226455 11/19/2013 CITY OF CARMEL, INDIANA VENDOR: 358593 Page 1 of 1
ONE CIVIC SQUARE REPUBLIC WASTE SERVICES OF INDIA
0 CH NA
ECK AMOUNT: $1,385.83
,•.�r� CARMEL, INDIANA 46032 PO BOX 9001099
LOUISVILLE KY 40290-1099 CHECK NUMBER: 226455
CHECK DATE: 11/19/2013
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1120 4350101 1794732 25 . 00 TRASH COLLECTION
1120 4350101 1794743 319 . 00 TRASH COLLECTION
1205 4350101 1794744 105 . 00 TRASH COLLECTION
1115 4350101 1794745 26 .40 TRASH COLLECTION
2201 4350100 1794746 160 . 00 BUILDING REPAIRS & MA
601 5023990 1795530 69. 00 OTHER EXPENSES
601 5023990 1795535 69 . 00 OTHER EXPENSES
1207 4350101 20020 1802923 612 .43 TRASH SERVICE
q %¢/EP(JB/,/(; CITY OF CARMEL STREET DEPT Invoice
ZW SERVICES Page 1 of 2
832 Langsdale Ave
Indianapolis,IN 46202-1150
Payments/Adjustments
A division REPUBLIC SERVI__S�:�
Date Description Reference Amount
10/15 Payment-Thank You 225063 -$160.00
Account Number 3-0761-0034751 'Current Invoice Charges
Invoice Date October 25,2013 Street Department 3400 W 131st St (L1) CSA 002764
Invoice Number 0761-001794746 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 10/25 Basic Service 11/01/13-11/30/13 $160.00 $160.00
Current Invoice Charges $160.00
-
Due By: 11114/13
Customer Service (317)917-7300
1111.1-310111 MINT o
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.
:.>:.:::.:.:;=�"rr :: tA• .Kl::;:,,::a:.',.::,•`: r:::::.,° .,.- I.Y..i,'>;!5ii <�:`: ,,:;',s�.`," 'FD1�1 'w��., .;:.,,�:Y;
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.
. Please 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transfer, funds may be withdrawn from your account as soon as the same day we receive your payment and you will not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.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 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))
10/25/13 0761-001794746 $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
VOUCHER NO. WARRANT NO.
ALLOWED 20
Republic Services
IN SUM OF $
PO Box 9001099
Louisville, KY 40290-1099
$160.00
ON ACCOUNT OF APPROPRIATION FOR
Carmel Street Department
PO#/Dept. INVOICE NO. ACCT#/TITLE I AMOUNT Board Members
2201 1 0761-001794746 I 43-501.00 j $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
Thurs /y, tuber 4 2013
St%at& ffiW Peter
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund
Invoice
lR"A REPUBLIC CITY OF CARMEL
414 SERVICES Z G .6 Page 1 of 2
832 Langsdale Ave
. Indianapolis,IN 46202-1150
Payments/Adjustments
A division of REPUBLIC SERVICES
Date Description Reference Amount
10/15 Payment-Thank You 225063 -$105.00
Account
Account Number 3-0761-0034742 Current Invoice Charges
Invoice Date October 25,2013 City Hall 1 Civic Sci (1_1) CSA 002763
Invoice Number 0761-001794744 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 10/25 Basic Service 11/01/13-11/30/13 $105.00 $105.00
Current Invoice Charges �
7' '_Pay This AmoUht
$105.00
Due By: 11114113
Contact Information
Customer Service (317)917-7300
e • • • �,,,'l 2013
Effective 4/1612012:SERVICE INTERRUPTION
POLICY CHANGE All accounts with a balance over
60 days will experience a service interruption unless
prior arrangements are made. Qy
. .�..o.tCL1RRIrNT.,IN ...::::7 ::;""X34 0 A Sr,Y::,.::::t;: ,-_ 60;t7A YS 4-v.
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
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.
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))
10/25/13 0761-001794744 $105.00
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 $
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 0761-0017947441 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, November 18, 2013
i
Director, Administration
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund
kR�REPUBLIC CITY OF CARMEL Invoice
SERVICES Page 1 of 2
832 Langsdale Ave
• Indianapolis,IN 46202-1150
Payments/Adjustments
Date Description Reference Amount
10/15 Payment-Thank You 225063 -$26.40
Account Number 3-0761-0034749 Current Invoice Charges
Invoice Date October 25,2013 Communications Department 31 1 st Ave NW (1-1) CSA 002772
Invoice Number 0761-001794745 Carmel,IN
Previous Balance $26.40
Payments/Adjustments -$26.40 1 -Front Load(4 Yd) Scheduled Service (S4)
Unpaid Balance $0.00 an
Date Description Reference Quti t Unit Price Amount
Current Invoice Charges $26.40 10/25 Basic Service 11/01/13-11/30/13 $26.40 $26.40
Current Invoice Charges $26.40
' e
$26.400 - ---- ---- --
Due By: 11/14/13
• • e
Customer Service (317)917-7300 ,
os 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.
