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227483 12/17/2013
,.F CITY OF CARMEL, INDIANA VENDOR: 358593 Page 1 of 1 ONE CIVIC SQUARE REPUBLIC WASTE SERVICES OF INDIA CHECK AMOUNT: $4,238.67 CARMEL, INDIANA 46032 PO BOX 9001099 LOUISVILLE KY 40290-1099 CHECK NUMBER: 227483 «oH c CHECK DATE: 12/17/2013 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 651 5023990 07610018314 223 . 55 OTHER EXPENSES 651 5023990 07610018362 2, 144 . 10 OTHER EXPENSES 1120 4350101 761001826307 25 . 00 TRASH COLLECTION 1110 4350101 761001826317 154 . 00 TRASH COLLECTION 1120 4350101 761001826318 400 . 00 TRASH COLLECTION 1205 4350101 761001826319 105 . 00 TRASH COLLECTION 1115 4350101 761001826320 26 . 40 TRASH COLLECTION 1091 4350101 761001826393 446 . 62 TRASH COLLECTION 1125 4350101 761001831488 150 . 00 TRASH COLLECTION 1207 4350101 20020 761001834253 564 . 00 TRASH SERVICE 4R�"A pREPUBL/C CARMEL CLAY PARK'S Invoice C lyir SERVICES Page 1 of 2 i 832 Langsdale Ave Indianapolis,IN 46202-1150 Payments/Adjustments Date Description Reference Amount 10/28 Payment-Thank You 225642 -$150.00 11/21 Payment-Thank You 226145 -$150.00 Account Number 3-0761-1410948 Current Invoice Charges Invoice Date November 25,2013 g Invoice Number 0761-001831488 Carmel Clay Park's 1411 E 116th St (1-1) CSA 94811711 Previous Balance $300.00 i! Carmel,IN Payments/Adjustments -$300.00 Unpaid Balance $0.00 2-Front Load(8 Yd) Scheduled Service (S1) Current Invoice Charges $150.00 Date Description Reference Quantity Unit Price Amount 11/25 Basic Service 12/01/13-12/31/13 $150.00 $150.00 Current Invoice Charges $150.00 i Due By: i 2/ia19 3 Customer Service (317)917-7300 C111V�n� An Your next Invoice may reflect a rate adjustment,if :DEC ®� 20�you have any questions after receiving your next invoice please contact us. 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. 150.00 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 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.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. ilk REPUBLIC CARMEL CLAY PARKS Invoice (y� SERVICES Page 1 of 2 832 Langsdale Ave Indianapolis,IN 46202-1150 Payments/Adjustments Date Description Reference Amount 10/28 Payment-Thank You 225642 -$192.31 • 11/21 Payment-Thank You 226145 -$446.62 Account Number 3-0761-0036974 - Current Invoice Charges Invoice Date November 25,2013 Invoice Number 0761-001826393 e Monon Center 1235 Central Park Dr E (1-1) CSA 6974053112 Previous Balance $638.93 Carmel,IN Payments/Adjustments -$638.93 Unpaid Balance $0.00 1 -Front Load(4 Yd) Scheduled Service (S1) Current Invoice Charges $446.62 Date Description Reference Quantity Unit Price Amount 11/25 Basic Service 12/01/13-12/31/13 $84.13 $84.13 1 -Front Load(10 Yd) Scheduled Service (S2) e Date Description Reference Quantity Unit Price Amount 11/25 Basic Service 12/01/13-12/31/13 $265.00 $265.00 1 -Front Load Recycling(6 Yd) Scheduled Service (S3) Corrugated Only Due ay: 'E2/'i5l13 Date Description Reference Quantity Unit Price Amount e • • 11/25 Recycling Service 12/01/13-12/31/13 $41.82 $41.82 Customer Service (317)917-7300 1 -Front Load Recycling(8 Yd) Scheduled Service (S4) Comingled Date Description Reference Quantity Unit Price Amount 11/25 Recycling Service 12/01/13-12/31/13 $55.67 $55.67 e o o a Current Invoice Charges $446.62 Your next Invoice may reflect a rate adjustment,if you have any questions after receiving your next TRASjsi p1Gcut � D�r� r� y invoice please contact us. �3 q Effective 4/16/2012:SERVICE INTERRUPTION DEC ® 9 Z 0 13 POLICY CHANGE All accounts with a balance over 60 days will experience a service interruption unless I 0 a f—+.350, O LBY. --- — ---- prior arrangements are made. ` " , a /h� X� -z" J� YS rte,,.,�.,1M YTIR M/.�'�i„`l°/3S� .,/•.si 1.5„i fi� �V�A��.z ..zi,,.S�..x. ��+.�A�S 446.62 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. s Plpasp sop mupmo aidp fnr tprms and cnnditinns 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 11/25/13 761001831488 Dumpster A.O. Dec'13 $ 150.00 11/25/13 761001826393 Trash pickup MCC Dec'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#/TITLE AMOUNT Board Members Dept# 1125 761001831488 4350101 $ 150.00 1 hereby certify that the attached invoice(s), or 1091 761001826393 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 12-Dec 2013 signature $ 596.62 Accounts Payable Coordinator Cost distribution ledger classification if Title claim paid motor vehicle highway fund -A REPUBLIC CITY OF CARMEL POLICE Invoice Z04 SERVICES Page 1 of 2 832 Langsdale Ave Indianapolis,IN 46202-1150 Payments/Adjustments Date Description Reference Amount 11/25 Payment-Thank You 225953 -$154.00 Account Number 3-0761-0034698 Current Invoice Charges Invoice Date November 25,2013 police Firing Range 9609 Hazel Dell Pkwy (L1) CSA 002755 Invoice Number 0761-001826317 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 11/25 Basic Service 12/01/13-12/31/13 $77.00 $77.00 Police Headquarters 3 Civic Sq (L2) CSA 002756 Carmel,IN ® • 1 -Front Load(8 Yd) Scheduled Service (S1) R_ efarence—Quantity Unit.P-race—Amount- 11/25 Basic Service 12/01/13-12/31/13 $77.00 $77.00 Due By: 12/15/13 Current Invoice Charges $154.00 Customer Service (317)917-7300 • o o • Your next Invoice may reflect a rate adjustment,if you have any questions after receiving your next invoice please contact us. Effective 4/16/2012:SERVICE INTERRUPTION POLICY CHANGE All accounts with a balance over 60 days will experience a service interruption unless prior arrangements are made. :.:' <�V5i3�I�sii `. ,,,,s°.,,.`_... F., ..::;; � �s%i..,.�.�,., :'� i�^:-s61i, A•��. ..,.,,,;H' ... .54$.1r3AY;S s, �shs�?, 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 w�i+w,dispASal.com or to sign up for our convenient automatic payment plan. • Please see raverse side for terms-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.electron icpayments.orp 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. 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 0761-0018263171 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 Wednesday, D cember 11, 2013 Chief of Police Title Cost distribution ledger classification if claim paid motor vehicle highway fund 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)) 11/25/13 0761-001826317 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 "A REPUBLIC CITY OF CARMEL FIRE DEPT Invoice tS►i� SERVICES Page 1 of 2 832 Langsdale Ave Indianapolis,IN 46202-1150 Current Invoice Charges Fire Station 41 2 Civic Sq (L1) CSA 002757 Carmel,IN o 1 -Front Load(8 Yd) Scheduled Service (S1) Account Number 3-0761-0034703 Invoice Date November 25,2013 Date Description Reference Quantity Unit Price Amount Invoice Number 0761-001826318 - 10/29 Non-Scheduled Service Jim 1.0000 $81.00 $81.00 Previous Balance $319.00 Receipt Number 32781 Payments/Adjustments $0.00 11/25 Basic Service 12/01/13-12/31/13 $132.00 $132.00 Unpaid Balance $319.00 Fire Station 42 3610 W 106th St (1-2) CSA 002758 Current Invoice Charges $400.00 Carmel,IN 1 -Front Load(2 Yd) Scheduled Service (S3) Date Description Reference Quantity Unit Price Amount 0 11/25 Basic Service 12/01/13-12/31(13 $56.00 $56.00 _tW.71_9-.t00-- Fire Station 43 3242_E 106th.St.(L3) CSA 002759 _ Carmel,IN Due By: 12/15/13 1 -Front Load(2 Yd) Scheduled Service (S1) 0 0 e Date Description Reference Quantity Unit Price Amount Customer Service .(317)917-7300 11/25 Basic Service 12/01/13-12/31/13 $35.00 $35.00 Fire Station 44 5032E 131st St (L4) CSA 002760 Carmel,IN 1 -Front Load(4 Yd) Scheduled Service (S3) 00 ® a Date Description Reference Quantity Unit Price Amount Your next Invoice may reflect a rate adjustment,if T1_/25 Basic Service 12/01/13-12/31/13 $56.00 $56.00 you have any questions after receiving your next invoice please contact us. Fire Station 46 540 W 136th St (L6) CSA 002762 Effective 4/16/2012:SERVICE INTERRUPTION Carmel,IN POLICY CHANGE All accounts with a balance over 1 -Front Load(3 Yd) Scheduled Service (S5) 60 days will experience a service interruption unless prior arrangements are made. Date Description Reference Quantity Unit