227114 12/11/2013 CITY OF CARMEL, INDIANA VENDOR: 290050 Page 1 of 1
ONE CIVIC SQUARE SOUTHSIDE LANDFILL INC
0 CHECK AMOUNT: $104.13
CARMEL, INDIANA 46032 2561 KENTUCKY AVE
PO BOX 421667 CHECK NUMBER: 227114
INDIANAPOLIS IN 46242-1667
CHECK DATE: 12/11/2013
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
651 5023990 SS020929 104 . 13 OTHER EXPENSES
South Side Landfill, Inc.
2561 Kentucky Avenue PAGE
P.O. Box 421667 1
Indianapolis,Indiana 46242-1667
Phone: (317)247-6808-Fax: (317)247-7034
Invoice Number
SS )20929
Account Number
CARM256200
Invoice Date
CITY OF CARMEL 11/30/2013
WASTE WATER TREATMENT PLT
9609 N. RIVER RD.
INDIANAPOLIS IN 46280 Payment Terms
r NET 30 DAYS
Amount Enclosed w
-EAWHERE RE-]URN TOP PORTION WITH YOUR PAYMENT TEAR HERE—^
DOCUMENT DOCUMENT TRANS. WASTE REFERENCE
DATE NUMBER TYPE CLASS UNIT NUMBER CHARGES CREDITS BALANCE
10/31/13 SS020691 Sale 104.13 104.13
Current Period Totals: 0.00
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I _ CURRENT OVER 30 DAYS OVER 60 CAYS OVER 90 DAYS OVER 120 DAYS NEW BALANCE TOTAL DUE
0.00 104.13 0:00 0.00 0.00 104.131 104.13
Invoice Closing Date: 11130/2013 Make Checks Payable To: South Side Landfill,Inc.
A-1-1/2%SERVICE CHARGE(18%PER.ANNUM)WILL Remit To: 2561 Kentucky Avenue
I BE CHARGED MONTHLY ON ALL PAST DUE BALANCES
STARTING WITH A$5.00 MINIMUM CHARGE** I Indianapolis, Indiana 46242-1667
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
290050
SOUTHSIDE LANDFILL INC Purchase Order No.
2561 KENTUCKY AVE Terms
PO BOX 421667 Due Date 12/4/2013
INDIANAPOLIS, IN 46242-1667
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
12/4/2013 SS020929 $104.13
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 # 136962 WARRANT # ALLOWED
290050 IN SUM OF $
SOUTHSIDE LANDFILL INC
2561 KENTUCKY AVE
PO BOX 421667
INDIANAPOLIS, IN 46242-1667
Carmel Wastewater Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO# INV# ACCT# AMOUNT Audit Trail Code
SS020929 01-7362-06 $104.13
Voucher Total $104.13
Cost distribution ledger classification if
claim paid under vehicle highway fund