-.:;��,,x.,C1IR62�NT.:,..,:.::..:.:.:..��rm<-. ;3t"i•:�AY�.:::::::::, 60;t7AYS.,..,......;..,
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.
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
I
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
10/25/13 1 0761-001794745 I I $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
E
VOUCHER NO. WARRANT NO.
ALLOWED 20
Republic Services
IN SUM OF $
P.O. Box 9001099
Louisville, KY 40290-1099
$26.40
I
ON ACCOUNT OF APPROPRIATION FOR
Carmel ClaV Communications
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
1115 1 0761-0017947451 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, November 14, 2013
\ / (rector
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund
e7�REPUBLIC CITY OF CARMEL FIRE DEPT Invoice
ZW SERVICES
Page 1 of 3
832 Langsdale Ave
Indianapolis,IN 46202-1150
Payments/Adjustments
Date Description Reference Amount
• 10/15 Payment-Thank You 225063 -$319.00
Account Number 3-0761-0034703 Current Invoice Charges
Invoice Date October 25,2013 Fire Station 41 2 Civic Sci (L1) CSA 002757
Invoice Number 0761-001794743 _ Carmel,IN
Previous Balance $319.00
Payments/Adjustments -$319.00 1 -Front Load(8 Yd) Scheduled Service (Si)
Unpaid Balance $0.00 Date Description Reference Quantity Unit Price Amount
Current Invoice Charges $319.00 10/25 Basic Service 11/01/13-11/30/13 $132.00 $132.00
Fire Station 42 3610 W 106th St (1-2) CSA 002758
Carmel,IN
° e s
1 -Front Load(2 Yd) Scheduled Service (S3) -
$319.00 Date Description Reference Quantity Unit Price Amount
10/25 Basic Service 11/01/13-11/30/13 $56.00 $56.00
Due By: 11/14/13
Fire Station 43 3242E 106th St (1-3) CSA 002759
o e • Carmel,IN
Customer Service (317)917-7300 1 -Front Load(2 Yd) Scheduled Service (S1)
Date Description Reference Quantity Unit Price Amount
10/25 Basic Service 11/01/13-11/30/13 $35.00 $35.00
e e o o Fire Station 44 5032 E 131st St (11-4) CSA 002760
Carmel,IN
Effective 4/16/2012:SERVICE INTERRUPTION 1 -Front Load(4 Yd) Scheduled Service (S3)
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. 1 O/25 Basic Service 11/01/13-11/30/13 $56.00 $56.00
Fire Station 46 540 W 136th St (11-6) CSA 002762
Carmel,IN
1 -Front Load(3 Yd) Scheduled Service (S5)
?:.a :CURRI=NT '.: = ." X30 D AY S '.'1 -;mss�60;D"AYS;..: , r':.90"' >,t
�: +DAYS
319.00 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 clan un for nnr rnn..nniant pWr%matir.nax—nnt Mon_.
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.
001301-000002-000002-002602 2322840 2240ST03 1 3 0
Page 3 of 3
CITY OF CARMEL FIRE DEPT Republic Services #761
R Account Number 3-0761-0034703
�REPUBLIC Invoice Date October 25, 2013 832 Ln le Ave
Invoice Number 0761-001794743 Indianapolis,
Current Invoice Charges
Date Description Reference Quantity Unit Price Amount
10/25 Basic Service 11/01/13-11/30/13 $40.00 $40.00
Current Invoice Charges $319.00
'I
i
q7Fne UBLIC CITY OF CARMEL FIRE DEPT Invoice
VICES Page 1 of 2
83 ve
Ind46202-1150
Payments/Adjustments
�A division of REPUBLIC SERVICES I , ,
_ Date Description Reference Amount
10/15 Payment-Thank You 225063 -$25.00
ACCOUht
Account Number 3-0761-0034441 Current Invoice Charges
Invoice Date October 25,2013 Training Facility 510 3rd Ave SW (1-1) CSA 002792
Invoice Number 0761-001794732 Carmel,IN
Previous Balance $25.00
Payments/Adjustments -$25.00 1 -Front Load(2 Yd) Scheduled Service (S1)
Unpaid Balance $0.00 Date Description Reference Quantity Unit Price Amount
Current Invoice Charges $25.00 10/25 Basic Service 11/01/13-11/30/13 $25.00 $25.00
Current Invoice Charges $25.00
PA4 This •
Due By: 11/14/13
• • •
Customer Service (317)917-7300
Important 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.
:.:.. G� :."`-
�.:....., =CIIRRFNI%R<.:..>:,...,:. '.....a,Y. .30:C3AYS.....,..,_. �.
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.
• 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.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))
0761-001794743 $319.00
0761-001794732 $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
VOUCHER NO. WARRANT NO.
ALLOWED 20
Republic Services
IN SUM OF $
P.O. Box 9001099
Louisville, KY 40290-1099
$344.00
ON ACCOUNT OF APPROPRIATION FOR
Carmel Fire Department
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
1120 0761-001794743 43-501.01 $319.00 1 hereby certify that the attached invoice(s), or
1120 0761-001794732 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 exq@v 18 2013
14-W�� - -
Fire Chief
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund
q 11WPUBLIC CITY OF CARMEL UTILITIES Invoice
ty*A SERVICES Page 1 of 2
832 Langsdale Ave
*Account 46202-1150
Payments/Adjustments
Date Description Reference Amount
10/15 Payment-Thank You 225063 -$69.00
r 3-0761-0059974 Current Invoice Charges
October 25,2013 City Of Carmel Utilities 5484 E 126th St (1-1) CSA 2753
Invoice Number 0761-001795530 Carmel,IN
Previous Balance $69.00
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 10/25 Basic Service 11/01/13-11/30/13 $69.00 $69.00
Current Invoice Charges $69.00
•
$69'00
Due By: 11/14/13
ERT. 11 MIN MINM11MR—OT-2
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.
,, .CUFtREfVT `.,
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.
I
6REPUBLIC CITY OF CARMEL UTILITIES Invoice
44 SERVICES Page 1 of 2
832 Langsdale Ave
Indianapolis,IN 46202-1150
Payments/Adjustments
A division of REPUBLIC SERVICES"
Date Description Reference Amount
10/15 Payment-Thank You 225063 -$69.00
Account Number 3-0761-0060187 Current Invoice Charges
Invoice Date October 25,2013 Water District Plant 3450 W 131st St (L1) CSA 2752
Invoice Number 0761-001795535 Carmel,IN
Previous Balance $69.00
Payments/Adjustments -$69.00 '1 -Front Load(6 Yd) Scheduled Service (Si)
Unpaid Balance $0.00 Date Description Reference Quantity Unit Price Amount
Current Invoice Charges $69.00 10/25 Basic Service 11/01/13-11/30/13 $69.00 $69.00
Current Invoice Charges $69.00
, 69.00 — - --- - --- - ----- - - - - — - — -
Due By: 11/14/13
Customer Service (317)917-7300
Ilil-1,11IM113 • •
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.
Y8"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
VI/WW.disposal.com or to sign up for our convenient automatic payment plan.
• Please see reverse side for terms and conditions
CITY OF CARMEL UTILITIES 3-0761-0060187 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.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
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 11/7/2013
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
11/7/2013 1795530 $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
Date Officer
VOUCHER #, 133277 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
1795530 01-6360-03 , $69.00
I�95535 611�3Gp.�� -- l�� P�
Voucher Total
Cost distribution ledger classification if
claim paid under vehicle highway fund
i
of J7WPUBLIC CITY OF CARMEL BROOKSHIRE GOLF Invoice
�a SERVICES Page 1 of 2
832 Langsdale Ave
Indianapolis,IN 46202-1150
Payments/Adjustments
Date Description Reference Amount
10/28 Payment-Thank You 225642 -$608.00
' s
Account Number 3-0761-0035460 Current Invoice Charges
Invoice Date October 31,2013 Brookshire Golf Course Ro/Fl 12120 Brookshire Pkwy (L1) CSA 002765
Invoice Number 0761-001802923 Carmel,IN
Previous Balance $1,156.00
Payments/Adjustments -$608.00 1 -Front Load(8 Yd) Scheduled Service (S1)
Unpaid Balance $548.00 Date Description Reference Quantity Unit Price Amount
Current Invoice Charges $612.43 10/31 Rate Adjustment 10/24/13-11/30/13 1.0000 $88.00 $55.57
10/31 Basic Service 11/01/13-11/30/13 $132.00 $132.00
Brookshire Golf Course Pt 12120 Brookshire Pkwy (L2)
Carmel,IN
s A 0
2-Portable Unit Scheduled Service (S1)
$1,160.43 _ Date Description Reference Quantity Unit Price Amount
Due By: 11/20/13 10/07 Basic Service 2.0000 $30.00 $60.00
10/09 Basic Service 2.0000 $30.00 $60.00
s o 0 10/16 Basic Service 2.0000 $30.00 $60.00
10/23 Basic Service 2.0000 $30.00 $60.00
Customer Service (317)917-7300 10/28 Basic Service 2.0000 $30.00 $60.00
10/30 Basic Service 2.0000 $30.00 $60.00
10131 Portable Service 10/01/13-10/31/13 $176.00 $176.00
Current Invoice Charges $612.43
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.
DAXS.:::-..�,.,:<..
612.43 0.00 548.00 0.00
To pay on-line or sign up for Past Due Balance $548.00
convenient auto pay, go to: D 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 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.
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))
10/31/13 1 0761-001802923 I Trash Removal I $612.43
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 $
P. O. Box 9001099
Louisville, KY 40290-1099
$612.43
ON ACCOUNT OF APPROPRIATION FOR
Brookshire Golf Club
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
20020 1 0761-0018029231 43-501.01 1 $612.43 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, November 14, 2013
VIY
Director, Brookshlr Golf Club
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund