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Home My WebLink About224636 09/25/2013 voided CITY OF CARMEL, INDIANA VENDOR: 358593 Page 1 of 1 `4 ONE CIVIC SQUARE REPUBLIC WASTE SERVICES OF INDIA NA PO BOX 9001096 CHECK AMOUNT: $2,998.40 CARMEL, INDIANA 46032 LOUISVILLE KY 40290-1099 CHECK NUMBER: 224636 CHECK DATE: 9/25/2013 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 651 5023990 07610017359 2 , 450 .40 OTHER EXPENSES 1207 4350101 761001733765 548 . 00 TRASH COLLECTION REPUBLIC CARMEL UTILITIES HHW Invoice SERVICES Page 1 of 3 832 Langsdale Ave Indianapolis,IN 46202-1150 Payments/Adjustments Date Description Reference Amount - 08/05 Payment-Thank You 222560 -$2,297.25 Account Number 3-0761-1163292 Current Invoice Charges Invoice Date August 31,2013 Carmel Utilities Hhw 901 N Range Line Rd (L1) CSA 3292121010 Invoice Number 0761-001735934 Carmel,IN Previous Balance $4,747.65 Payments/Adjustments -$2,297.25 1 -Hooklift(30 Yd) Scheduled Service (S1) Comingled Unpaid Balance $2,450.40 Date Description Reference Quanti Unit Price Amount Current Invoice Charges $2,450.40 08/01 Basic Service 1.0000 $153.15 $153.15 Receipt Number 48391 08/06 Basic Service 1.0000 $153.15 $153.15 Receipt Number 48391 o' 0 08/08 Basic Service 1.0000 $153.15 $153.15 Receipt Number 48391 _ _ $4,900.80 08/13 Basic Service 1.0000 $153.15 $153.15 Receipt Number 48391 Due By: 09/20113 08/15 Basic Service 1.0000 $153.15 $153.15 Receipt Number 48391 0 0 o 08/20 Basic Service 1.0000 $153.15 $153.15 Receipt Number 48391 Customer Service (317)917-7300 08/22 Basic Service 1.0000 $153.15 $153.15 Receipt Number 48391 08/27 Basic Service 1.0000 $153.15 $153.15 Receipt Number 48391 00 0 0 08/29 Basic Service 1.0000 $153.15 $153.15 Receipt Number 48391 Effective 4/1612012:SERVICE INTERRUPTION 1 -Recycle R011off(30yd) Scheduled Service (S3) Comingled POLICY CHANGE All accounts with a balance over 60 days will experience a service interruption unless Date Description Reference Quantity Unit Price Amount prior arrangements are made. 08/01 Basic Service 1.0000 $153.15 $153.15 Receipt Number 48393 08/06 Basic Service 1.0000 $153.15 $153.15 Receipt Number 48393 08/13 Basic Service 1.0000 $153.15 $153.15 Receipt Number 48393 GUFtREN7;. ". ` ;� ,,_,3t1 DAYS ,. .. GO,t7 YSwFF° 90+DAYS ' 2,450.40 2,450.40 0.00 0.00 To pay on-line or sign up for Past Due Balance $2,450.40 _.convenient auto pay, go to: D A Visit our website,vrww.disposal:co m"to make your payment'eiectronicailly V✓!ww.disposal.com _ or to sign up for our convenient automatic payment plan. Please-see-reverse's ide-for terms-and-conditions 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. 001078-000002-000002-002156 2320678 2240ST03 1 3 0 Page 3 of 3 CARMEL UTILITIES HHW Republic Services #761 R Account Number 3-0761-1163292 Ow WREPUBLIC Invoice Date August 31 2013 832 Langsdale Ave +S►2� SERVICES Invoice Number 0761-001735934 Indianapolis, IN 46202-1150 Current Invoice Charges Date Description Reference Quantity Unit Price Amount 08/15 Basic Service 1.0000 $153.15 $153.15 Receipt Number 48393 08/20 Basic Service 1.0000 $153.15 $153.15 Receipt Number 48393 08/22 Basic Service 1.0000 $153.15 $153.15 Receipt Number 48393 08127 Basic Service 1.0000 $153.15 $153.15 Receipt Number 48393 Current Invoice Charges $2,450.40 L VOUCHER # 136357 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 07610017359 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 9/17/2013 Invoice Invoice Description Date Number (or note attached invoice(s) or bill(s)) Amount 9/17/2013 07610017354 $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 I e"AREPUBLIC CITY OF CARMEL BROOKSHIRE GOLF 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 -$572.86 ® 08/23 Payment-Thank You 223173 -$608.00 Account Number 3-0761-0035460 Current Invoice Charges Invoice Date August 31,2013 g Invoice Number 0761-001733765 Brookshire Golf Course Ro/FI 12120 Brookshire Pkwy (L1) CSA 002765 Previous Balance $1,180.86 Carmel,IN Payments/Adjustments -$1,180.86 Unpaid Balance $0.00 1 -Front Load(8 Yd) Scheduled Service (S1) Current invoice Charges $548.00 ' Date Description Reference Quantity Unit Price Amount 08/31 Basic Service 09/01/13-09/30/13 $132.00 $132.00 Brookshire Golf Course Pt 12120 Brookshire Pkwy (1-2) Carmel,IN o 2-Portable Unit Scheduled Service (S1) $54$'00 _u ate Description Reference Quantity Unit Price Amount Due By: 09/20113 08/05 Basic Service 2.0000 $30.00 $60.00 08/12 Basic Service 2.0000 $30.00 $60.00 o e o 08/19 Basic Service 2.0000 $30.00 $60.00 08/26 Basic Service 2.0000 $30.00 $60.00 Customer Service (317)917-7300 08/31 Portable Service 08/01/13-08/31/13 $176.00 $176.00 Current Invoice Charges $548.00 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. ,••`, tnr Y WkEN'...,•Y .,��. ��Y'F Y+��'cu; *. :f'1 �7f,F,•Y,%,... 548.00 0.00 0.00 0.00 Lconvlenient-line or sign up for auto pay, go to: D A • Visit our website,www.disposal.com to make your payment electronically .disposal.com or to sign up for our convenient automatic payment plan. • Please see reverse 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.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 $548.00 ON ACCOUNT OF APPROPRIATION FOR Brookshire Golf Club PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members r - 1207 1 0761-0017337651 43-501.01 ( $548.00 I hereby certify that the attached invoice(s), or 1 I 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, September 13, 2013 l Director, Brooks re Golf Club 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)) 08/31/13 0761-001733765 Trash Removal $548.00 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