HomeMy WebLinkAbout225063 10/08/2013 CITY OF CARMEL, INDIANA VENDOR: 358593 Page 1 of 1
ONE CIVIC SQUARE REPUBLIC WASTE SERVICES OF INDIA CHECK AMOUNT: $1,150.95
�?o CARMEL, INDIANA 46032 PO Box 9001099
LOUISVILLE KY 40290-1099 CHECK NUMBER: 225063
CHECK DATE: 10/8/2013
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1110 4350101 154 . 00 0761001761099
1115 4350101 26 . 40 0761001761102
1120 4350101 25 . 00 0761001761089
1120 4350101 319 . 00 0761001761100
1205 4350101 105 . 00 0761001761101
2201 4350100 160 . 00 0761001761103
601 5023990 69 . 00 307610059974
601 5023990 69 . 00 307610060187
651 5023990 223 . 55 307611410954
I
���REPUBLIC CITY OF CARMEL POLICE Invoice
tS►�O SERVICES
832 Langsdale Ave Page 1 of 2
Indianapolis,IN 46202-1150
Payments/Adjustments
Date Description Reference Amount
09/21 Payment-Thank You 224109 -$154.00
Account Number 3-0761-0034698 Current Invoice Charges
Invoice Date September 25,2013 police Firing Range 9609 Hazel Dell Pkwy (11) CSA 002755
Invoice Number 0761-001761099 Carmel,IN
Previous Balance $154.00
Payments/Adjustments -$154.00 1 -Front Load(8 Yd) Scheduled Service (S4)
Unpaid Balance $0.00 Date Description Reference Quantity Unit Price Amount
Current Invoice Charges $154.00 t
09/25 Basic Service 10/01/13-10/31/13 $77.00 $77.00
Police Headquarters 3 Civic Sq (1-2) CSA 002756
Carmel,IN
0 1 -Front Load(8 Yd) Scheduled Service (S1)
I54.0n _ Date _Description __ Reference Quantity _-_Unit Price -_!_mount_--.
ue By: 10/15/13 09/25 Basic Service 10/01/13-10/31/13 $77.00 $77.00
D
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
3itf.:L7AY S::.:.:_.:.....,. ..r.r:,: :.,,.:.60 T3AY9
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 forte rns 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.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
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))
09/25/13 0761-001761099 monthly payment $154.00
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
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 0761-0017610991 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
Friday, October 04, 2013
Chief of Police
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund
"A REPUBLIC CITY OF CARMEL STREET DEPT Invoice
41A SERVICES
Page 1 of 2
832 Langsdale Ave
Indianapolis,IN 46202-1150
Payments/Adjustments
Date Description Reference Amount
09/21 Payment-Thank You 224109 -$160.00
Account Number 3-0761-0034751 Current Invoice Charges
Invoice Date September 25,2013 Street Department 3400 W 131st St (1-1) CSA 002764
Invoice Number 0761-001761103 Carmel,IN
Previous Balance $160.00
Payments/Adjustments -$160.00 2-Front Load(4 Yd) Scheduled Service (S1)
Unpaid Balance $0.00 Date Description Reference Quantity Unit Price Amount
Current Invoice Charges $160.00 tit
09/25 Basic Service 10/01/13-10/31/13 $160.00 $160.00
Current Invoice Charges $160.00
v.VV
Due By: 10/15/13
Contact •
Customer Service (317)917-7300
o • 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.
:...::H...
.
)DAYB�JRRENT.:;d 3 _60.
160.00 0.00 0.00 0.00
i
Lconvewnient line or sign up for
auto pay, go to: A A • Visit our website,www.disposal.com to make your payment electronically
disposal.eom or to sign up for our convenient automatic payment plan. .
Fiease see reverse 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.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.
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))
09/25/13 0761-001761103 $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
120
Clerk-Treasurer
VOUCHER NO. WARRANT NO.
