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227826 1/8/2014
f CITY OF CARMEL, INDIANA VENDOR: 358593 Page 1 of 1 ONE CIVIC SQUARE REPUBLIC WASTE SERVICES OF INDIA CHECK AMOUNT: $448.47 CARMEL, INDIANA 46032 PO Box 9001099 LOUISVILLE KY 40290-1099 CHECK NUMBER: 227826 CHECK DATE: 1/8/2014 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1115 4350101 1884461 33 . 40 TRASH COLLECTION 2201 4350100 1884462 191 . 52 BUILDING REPAIRS & MA 651 5023990 1889598651 223 . 55 OTHER EXPENSES �RW//EP(/BL/(; CARMEL UTILITIES Invoice SERVICES Page 1 of 2 832 Langsdale Ave Indianapolis,IN 46202-1150 Payments/Adjustments Date Description Reference Amount 12/19 Payment-Thank You 226795 -$223.55 ' ® 12/20 Payment-Thank You 227483 -$223.55 Account Number 3-0761-1410954 Invoice Date December 25,2013 ; Current Invoice Charges Invoice Number 0761-001889598 s Previous Balance $447.10 Carmel Utilities 901 N ange Li a Rd (L1) Carmel,IN > Payments/Adjustments -$447.10 Unpaid Balance $0.00 1 -Front Load(8 Yd) DCharges e ice S1) Current Invoice Charges $223.55 Date Descriptio, Reference Quantity Unit Price Amount 12/25 Basic Se ice /31/14 $159.61 $159.61 1 -Front Load( Yd) ervice (S2) • Date Descri ionReference Quantity Unit Price Amount 12/25 Basic S ice 01/01/14-01/31/14 $63.94 $63.94 Due By: 01/14/14Current I oi $223.55 o 0 0 Customer Service (317)917-7300 • • eaff • 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. -CUi�RENT 3b IyAYS ." �ODAYS 94+:DAYS 223.55 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. Please s.:e mverse side fin teens and conditions 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 When we use information from your check to make an electronic fund transfer, funds may be withdrawn from your account as soon as the same day we receive your payment and you will not receive your check back from your financial institution.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. VOUCHER # 137158 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 07610018895 01-736H-08 $223.55 Voucher Total $223.55 Cost distribution ledger classification if claim paid under vehicle highway fund � D/V 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 1/2/2014 Invoice Invoice Description Date Number (or note attached invoice(s) or bill(s)) Amount 1/2/2014 0761001889! $223.55 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 q %REPUBL/G CITY OF CARMEL Invoice ZW SERVICES Page 1 of 2 832 Langsdale Ave Indianapolis,IN 46202-1150 Payments/Adjustments Date Description Reference Amount 12/07 Payment-Thank You 226455 -$26.40 12/20 Payment-Thank You 227483 -$26.40 Account Number 3-0761-0034749 Current Invoice Charges Invoice Date December 25,2013 g Invoice Number 0761-001884461 Communications Department 31 1st Ave NW (L1) CSA 002772 Previous Balance $52.80 Carmel,IN Payments/Adjustments -$52.80 Unpaid Balance $0.00 ` 1 -Front Load(4 Yd) Scheduled Service (S4) Current Invoice Charges $33.40 Date Description Reference Quantity Unit Price Amount 12/25 Basic Service 01/01/14-01/31/14 $33.40 $33.40 Current Invoice Charges $33.40 $33.40 - Due By: 01/14/14 Customer Service (317)917-7300 ` ©`o 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. .l URRr=NV x91`,,,,,., M3,"AY t„ ¢.' r. a ,.,. .rVQ l✓ Y�fr r..'vy..... ,94+DAYS -; .�.:< 33.40 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 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.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. BAR T;WU; ALLOWED 20 Republic Services IN SUM OF $ P.O. Box 9001099 Louisville, KY 40290-1099 $33.40 ON ACCOUNT OF APPROPRIATION FOR Carmel Clay Communications PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members Prior Year I hereby certify that the attached invoice(s), or 1115 10761-0018844611 43-501.01 $33.40 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 Friday, January 03, 2014 i 7 t Dir ctor 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)) 12/25/13 1 0761-0018844611 I $33.40 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 5-11-10-1.6 120 Clerk-Treasurer CSR"AREPUBLIC CITY OF CARMEL STREET DEPT Invoice ty� SERVICES Page 1 of 2 832 Langsdale Ave Indianapolis,IN 46202-1150 Payments/Adjustments Date Description Reference Amount 12/07 Payment-Thank You 226455 -$160.00 o <; s ' 12/19 Payment Thank You 227093 $160.00 Account Number 3-0761-0034751 Current Invoice Charges Invoice Date December 25,2013 Invoice Number 0761-001884462 Street Department 3400 W 131st St (L1) CSA 002764 Previous Balance $320.00 : Carmel,IN Payments/Adjustments -$320.00 Unpaid Balance $0.00 2-Front Load(4 Yd) Scheduled Service (S1) Current Invoice Charges $191.52 Date Description Reference Quantity Unit Price Amount 12/25 Basic Service 01/01/14-01/31/14 $191.52 $191.52 Current Invoice Charges $191.52 .,e ,. $191-52 — Due By: 01/14/14 Customer Service (317)917-7300 r x Effective 4/16/2012:SERVICE INTERRUPTION POLICY CHANGE All accounts with a balance over 60 days will experience a service interruption unless prior arrangements are made. Cl1RRENT= 30 DAYS': 6Q DAY$ 90+bAY5 191.52 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 CITY OF CARMEL STREET DEPT 3-0761-0034751 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 $ PO Box 9001099 Louisville, KY 40290-1099 $191.52 ON ACCOUNT OF APPROPRIATION FOR Carmel Street Department PO#/Dept. INVOICE NO. I ACCT#/TITLE AMOUNT Board Members 2201 10761-001884462 I 43-501.001 $191.52 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 Sunday, JaVV05, 2014 UW4/ Street Commissio Street Qmissloner 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)) 12/25/13 0761-001884462 $191.52 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