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Home My WebLink About226145 11/18/2013 CITY OF CARMEL, INDIANA VENDOR: 358593 Page 1 of 1 ONE CIVIC SQUARE REPUBLIC WASTE SERVICES OF INDIA CARMEL, INDIANA 46032 PO BOX 9001099 CHECK AMOUNT: $596.62 LOUISVILLE KY 40290-1099 CHECK NUMBER: 226145 CHECK DATE: 11/18/2013 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1091 4350101 761001794819 446 . 62 TRASH COLLECTION 1125 4350101 761001799933 150 . 00 TRASH COLLECTION eWREPUBLIC CARMEL CLAY PARK'S Invoice +y21 SERVICES Page 1 of 2 832 Langsdale Ave Indianapolis,IN 46202-1150 5 Current Invoice Charges Carmel Clay Park's 1411 E 116th St (1-1) CSA 94811711 Carmel,IN 2-Front Load(8 Yd) Scheduled Service (S1) Account Number 3-0761-1410948 Invoice Date October 25,2013 Date Description Reference Quantity Unit Price Amount Invoice Number 0761-001799933 10/25 Basic Service 11/01/13-11/30/13 $150.00 $150.00 Previous Balance $150.00 Current Invoice Charges $150.00 Payments/Adjustments $0.00 Unpaid Balance $150.00 Current Invoice Charges $150.00 POY • $300,00 Due By: 11/14/13 Customer Service (317)917-7300 NOV 9 4 203 Effective 4/16/2012:SERVICE INTERRUPTION +O 17W 75 POLICY CHANGE All accounts with a balance over 60 days will experience a service interruption unless //��- '` / O/D prior arrangements are made. f QtlRRENT<<. "" t?,OAYS�y,h, �F PON, AYH " m IN %5p+DAYS". 1 11 150.00 150.00 0.00 0.00 To pay on-line or sign up for Past Due Balance $150.00 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 When we use information from your check to make an electronic fund transfer, funds may be withdrawn from your account as soon as the same day we receive your payment and you will not receive your check back from your financial institution.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.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. 4V REPUBLIC CARMEL CLAY PARKS Invoice SERVICES 832 Langsdale Ave Page 1 of 2 Indianapolis,IN 46202-1150 Current Invoice Charges Monon Center 1235 Central Park Dr E (1_1) CSA 6974053112 Carmel,IN e 1 -Front Load(4 Yd) Scheduled Service (S1) Account Number 3-0761-0036974 Invoice Date October 25,2013 Date Description Reference Quantity Unit Price Amount Invoice Number 0761-001794819 10/25 Basic Service 11/01/13-11/30/13 $84.13 $84.13 Previous Balance $192.31 1 -Front Load(10 Yd) Scheduled Service (S2) Payments/Adjustments $0.00 Unpaid Balance $192.31 Date Description Reference Quantity Unit Price Amount Current Invoice Charges $446.62 10/25 Basic Service 11/01/13-11/30/13 $265.00 $265.00 1 -Front Load Recycling(6 Yd) Scheduled Service (S3) Corrugated Only Date Description Reference Quantity Unit Price Amount 10/25 Recycling Service 11/01/13-11/30/13 $41.82 $41.82 :Due 1 -Front Load Recycling(8 Yd) Scheduled Service (S4) Comingled 11/14/13 Date Description Reference Quanti Unit Price Amount 10/25 Recycling Service 11/01/13-11/30/13 $55.67 $55.67 o o Current Invoice Charges $446.62 Customer Service (317)917-7300 • NOV 4 2913 Effective 4/16/2012:SERVICE INTERRUPTION POLICY CHANGE All accounts with a balance over i 60 days will experience a service interruption unless _ prior arrangements are made. -= -V$# ooicKve cc 176V 13 ..:,...3C.UF�R�fY'I",.:: �, :::s.��_3t?�C3AY3..u� , ,...... . . s.•:tiQ1�AYS;..�;�� . ..<; ,,,.�1± AYS...�.�....: 446.62 192.31 0.00 0.00 To pay on-line or sign up for Past Due Balance $192.31 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 rnnditinns CARMEL CLAY PARKS 3-0761-0036974 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. 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 10/25/13 761001799933 Dumpster A.O. Nov'13 $ 150.00 10/25/13 761001794819 Trash pickup MCC Nov'13 446.62 Total $ 596.62 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$ $ 596.62 ON ACCOUNT OF APPROPRIATION FOR 101 -General / 109 MCC PO#or INVOICE NO. ACCT WTITL AMOUNT Board Members Dept# 1125 761001799933 4350101 $ 150.00 1 hereby certify that the attached invoice(s), or 1091 761001794819 4350101 $ 446.62 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 14-Nov 2013 P. ie&JW za Signature $ 596.62 Accounts Payable Coordinator Cost distribution ledger classification if Title claim paid motor vehicle highway fund