ALLOWED 20
Republic Services
`7 o0/ )qI IN SUM OF $
Wuc3v2�'�--
$160.00
ON ACCOUNT OF APPROPRIATION FOR
Carmel Street Department
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
2201 10761-001761103 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
)Y W AM4 013
, W
eeet ommisgsffiffr
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund
�R"A REPUBLIC CITY OF CARMEL S S�3 Invoice
4*4 SERVICES Z a s Page 1 of 2
832 Langsdale Ave
Indianapolis,IN 46202-1150
Payments/Adjustments
Date Description Reference Amount
III 09/21 Payment-Thank You 224109 -$105.00
0
Account Number 3-0761-0034742 Current Invoice Charges
Invoice Date September 25,2013 City Hall 1 Civic Sq (L1) CSA 002763
Invoice Number 0761-001761101 Carmel,IN
Previous Balance $105.00
Payments/Adjustments -$105.00 1 -Front Load(6 Yd) Scheduled Service (S1)
Unpaid Balance $0.00 Date Description Reference Quantity Unit Price Amount
Current Invoice Charges $105.00 09/25 Basic Service 10/01/13-10/31/13 $105.00 $105.
Current Invoice Charges $105.00
$ 00
: 1
Due 0/1513 B Contact • . e
Customer Service (317)917-7300
• • • e /��\
Effective 4/16/2012:SERVICE INTERRUPTION z/A
POLICY CHANGE All accounts with a balance over
60 days will experience a service interruption unless OCT 0 7 2013
prior arrangements are made.
i
By
105.00 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
or to sign up for our convenient automatic payment plan.
WWW.dISpOSaI.COm
• 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.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.
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))
09/25/13 0761-001761101 $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
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 0761-001761101 I 43-501.01 I $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
Monda , October 07, 2013
Director, Administration
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund
�R, REPVBL6C CITY OF CARMEL FIRE DEPT Invoice
SERVICES Page 1 of 2
832 Langsdale Ave
Indianapolis,IN 46202-1150
Payments/Adjustments
Date Description Reference Amount
09/09 Payment-Thank You 223629 -$25.00
0 09/21 Payment-Thank You 224109 -$25.00
Account Number 3-0761-0034441 Current Invoice Charges
Invoice Date September 25,2013
Invoice Number 0761-001761089 - Training Facility 510 3rd Ave SW (L1) CSA 002792
Previous Balance $50.00 Carmel,IN
Payments/Adjustments -$50.00
Unpaid Balance $0.00 1 -Front Load(2 Yd) Scheduled Service (S1)
Current Invoice Charges $25.00
Date Description Reference Quantity Unit Price Amount
09/25 Basic Service 10/01/13-10/31/13 $25.00 $25.00
Current Invoice Charges $25.00
A •
t)u
275. 0:
10115113
CIdIntact Information..
Customer Service (317)917-7300 ;
00 0 •
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.
11 3t#.GAYS '::'_:.:::.:. : 64 t3AY5:<::;Y r;:: n:
25.00 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.
_ _.
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.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.
I
i
e-AREPUBLIC CITY OF CARMEL FIRE DEPT invoice
SERVICES
Page 1 of 3
832 Langsdale Ave
Indianapolis,IN 46202-1150
Payments/Adjustments
Date Description Reference Amount
09/21 Payment-Thank You 224109 -$540.00
Account Number 3-0761-0034703 Current Invoice Charges
.Invoice Date September 25,2013 Fire Station 41 2 Civic Scl (L1) CSA 002757
Invoice Number 0761-001761100 Carmel, IN
Previous Balance $540.00
Payments/Adjustments -$540.00 1 -Front Load(8 Yd) Scheduled Service (S1)
Unpaid Balance $0.00 Date Description Reference Quantity Unit Price Amount
Current Invoice Charges $319.00 09/25 Basic Service 10/01/13-10/31/13 $132.00 $132.00
Fire Station 42 3610 W 106th St (L2) CSA 002758
Carmel, IN
' 0 1 -Front Load(2 Yd) Scheduled Service (S3)
$319.00 Date Description Reference Quantity Unit Price Amount
09/25 Basic Service 10/01/13-10/31/13 $56.00 $56.00
Due By: 10/15/13
Fire Station 43 3242E 106th St (L3) CSA 002759
• o • Carmel,IN
Customer Service (317)917-7300 1 -Front Load(2 Yd) Scheduled Service (S1)
Date Description Reference Quantity Unit Price Amount
09/25 Basic Service 10/01/13-10/31/13 $35.00 $35.00
0 0 0 o Fire Station 44 5032 E 131st St (L4) CSA 002760
Carmel,IN
Effective 4/16/2012:SERVICE INTERRUPTION 1 -Front Load(4 Yd) Scheduled Service (S3)
POLICY CHANGE All accounts wrath a balance over
60 days will experience a service interruption unless Date Description Reference Quantity Unit Price Amount
prior arrangements are made. 09/25 Basic Service 10/01/13-10/31/13 $56.00 $56.00
Fire Station 46 540 W 136th St (L6) CSA 002762
Carmel,IN
1 -Front Load(3 Yd) Scheduled Service (S5)
CURRENT. ::':,30 DAYS ", F .;:: 60,DAYS 90+DAYS "
319.00 0.00 I 0.00 0.00
To pay on-line 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 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.