Price Amount 11/25 Basic Service 12/01/13-12/31/13 $40.00 $40.00 Current Invoice Charges $400.00 400.00 319.00 0.00 0.00 To pay on-line or sign up for Past Due Balance $319.00 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. CITY OF CARMEL FIRE DEPT 3-0761-0034703 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. �R'a REPUBLIC CITY OF CARMEL FIRE DEPT Invoice ts►� SERVICES Page 1 of 2 832 Langsdale Ave Indianapolis,IN 46202-1150 Current Invoice Charges Training Facility 510 3rd Ave SW (L1) CSA 002792 ® .1, Carmel,IN 1 -Front Load(2 Yd) Scheduled Service (S1) Account Number 3-0761-0034441 Invoice Date November 25,2013 Date Description Reference Quanti Unit Price Amount Invoice Number 0761-001826307 11/25 Basic Service 12/01/13-12/31/13 $25.00 $25.00 Previous Balance $25.00 Current Invoice Charges $25.00 Payments/Adjustments $0.00 Unpaid Balance $25.00 Current Invoice Charges $25.00 - 50..4 --- - - - Due By: 12/15/13 Customer Service (317)917-7300 e ® o e Your next Invoice may reflect a rate adjustment,if you have any questions after receiving your next invoice please contact us. 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. _Nil 25.00 25.00 0.00 0.00 To pay on-line or sign up for Past Due Balance $25.00 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. . Piease see revs a si o s A c.. -- 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.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. VOUCHER NO. WARRANT NO. ALLOWED 20 Republic Services IN SUM OF $ P.O. Box 9001099 Louisville, KY 40290-1099 $425.00 ON ACCOUNT OF APPROPRIATION FOR Carmel Fire Department PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members 1120 0761-001826318 43-501.01 $400.00 1 hereby certify that the attached invoice(s), or 1120 0761-001826307 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 except He f C 2013 Fire Chief Title Cost distribution ledger classification if claim paid motor vehicle highway fund 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)) 0761-001826318 $400.00 0761-001826307 $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 y3 Sp�DI R �— v Invoice REPUBLIC CITY OF CARMEL Za SERVICES Page 1 of 2 832 Langsdale Ave Indianapolis,IN 46202-1150 Current Invoice Charges City Hall 1 Civic Sq (1-1) CSA 002763 Carmel,IN e 1 -Front Load(6 Yd) Scheduled Service (S1) Account Number 3-0761-0034742 Invoice Date November 25,2013 Date Description Reference Quantity Unit Price Amount Invoice Number 0761-001826319 11/25 Basic Service 12/01/13-12/31/13 $105.00 $105.00 Previous Balance $105.00 Current Invoice Charges $105.00 Payments/Adjustments $0.00 Unpaid Balance $105.00 Current Invoice Charges $105.00 IDue .00 y: 1 2115/13 • • Customer Service (317)917-7300 eo e s Your next Invoice may reflect a rate adjustment,if you have any questions after receiving your next G invoice please contact us. Effective 4/16/2012:SERVICE INTERRUPTION DEC 16 2013 POLICY CHANGE All accounts with a balance over 60 days will experience a service interruption unless prior arrangements are made. By- -��,ax°��Wr�Gl��i�'I�N�;;.xl',..��. a�%�'...."��Dl1�l�i�?�,,';..����_�?�w��1,��1Y,v'��`.u..,.s ��s:..`,.,ti�'►r +i1�$,.�"� .,:.. 105.00 105.00 0.00 0.00 To pay on-line or sign up for Past Due Balance $105.00 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 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.electronicpaVments.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. 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. I ACCT#/TITLE AMOUNT Board Members 1205 10761-0018263191 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, December 16, 2013 Director, Administr ion Title Cost distribution ledger classification if claim paid motor vehicle highway fund 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)) 11/25/13 0761-001826319 $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 �R"A REPUBLIC CITY OF CARMEL BROOKSHIRE GOLF Invoice SERVICES Page 1 of 2 832 Langsdale Ave Indianapolis,IN 46202-1150 Payments/Adjustments ` Date Description Reference Amount 11/01 Inv#001806378 Dated 11/01/13 $15.00 ' ® Re:Service Interrupt Fee Account Number 3-0761-0035460 1, 11/11 Inv#000806430 Dated 11/01/13 -$15.00 Invoice Date November 30,2013 Re: Service Interrupt Fee 11/16 Payment-Thank You 226022 -$548.00 Invoice Number 0761-001834253 Previous Balance $1,160.43 Current Invoice Charges Payments/Adjustments -$548.00 Unpaid Balance $612.43 Brookshire Golf Course Ro/FI 12120 Brookshire Pkwy (0) CSA 002765 Current Invoice Charges $564.00 Carmel,IN 1 -Front Load(8 Yd) Scheduled Service (S1) Date Description Reference Quantity Unit Price Amount ®. ,.. 