227599 12/31/2013 CITY OF CARMEL, INDIANA VENDOR: 366093 Page 1 of 1
ONE CIVIC SQUARE REPUBLIC WASTE SERVICE-TRASH COLLCCK AMOUNT: $43,712.40
CARMEL, INDIANA 46032 ATTN:NANCY COLLINS
832 LANGSDALE AVE CHECK NUMBER: 227599
INDIANAPOLIS IN 46202-1150
CHECK DATE: 12/31/2013
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
651 5023990 12/7-12/13 43 , 712 . 40 OTHER EXPENSES
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Republic Services
832 Langsdale Ave
Indianapolis, IN 46202-1150
ATTN: Nancy Collins
Account# 3-0761-9761020
$$$$ Collected By Carmel Utilities
Dec 7 to Dec 13 $ 44,708.40 2013 Rate
Less Administrative Fee 2013 $ (1,231.00)
4,924 Payments
Cart Deliveries-Nov $ 235.00
Payment to Republic $ 43,712.40
Prescribed by State Board of Accounts
Form No.301-S(Rev.1997) ACCOUNTS PAYA I
TO,TLVOUCHER
cjr 53 �l/��IC`/
ADDRESS ��3� (.A t. U5.0..414U L D t/ku4-00L/j T I,L�-(Gj-pa
Invoice Date Invoice Number Item Amount
c4
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 e cept
Mo. Day Yr. Sign ture Title
I hereby certify that the attached invoice(s), or bill(s), is (are)true an correct and I have audited same in accordance
with IC 5-11-10-1.6.
Mo. Day Yr. Officer Title
Voucher No. Warrant No.
ACCOUNTS PAYABLE DETAILED ACCOUNTS
MUNICIPAL WASTEWATER UTILITY ACCT.
CARMEL, INDIANA
Total Amount of Voucher $
i
Deductions
Amount of Warrant $q 311a Lrc,
i
Month of
VOUCHER RECORD Acct.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