001101-000002-000002-002202 2321593 2240ST03 1 3 0
Page 3 of 3
CITY OF CARMEL FIRE DEPT Republic Services #761
R.4 Number 3-0761-0034703
1w REPUBLIC 832 Langsdale Ave
SERVICES Invoice Date September 25, 2013
Invoice Number 0761-001761100 Indianapolis, IN 46202-1150
Current Invoice Charges
Date Description Reference Quantity Unit Price Amount
09/25 Basic Service 10/01/13-10/31/13 $40.00 $40.00
Current Invoice Charges $319.00
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))
0761-001761089 $25.00
0761-001761100 $319.00
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
VOUCHER NO. WARRANT NO.
ALLOWED 20
Republic Services
-�C) �jp�C Cj co( IN SUM OF $
$344.00
ON ACCOUNT OF APPROPRIATION FOR
Carmel Fire Department
PO#/Dept. INVOICE NO. ACCT#!TITLE AMOUNT Board Members
1120 0761-001761089 43-501.01 $25.00 1 hereby certify that the attached invoice(s), or
1120 0761-001761100 43-501.01 $319.00 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 OCT 7 2913
Fire Chief
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund
x
REPUBLIC CARMEL UTILITIES Invoice
SERVICES
832 Langsdale Ave Page 1 of 2
Indianapolis,IN 46202-1150
Payments/Adjustments
Date Description Reference Amount
t 09/21 Payment-Thank You 224109 -$223.55
Account Number 3-0761-1410954 Current Invoice Charges
Invoice Date September 25,2013 Carmel Utilities 901 N Range Line Rd (L1)
Invoice Number 0761-001766274 Carmel,IN
Previous Balance $223.55
Payments/Adjustments -$223.55 1 -Front Load(8 Yd) Scheduled Service (S1)
Unpaid Balance $0.00 Date Description Reference Quantity Unit Price Amount
Current Invoice Charges $223.55
09/25 Basic Service 10/01/13-10/31/13 $159.61 $159.61
1 -Front Load(2 Yd) Scheduled Service (S2)
Date Description Reference Quantity Unit Price Amount
• 09/25 Basic Service 10/01/13-10/31/13 $63.94 $63.94
_$223-55 _ - Current Invoice Charges - _ _$223.55_R,_
�^ Due By: 10/15/13
•
Customer Service (317)917-7300
ee 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.
CURRSN7:.';.::-::-:::: i:::"r`'";'3tf`C3�tYS.:.::' is�;' `:.:;:::;`.:'':.6f3':bAYS:;.:.,.�":..:,. ;;:i.:[["�:54�:j3AY.Ki,�:.::.'".::.;.
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 website,www.disposal.com to make your payment electronically
WWW.dSp0S8I.00m or to sign up for our convenient automatic payment plan.
i
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.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.