11/30 Basic Service 12/01/13-12/31/13 $88.00 $88.00 ����76.43 Brookshire Golf Course Pt 12120 Brookshire Pkwy (L2) Carmel,IN DU@ By: 12/2©113 2-Portable Unit Scheduled Service (S1) o o o' . ) 5 " ' Date Description Reference Quantity Unit Price Amount 11/06 Basic Service 2.0000 $30.00 $60.00 Customer Service (317)917-7300 11/11 Basic Service 2.0000 $30.00 $60.00 11113 Basic Service 2.0000 $30.00 $60.00 11/20 Basic Service 2.0000 $30.00 $60.00 11/27 Basic Service 2.0000 $30.00 $60.00 11/30 Portable Service 11/01/13-11/30/13 $176.00 $176.00 Your next Invoice may reflect a rate adjustment,it Current Invoice Charges $564.00 you have any questions after receiving your next invoice please contact us. 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. 0 564.00 612.43, 0.00 0.00 To pay on-line or sign up for Past Due Balance $612.43 convenient auto pay, go to: D A • Visit our webs ite,www.disposaLcom 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. VOUCHER NO. WARRANT NO. ALLOWED 20 Republic Services#761 IN SUM OF $ P. O. Box 9001099 Louisville, KY 40290-1099 $564.00 ON ACCOUNT OF APPROPRIATION FOR Brookshire Golf Club PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members 20020 1 0761-0018342531 43-501.01 1 $564.00 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 Tuesday, December 10, 2013 4=":� A /L — Director, Brookshire Ulf Club Title Cost distribution ledger classification if claim paid motor vehicle highway fund 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)) 11/30/13 1 0761-0018342531 Trash 1 $564.00 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 Invoice REPUB /C CITY OF CARMEL SERVICES Page 1 of 2 832 Langsdale Ave Indianapolis,IN 46202-1150 Current Invoice Charges Communications Department 31 1st Ave NW (L1) CSA 002772 Carmel,IN 1 -Front Load(4 Yd) Scheduled Service (S4) Account Number 3-0761-0034749 Invoice Date November 25,2013 Date Description Reference Quantity Unit Price Amount Invoice Number 0761-001826320 11/25 Basic Service 12/01/13-12/31/13 $26.40 $26.40 Previous Balance $26.40 Current Invoice Charges $26.40 Payments/Adjustments $0.00 Unpaid Balance $26.40 Current Invoice Charges $26.40 Lue 0: 12115:3 : o Customer Service (317)917-7300 • s o • Your next Invoice may reflect a rate adjustment,if you have any questions after receiving your next invoice please contact us. 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. x ..Ct1RR Min ,�..:n« + LAYS .. 26.40 26.40 0.00 0.00 To pay on-line or sign up for Past Due Balance $26.40 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. 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. I ACCT#/TITLE AMOUNT Board Members 1115 1 0761-0018263201 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 Wednesday, December 11, 2013 Director Title Cost distribution ledger classification if claim paid motor vehicle highway fund 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)) 11/25/13 1 0761-001826320 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 �R"A REPUBLIC CARMEL UTILITIES Invoice ts►� SERVICES Page 1 of 2 832 Langsdale Ave Indianapolis,IN 46202-1150 Current Invoice Charges Carmel Utilities 901 N Range Line Rd (L1) 0 Carmel,IN Account Number 3-0761-1410954 1 -Front Load(8 Yd) Scheduled Service (S1) Invoice Date November 25,2013 Date Description Reference Quantity Unit Price Amount Invoice Number 0761-001831490 11/25 Basic Service 12/01/13-12/31/13 $159.61 $159.61 Previous Balance $223.55 1 -Front Load(2 Yd) Scheduled Service (S2) Payments/Adjustments $0.00 Unpaid Balance $223.55 Date Description Reference Quantity Unit Price Amount Current Invoice Charges $223.55 11/25 Basic Service 12/01/13-12/31/13 $63.94 $63.94 Current Invoice Charges $223.55 • Due By: 12/15/13 • • o Customer Service (317)917-7300 o • 0 0 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. pi"a—iguRge 1,;;,..<. ..1 :.... 3U C AYS, ,,;, .6O DA" .: .._.�s�-..,.c AYS,y, 223.55 223.55 0.00 0.00 To pay on-line or sign up for Past Due Balance $223.55 convenient auto pay, go to: A A • Visit our website,www.disposal.com to make your payment electronically uwrnu rlicnncal rnm or to sign up for our convenient automatic payment plan. 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. i VOUCHER # 137053 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 07610018314 01-736H-08 $223.55 f Voucher Total $223.55 Cost distribution ledger classification if claim paid under vehicle highway fund 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 12/13/2013 Invoice Invoice Description Date Number (or note attached invoice(s) or bill(s)) Amount 12/13/201; 0761001831, $223.55 i I hereby certify that the attached invoice(s), or bill(s) is (are) true and -orrect and I have audited same in accordance with IC 5-11-10-1.6 /e-1/G Ass Date Officer ce "AREPUBL/C CARMEL UTILITIES HHW Invoice tf►� SERVICES Page 1 of 2 832 Langsdale Ave Indianapolis,IN 46202-1150 Current Invoice Charges Carmel Utilities Hhw 901 N Range Line Rd (1_1) CSA 3292121010 Carmel,IN 1 -Hooklift(30 Yd) Scheduled Service (S1) Comingled Account Number 3-0761-1163292 Invoice Date November 30,2013 Date Description Reference Quantity Unit Price Amount Invoice Number 0761-001836212 11/05 Basic Service 1.0000 $153.15 $153.15 Previous Balance $2,603.55 Receipt Number 48391 Payments/Adjustments $0.00 11/07 Basic Service 1.0000 $153.15 $153.15 Unpaid Balance $2,603.55 Receipt Number 48391 Current Invoice Charges $2,144.10 11/12 Basic Service 1.0000 $153.15 $153.15 Receipt Number 48391 11/14 Basic Service 1.0000 $153.15 $153.15 Receipt Number 48391 11/19 Basic Service 1.0000 $153.15 $153.15 o '., Receipt Number 48391 11/21 Basic Service 1.0000 $153.15 $153.15 $4747.65 Receipt Number 48391 ° _ 11/26 Basic,Service- - 1.0000 -$153.15 $153.15 Due By: 12/20/13 Receipt Number 48391 Y' ®� o° 0... 4x. 1 -Recycle Rolloff(30yd) Scheduled Service (S3) Comingled Customer Service ,(317)917-7300 Date Description Reference Quantity Unit Price Amount 11/05 Basic Service 1.0000 $153.15 $153.15 Receipt Number 48393 11/07 Basic Service 1.0000 $153.15 $153.15 Receipt Number 48393 e o e o 11/12 Basic Service 1.0000 $153.15 $153.15 Receipt Number 48393 Effective 4/16/2012:SERVICE INTERRUPTION 11/14 Basic Service 1.0000 $153.15 $153.15 POLICY CHANGE All accounts with a balance over Receipt Number 48393 60 days will experience a service interruption unless prior arrangements are made. 11/19 62SIC Service 1.0000 $153.15 $153.15 Receipt Number 48393 11/21 Basic Service 1.0000 $153.15 $153.15 Receipt Number 48393 11/26 Basic Service 1.0000 $153.15 $153.15 Receipt Number 48393 Current Invoice Charges $2,144.10 CURRENT 30 DAYS.y ,.. 6,U.0Al'8,`. .,.... 2,144.10 2,603.55 0.00 0.00 To pay on-line or sign up for Past Due Balance $2,603.55 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 CARMEL UTILITIES HHW 3-0761-1163292 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. { VOUCHER # 137054 WARRANT # ALLOWED 358593 IN SUM OF $ i REPUBLIC WASTE SERVICES OF INDI PO BOX 9001099 LOUISVILLE, KY 40290-1099 Carmel Wastewater Utility ON ACCOUNT OF APPROPRIATION FOR i Board members PO# INV# ACCT# AMOUNT Audit Trail Code 07610018362 01-736H-08 $2,144.10 Voucher Total $2,144.10 Cost distribution ledger classification if claim paid under vehicle highway fund 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 12/13/2013 Invoice Invoice Description Date Number (or note attached invoice(s) or bill(s)) Amount 12/13/201; 0761001836; $2,144.10 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