225062 10/08/2013 CITY OF CARMEL, INDIANA VENDOR: 366093 Page 1 of 1
ONE CIVIC SQUARE REPUBLIC WASTE SERVICE-TRASH COMCK AMOUNT: $96,613.45
�tro CARMEL, INDIANA 46032 ATTN:NANCY COLLINS
832 LANGSDALE AVE CHECK NUMBER: 225062
INDIANAPOLIS IN 46202-1150
CHECK DATE: 10/8/2013
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
601 5023990 9/21-10/6 96, 613 .45 OTHER EXPENSES
Republic Services
832 Langsdale Ave
Indianapolis, IN 46202-1150
ATTN: Nancy Collins
Account# 3-0761-9761020
$$$$ Collected By Carmel Utilities
Sept 21 to Oct 6 $ 99,348.70 2013 Rate
Less Administrative Fee 2013 $ (2,735.25)
10,941 Payments
Payment to Republic $ 96,613.45
Prescribed by State Board of Accounts
Form No.301 (Rev.1995) ACCOUNTS PAYA E VOUCHER
T07 V06"'1 C — 3Le 6 as-5
ADDRESS
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
Mo. Day Yr. Signature I Title
I hereby certify that the attached invoice(s), or bill(s), is (are)true an correct and I have audited same in accordance
with IC 5-11-10-1.6.
Mo. Day Yr. Officer Title
I
Voucher No. Warrant No.
ACCOUNTS PAYABLE DETAILED ACCOUNTS
MUNICIPAL WATER DEPT. ACCT.
NO.
CARMEL, INDIANA
nuc �t.vto-lab9rof 3loc,0
L-AU67D40- A�
Total Amount of Voucher $
Deductions
Amount of Warrant $�(�p(,l� 4
Month of C �
VOUCHER RECORD Acct.
No.
Source of Suppl
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