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 10/3/2013
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
10/3/2013 0761001766; $223.55
,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
VOUCHER # 136550 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
07610017662 01-736H-08 $223.55
Voucher Total $223.55
Cost distribution ledger classification if
claim paid under vehicle highway fund
e'aREPUBL/C CITY OF CARMEL UTILITIES Invoice
SERVICES
Page 1 of 2
832 Langsdate Ave
Indianapolis,IN 46202-1150
Payments/Adjustments
Date Description Reference Amount
® 09/21 Payment-Thank You 224109 -$69.00
Account Number 3-0761-0060187 Current Invoice Charges
Invoice Date September 25,2013 Water District Plant 3450 W 131st St (1-1) CSA 2752
Invoice Number 0761-001761909 Carmel,IN
Previous Balance PIT 0-0
Payments/Adjustments -$69.00 1 -Front Load(6 Yd) Scheduled Service (S1)
Unpaid Balance $0.00 Date Description Reference Quantity Unit Price Amount
Current Invoice Charges $69.00 09/25 Basic Service 10/01/13-10/31/13 $69.00 $69.00
Current Invoice Charges $69.00
' o
Luey: 10/15/13
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.
Suo
C13RRE C 1�AYS s 6t�.:C7kYS 9#1t i AYS.::
69.00 0.00 0.00 0.00
To pay on-line 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.
p Please see reverse side for terms and conditions
I
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.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.
i
REPUBLIC CITY OF CARMEL UTILITIES Invoice
d•21
SERVICES
Page 1 of 2
832 Langsdale Ave
Indianapolis,IN 46202-1150
Payments/Adjustments
Date Description Reference Amount
09/21 Payment-Thank You 224109 -$69.00
Account Number 3-0761-0059974 Current Invoice Charges
Invoice Date September 25,2013 City Of Carmel Utilities 5484 E 126th St (L1) CSA 2753
Invoice Number 0761-00 61903 Carmel,IN
Previous Balance $69.0
Payments/Adjustments -$69.00 1 -Front Load(6 Yd) Scheduled Service (S1)
Unpaid Balance $0.00 Date Description Reference Quantity Unit Price Amount
Current Invoice Charges $69.00 09/25 Basic Service 10/01/13-10/31/13 $69.00 $69.00
Current Invoice Charges $69.00
o
Due By: 10/15/13
e o •
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.
' 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
VVVVw.disposal.com or to sign up for our convenient automatic payment plan.
o 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.
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 10/3/2013
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
10/3/2013 1761909 $69.00
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
/O/1 A
Date Officer
f
VOUCHER # 132975 WARRANT# ALLOWED
358593 IN SUM OF $
REPUBLIC SERVICES #761
PO BOX 9001099
LOUISVILLE, KY 40290-1099
Carmel Water Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO# INV# ACCT# AMOUNT Audit Trail Code
1761909 01-6360-06 $69.00
17c�14p3 b�. �.a3 UUC)
Voucher Total
Cost distribution ledger classification if
claim paid under vehicle highway fund
S
C�R, REPUBL/C CITY OF CARMEL Invoice
fy� SERVICES Page 1 of 2
832 Langsdale Ave
Indianapolis,IN 46202-1150
Payments/Adjustments
Date Description Reference Amount
09/21 Payment-Thank You 224109 $26.40
Account Number 3-0761-0034749 Current Invoice Charges
Invoice Date September 25,2013 Communications Department 31 1 st Ave NW (1-1) CSA 002772
Invoice Number 0761-001761102 Carmel,IN
;DueBy: ance $26.40
justments -$26.40 1 -Front Load(4 Yd) Scheduled Service (S4)
nce $0.00 Date Description Reference Quantit Unit Price Amount
ice Charges $26.40 09/25 Basic Service 10/01/13-10/31/13 $26.40 $26.40
Current Invoice Charges $26.40
•
- _ ----
10/15/13
Customer Service (317)917-7300
E ffective 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.
;: ..:..::30 C3AYS::..... ::.::::,..:_. ..::.: -.:50
26.40 0.00 0.00 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
osa
WWW.diS p l.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.
i
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.
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))
09/25/13 0761-001761102 $26.40
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
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. ACCT#/TITLE AMOUNT Board Members
1115 1 0761-0017611021 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
Thursday, October 03 013
Director
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund