227092 12/11/2013 CITY OF CARMEL, INDIANA VENDOR: 366093 Page 1 of 1
~f ONE CIVIC SQUARE REPUBLIC WASTE SERVICE-TRASH COMCK AMOUNT: $66,476.40
' (o CARMEL, INDIANA 46032 ATTN:NANCY COLLINS
832 LANGSDALE AVE CHECK NUMBER: 227092
INDIANAPOLIS IN 46202-1150
CHECK DATE: 12/11/2013
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
651 5023990 DECl—DEC6 66, 476 . 40 OTHER EXPENSES
Republic Services
832 Langsdale Ave
Indianapolis, IN 46202-1150
ATTN: Nancy Collins
Account# 3-0761-9761020
$$$$ Collected By Carmel Utilities
Dec I to Dec 6 $ 68,358.40 2013 Rate
Less Administrative Fee 2013 $ (1,882.00)
7,528 Payments
Payment to Republic $ 66,476.40
Prescribed by State Board of Accounts
Form No.301-S(Rev.1997). ACCOUNTS PAY LE VOUCHER //
TO Q 1(- \�q w LY COU-11,
ADDRESS �3 C4646S 014,Lt_ 4-04
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
t) C. 0 � �� c7
Mo. Day Yr. Signature Title
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. )�Z�
Mo. Day Yr. Offce Title
Voucher No. Warrant No.
ACCOUNTS PAYABLE DETAILED ACCOUNTS
MUNICIPAL WASTEWATER UTILITY ACCT
CARMEL, INDIANA
t 4�U�LIC_ Favor Of 3Ce(e0
L_4 V5 D411 4—'v
Total Amount of Voucher `C $
Deductions
t - (4 O
Amount of Warrant $
Month of —Dra'C— �3
Acct.
VOUCHER RECORD No.
Collection System
Pumping
Treatment&Disposal
Customer Accounts
Administrative&General
Reclaimed Water Treatment
Reclaimed Water Distribution
Total
Allowed
Board Members
Filed
BOYCE FORMS•SYSTEMS 1-800-382-8702 325