Current Invoice Charges $69.00 ( 08/25 Basic Service 09/01/13-09/30/13 $69.00 $69.00 Current Invoice Charges $69.00 ' o $69..0.0 Due By: 09114/13 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. .,..C;U�t�2E1�'1"' 69.00 0.00 0.00 0.00 To pay on-line or sign up for 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 UTILITIES 3-0761-0059974 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. qf REPUBLIC CARMEL UTILITIES Invoice 4-14 SERVICES 832 Langsdale Ave Page 1 of 2 Indianapolis,IN 46202-1150 Current Invoice Charges Water Plant 1 4915 E 106th St (L1) CSA 5387 Carmel,IN saw 1 -Front Load(6 Yd) Scheduled Service (S1) Account Number 3-0761-0062694 Invoice Date August 25,2013 Date Description Reference Quantity Unit Price Amount Invoice Number 0761-001726266 08/23 Container Delivery Blank 1.0000 $85.00 $85.00 Previous Balance $0.00 Receipt Number 96986 Payments/Adjustments $0.00 08/25 Basic Service 09101113-09130113 1.0000 $69.00 $69.00 Unpaid Balance $0.00 Current Invoice Charges $166.00 1 -Recycling Cart(96 Gallon) Scheduled Service (S2) Comingled Date Description Reference Quantity Unit Price Amount 08/22 Container Delivery Blank 1.0000 $12.00 $12.00 Receipt Number 96991 • • Current Invoice Charges $166.00 - -- Due By: 09/14/13 a ® • Customer Service (317)917-7300 o • 1110MUT1,1111MM 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. 166.00 0.00 0.00 0.00 To pay on-line or sign up for 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 terra-and co,! p-i CARMEL UTILITIES 3-0761-0062694 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. VOUCHER # 132685 WARRANT # ALLOWED 358593 IN SUM OF $ REPUBLIC SERVICES #761 PO BOX 9001099 LOUISVILLE, KY 40290-1099 ,j Carmel Water Utility ON ACCOUNT OF APPROPRIATION FOR 1 Board members 1 PO# INV# ACCT# AMOUNT Audit Trail Code 0761-001726L�-6360-03 $166.00 t v C>`l lsl Cr r-7 aw-13 G19 I 1 Voucher Total 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 SERVICES#761 Purchase Order No. PO BOX 9001099 Terms LOUISVILLE, KY 40290-1099 Due Date 9/5/2013 Invoice Invoice Description Date Number (or note attached invoice(s) or bill(s)) Amount 9/5/2013 0761-001726 $166.00 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 CARMEL UTILITIES invoice SERVICES Page 1 of 2 832 Langsdale Ave Indianapolis,IN 46202-1150 Payments/Adjustments Date Description Reference Amount 07/29 Payment-Thank You 222135 -$433.17 ® 10 1 08/23 Payment-Thank You 223173 -$433.17 Account Number 3-0761-1410955 eS Current Invoice Char Invoice Date August 25,2013 g Invoice Number 0761-001730545 Carmel Utilities 9609 Hazel Dell Parkway (L1) Previous Balance $866.34 Carmel,IN Payments/Adjustments -$866.34 Unpaid Balance $0.00 14-Front Load(2 Yd) Scheduled Service (S1) Current Invoice Charges $433.17 Date Description Reference Quantity Unit Price Amount 08/25 Basic Service 09/01/13-09/30/13 $433.17 $433.17 Current Invoice Charges $433.17 • �--..-- Due By: 09/14/13 • • Customer Service (317)917-7300 o • e o 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. 433.17 0.00 0.00 0.00 To pay on-line or sign up for 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 3-0761-1410955 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.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 VOUCHER # 136317 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 ; 7 Board members PO# INV# ACCT# AMOUNT Audit Trail Code 07610017305 01-7362-05 $433.17 A I i ,I J , .I Voucher Total $433.17 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 9/4/2013 Invoice Invoice Description Date Number (or note attached invoice(s) or bill(s)) Amount 9/4/2013 0761001730" $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 �R?REPUBLIC CARMEL UTILITIES Invoice ty� SERVICES Page 1 of 2 112 Langsdale Ave Indianapolis,IN 46202-1150 Payments/Adjustments Date Description Reference Amount MINI 1 07/29 Payment-Thank You 222135 -$223.55 • 08/23 Payment-Thank You 223173 -$223.55 Account Number 3-0761-1410954 Current Invoice Charges Invoice Date August 25,2013 g Invoice Number 0761-001730544 Carmel Utilities 901 N Range Line Rd (L1) Previous Balance $447.10 :;, Carmel,IN PaymentslAdjustments -$44710 Unpaid Balance $0.00 1 -Front Load(8 Yd) Scheduled Service (S1) Current Invoice Charges $223.55 Date Description Reference Quantity Unit Price Amount 08/25 Basic Service 09/01/13-09/30/13 $159.61 $159.61 1 -Front Load(2 Yd) Scheduled Service (S2) • Date Description Reference Quantity Unit Price Amount 08/25 Basic Service 09/01/13-09/30/13 $63.94 $63.94 Due By: 09114!13 Current Invoice Charges $223.55 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. 6t)RAYS ...,:, 5tf±.,#>AY,Sh,...., , 223.55 0.00 0.00 0.00 To pay on-line or sign up for convenient auto pay, go to: A A • Visit our webs ite,www.disposaLcom 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 3-0761-1410954 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.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. VOUCHER # 136330 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 07610017305 01-736H-08 $223.55 Voucher Total $223.55 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 9/4/2013 Invoice Invoice Description Date Number (or note attached invoice(s) or bill(s)) Amount 9/4/2013 0761001730! $223.55 1 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 r Date Officer 2013-04-05 16:41 Republic Services 3174177301 >> 317-571-2265 P 2/4 �a REPUBLi C CARMEL UTILITIES HHW Invoice SERVICES Pap!of a 8321.anoWale Ave Indlanpolls,IN 48202-1160 Payments/Adjustments + DM Doaarlctlon 07106 Payment-Thank You � -$2�,45pypk 0.40 Account Number 3.0761-1163292 Current Invoice Charges Invoice Data July 31,2013 Carmel Utilities Hhw 901 N Range Line Rd (l.1) C8A 3303121010 Invoice Number 0761-0017020:1 Carmel,IN Previous Balance 113,747, 5 PaymentslAdjustments 42,450.40 1•HookilR 130 Yd) Scheduled Service (81) Comingled Unpaid Balance $2,297.28 Current Invoke Charges $2,460.40 IM 0030d i[QIL 0112ganam nwm ti3< unit MCA A 07102 68816 Se [60 1.0000 $163.15 $153.16 Receipt Number 48391 07105 Boole Service 1.0000 $163.13 $163.16 Receipt Number 48301 97109 Basic Service 1,0000 $163.16 $16x.15 $4,747.65 07111 Basic Receipt Aber 48391 110000 $16313 $133.15 Duo ' 08/20113 Receipt Number 48361 Y 0711$ Basic Service 1.0000 $163.16 $153.15 Receipt Number 48391 07118 Basic Service 1.0000 $183.15 $163.15 Receipt Number 48391 Customer Service (317)017.7300 07/23 BASIC Service 1,0000 $153.15 $153,16 Receipt Number 48391 07126 Basic 8arvira 1.0000 $163.15 $153.15 Receipt Number 46391 • 07730 Basle Service 1.0000 $103.15 $163.15 Rocalpt Number 48391 COW"4116MOf2,seRwce WORKUPYION 1.Recycle Rolloff(30yd) 8che0uled$erviee (83) Comingled POLICY cHAN(W All o"Awnle vAth n WOO avor 00 day w ot erlanca n wmw inletruPPw una pr»ana Or alp 010 moo. * 0"Aftlao 50forAnce Qualillily Unit Prue Amount 07/02 Basic Service 1.0000 $153.15 $153.16 Receipt Number 48393 07109 Basic Service 1.0000 $153.15 $153.15 Receipt Number 48393 07116 Basle Service 110009 $153,15 $153.15 Receipt Number 4$393 z,e ab0,40 , 2197.25 010 0.00 for as on,llne or sign u u ai>nce 1' "Art!18x1,go to, DA a Viait our wowlta,wwwAloposol,00m to make your payment olectronically or to ai0n up for our convenient outomatin payment plan. r Ploosa aeo reveres aids for terms and conditions _.747.66 2013-09-05 16:42 Republic Services 3179177301 >> 317-571-2265 P 4/4 page 3 of 3 CARMEL UTILITIES HHW Republic Services #761 p� �jC Account Number 3.0761.1163292 832 Langedele Ave SERVICE$ Invoice Nato u , Indianapolis, IN 46202-1160 Invoice Number D Current Invoice Charges J= namarlikoon Ralgrang t QU antltg unit edsm Amount 07118 Basic service 110000 $153.15 $153.16 Receipt Number 48393 07123 Basic Service 1.0000 $163,15 $153,15 Receipt Number 49393 07128 Basic Service 1.0000 $153,15 $153.13 Receipt Number 48393 07130 Basic Service 1.0000 $16315 $153.15 Receipt Number 40593 Currant Invoice Chareaa $2,460.40 2013-09-05 16:41 Republic Services 3179177301 >> 317-571-2265 P 3/4 CARMEL UTILITIES HHW 3-0761-1163292 Page 2 of 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 oheck 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.electronic a ments.or 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 and of the billing cycle,There will be no proratlon of billing,and the customer will not be entitled to a refund for the period between the notice of termination and the and 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. BILLING ADDRESS CHANGE ddvoo CIIV swto Zip Phone Alternate Phone VOUCHER # 136340 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 9/6/2013 Invoice Invoice Description Date Number (or note attached invoice(s) or bill(s)) Amount 9/6/2013 0761001702E $2,450.40 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 Date Officer e t�ec.e oe� TRW REPUBLIC CITY OF CARMEL y3S910 1 Qo�� S 3 Invoice SERVICES 2-0 Page 1 of 2 832 Langsdale Ave 1 Indianapolis,IN 46202-1150 " Payments/Adjustments Date Description Reference Amount 08/05 Payment-Thank You 222560 -$105.00 e 08/23 Payment-Thank You 223173 -$105.00 Account Number 3-0761-0034742 Current Invoice Charges Invoice Date August 25,2013 Invoice Number 0761-001725342 City Hall 1 Civic Sq (L1) CSA 002763 Previous Balance $210.00 Carmel,IN Payments/Adjustments -$210.00 Unpaid Balance $0.00 1 -Front Load(6 Yd) Scheduled Service (S1) Current Invoice Charges $105.00 Date Description Reference Quantity Unit Price Amount 08/25 Basic Service 09/01/13-09/30/13 $105.00 $105.00 Current Invoice Charges $105.00 Due By: 09/14/13 ® • Customer Service (317)917-7300 Effective 4/16/2012:SERVICE INTERRUPTION SIP 0 9 2013 POLICY CHANGE All accounts with a balance over 60 days will experience a service interruption unless prior arrangements are made. By ." ,G;�i���f� �...,.a's..:�.,.•,.�O,j33A���.s,. �,.::; �'�'.....�r,.;�Q`.1.�1�1�w�iJ..:..,,,.���.. ..s,:�f,',�1�1�.�.��/�.°:<` 105.00 0.00 0.00 0.00 To pay on-fine or sign up for convenient auto pay, go to: AA • 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. 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 0761-0017253421 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, September 09, 2013 Director, A ministration Title Cost distribution ledger classification if claim paid motor 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 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)) 08/25/13 0761-001725342 $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 of WREPUBLIC CITY OF CARMEL Invoice 1114 SERVICES Page 1 of 2 832 Langsdale Ave Indianapolis,IN 46202-1150 Payments/Adjustments Date Description Reference Amount 07/29 Payment-Thank You 222135 -$26.40 • 08/23 Payment-Thank You 223173 -$26.40 Account Number 3-0761-0034749 _ Current Invoice Charges Invoice Date August 25,2013 g Invoice Number 0761-001725343 Communications Department 31 1st Ave NW (L1) CSA 002772 Previous Balance $52.80 Carmel,IN Payments/Adjustments -$52.80 Unpaid Balance $0.00 1 -Front Load(4 Yd) Scheduled Service (S4) Current Invoice Charges $26.40 Date Description Reference Quantity Unit Price Amount 08/25 Basic Service 09/01/13-09/30/13 $26.40 $26.40 Current Invoice Charges $26.40 o $26.40 - -- Due By: 09/14/13 Customer Service (317)917-7300 s • • s 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. 26.40 0.00 0.00 0.00 To pay on-line or sign up for 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 3-0761-0034749 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.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 $ P.O. Box 9001099 Louisville, KY 40290-1099 $26.40 ON ACCOUNT OF APPROPRIATION FOR Carmel Clay Communications PO#/Dept. INVOICE NO. I ACCT#/TITLE AMOUNT Board Members 1115 1 0761-0017253431 43-501.01 1 $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, Sep ber 04, 2013 Director Title Cost distribution ledger classification if claim paid motor 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 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)) 08/25/13 1 0761-001725343 I $26.40 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 20 Clerk-Treasurer i ��"A REPUBLIC CITY OF CARMEL FIRE DEPT Invoice ly+4 SERVICES Page 1 of 2 832 Langsdale Ave Indianapolis,IN 46202-1150 Payments/Adjustments Date Description Reference Amount 07/29 Payment-Thank You 222135 -$25.00 ` e Account Number 3-0761-0034441 Current Invoice Charges Invoice Date August 25,2013 Training Facility 510 3rd Ave SW (L1) CSA 002792 Invoice Number 0761-001725330 Carmel,IN Previous Balance $50.00 Payments/Adjustments -$25.00 1 -Front Load(2 Yd) Scheduled Service (S1) Unpaid Balance $25.00 Date Description Reference Quantity Unit Price Amount Current Invoice Charges $25.00 08/25 Basic Service 09/01/13-09/30/13 $25.00 $25.00 Current Invoice Charges $25.00 ` e _. $50.00 Due By: 09114/13 e ® o Customer Service (317)917-7300 0 o e e Effective 4/16/2012:SERVICE INTERRUPTION POLICY CHANGE All accounts with a balance over 60 days will experience a service interruption unless prior arrangements are made. %.-CURR�N"C. .,�. .:I...i. .. ,;$t?PAYS ��`...-.-:. . .�•;' .:;:60.QAY,S'....� :.� ......,..�..":9U�C)iAYS�,�......N 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 wwwAisposal.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.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. 0; W REPUBLIC CITY OF CARMEL FIRE DEPT Invoice SERVICES Page 1 of 3 832 Langsdale Ave Indianapolis,IN 46202-1150 ;: Payments/Adjustments Date Description Reference Amount 07/29 Payment-Thank You 222135 -$298.00 ® 08/23 Payment-Thank You 223173 -$325.21 Account Number 3-0761-0034703 August 25,2013 Current Invoice Charges Invoice Date Invoice Number 0761-001725341 Fire Station 41 2 Civic Sci (1-1) CSA 002757 Previous Balance $623.21 Carmel,IN Payments/Adjustments -$623.21 Unpaid Balance $0.00 :' 1 -Front Load(8 Yd) Scheduled Service (S1) Current Invoice Charges $540.00 Date Description Reference Quantity Unit Price Amount 08/25 Basic Service 09/01/13-09/30/13 $132.00 $132.00 Fire Station 42 3610 W 106th St (L2) CSA 002758 Carmel,IN 1 -Front Load(2 Yd) Scheduled Service (S3) $540.00 Date Description Reference Quantity Unit Price Amount Due By: 09114113 08125 Basic Service 09/01/13-09/30/13 $56.00 $56.00 0 o a Fire Station 43 3242 E 106th St (1-3) CSA 002759 Carmel,IN Customer Service (317)917-7300 1 -Front Load(2 Yd) Scheduled Service (Si) Date Description Reference Quantity Unit Price Amount 07/25 Non-Scheduled Service Denise 1.0000 $51.00 $51.00 s a e o Receipt Number 82216 'I 08125 Basic Service 09/01/13-09130/13 $35.00 $35.00 Effective 4/16/2012:SERVICE INTERRUPTION Fire Station 44 5032E 131St St (L4) CSA 002760 POLICY CHANGE All accounts with a balance over 60 days will experience a service interruption unless '+ Carmel,IN prior arrangements are made. 1 -Front Load(2 Yd) Scheduled Service (S1) Date Description Reference Quantity Unit Price Amount 07/26 Container Removal Laura 1.0000 $85.00 $85.00 Receipt Number 81592 1 -Front Load(4 Yd) Scheduled Service (S3) �;CURRENT��,,,, . ti H: 30 DAYS. SO PAYS , 90+,pAYSf.. 540.00 0.00 0.00 0.00 To pay on-line or sign up for convenient auto pay, go to: A A • Visit our website,www.disposal.com to make your payment electronically vwwV.disposal.com - or to sign up for our convenient automatic payment plan. 11311 n.cn¢cn r.vn cid.fn fnrmc­4-AM- ��I CITY OF CARMEL FIRE DEPT 3-0761-0034703 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. 001422-000002-000002-002844 2320375 2240ST03 1 3 0 Page 3 of 3 R CITY OF CARMEL FIRE DEPT Republic Services #761 Account Number 3-0761-0034703 lu "AREPURLIC Invoice Date August 25, 2013 832 Langsdale Ave SERVICES Invoice Number 0761-001725341 Indianapolis, IN 46202-1150 Current Invoice Charges Date Description Reference Quantity Unit Price Amount 07/26 Container Delivery Laura 1.0000 $85.00 $85.00 Receipt Number 81588 08/25 Basic Service 09/01/13-09/30/13 $56.00 $56.00 Fire Station 46 540 W 136th St (1-6) CSA 002762 Carmel,IN 1-Front Load(3 Yd) Scheduled Service (S5) _ Date Description Reference Quantity Unit Price Amount 08/25 Basic Service 09/01/13-09/30/13 $40.00 $40.00 Current Invoice Charges $540.00 VOUCHER NO. WARRANT NO. ALLOWED 20 Republic Services IN SUM OF $ 832 Lansdale Avenue Indianapolis, IN 46202 $565.00 ON ACCOUNT OF APPROPRIATION FOR Carmel Fire Department PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members 1120 0761-001725341 43-501.01 $540.00 1 hereby certify that the attached invoice(s), or 1120 0761-001725330 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 SEP. - 9 2013 JAZIt I Fire Chief Title Cost distribution ledger classification if claim paid motor 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 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)) 0761-001725341 $540.00 0761-001725330 $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