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HomeMy WebLinkAbout228127 1/14/2014 ^J. CITY OF CARMEL, INDIANA VENDOR: 358593 Page 1 of 1 ONE CIVIC SQUARE REPUBLIC WASTE SERVICES OF INDIANA CARMEL, INDIANA 46032 PO BOX 9001099 CHECK AMOUNT: $1,484.82 LOUISVILLE KY 40290-1099 CHECK NUMBER: 228127 CHECK DATE: 1/14/2014 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1120 4350101 1884448 32 . 00 TRASH COLLECTION 1110 4350101 1884458 178 . 64 TRASH COLLECTION 1120 4350101 1884459 378 . 99 TRASH COLLECTION 1205 4350101 1884460 125 . 69 TRASH COLLECTION 601 5023990 1885214 69 . 00 OTHER EXPENSES 601 5023990 1885219 69 . 00 OTHER EXPENSES 601 5023990 1885305 113 . 00 OTHER EXPENSES 651 5023990 1889599 518 . 50 OTHER EXPENSES �R�REPUBLIC CITY OF CARMEL FIRE DEPT Invoice fy� SERVICES Page 1 of 3 832 Langsdale Ave Indianapolis,IN 46202-1160 Payments/Adjustments G1• ° 1:11 IlU:1r,1:1'.L`1/.J CJ�nA� Date Description Reference Amount 12/07 Payment-Thank You 226455 -$319.00 ° 12/20 Payment-Thank You 227483 -$400.00 Account Number 3-0761-0034703 Invoice Date December 25,2013 Current Invoice Charges Invoice Number 0761-001884459 Fire Station 41 2 Civic Sq (L1) CSA 002757 Previous Balance $719.00 Carmel,IN Payments/Adjustments -$719.00 Unpaid Balance $0.00 1 -Front Load(8 Yd) Scheduled Service (S1) Current Invoice Charges $378.99 Date Description Reference Quantity Unit Price Amount 12/25 Basic Service 01/01/14-01/31/14 $158.00 $158.00 Fire Station 42 3610 W 106th St (L2) CSA 002758 Carmel,IN - 1 -Front Load(2 Yd) Scheduled Service (S3) $378'99 Date Description Reference Quantity Unit Price Amount Due By: 01114114 12/25 Basic Service 01/01/14-01/31/14 $67.03 $67.03 0 0 o Fire Station 43 3242 E 106th St (L3) CSA 002759 Carmel,IN Customer Service (317)917-7300 1 -Front Load(2 Yd) Scheduled Service (S1) Date Description Reference Quantity Unit Price Amount 12/25 Basic Service 01/01/14-01/31/14 $42.00 $42.00 0 0 0 0 Fire Station 44 5032E 131st St (1-4) CSA 002760 Effective 4/16/2012:SERVICE INTERRUPTION Carmel,IN POLICY CHANGE All accounts with a balance over 1 -Front Load(4 Yd) Scheduled Service (S3) 60 days will experience a service interruption unless prior arrangements are made. Date Description Reference Quantity Unit Price Amount 12/25 Basic Service 01/01/14-01/31/14 $64.96 $64.96 Fire Station 46 540 W 136th St (L6) CSA 002762 Carmel,IN 1 -Front Load(3 Yd) Scheduled Service (S5) GLIRR 9,0,14 AVSW, 378.99 0.00 0.00 0.00 To pay on-line or sign up for convenient auto pay_,_go to:_ Visit our website,www.disposal.com to make your payment electronically WWW.disposal.com _ or fo sign up fog our convenient automatic payment plan. • Please see reverse side for terms and conditions CITY OF CARMEL FIRE DEPT 3-0761-0034703 Page 2 of 3 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. 000703-000002-000002-001406 2325187 2240ST03 1 3 0 Page 3 of 3 R CITY OF CARMEL FIRE DEPT Republic Services #761 1w WREPUBLIC Account Number 3-0761-0034703 832 Langsdale Ave 44 SERVICES Invoice Date December 25,2013 Invoice Number 0761-001884459 Indianapolis, IN 46202-1150 Current Invoice Charges Date Description Reference Quantity Unit Price Amount 12/25 Basic Service 01/01/14-01/31/14 $47.00 $47.00 Current Invoice Charges $378.99 �R7�REPUBLIC CITY OF CARMEL FIRE 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 -$25.00 ` e ` 12/20 Payment-Thank You 227483 $25.00 Account Number 3-0761-0034441 Current Invoice Charges Invoice Date December 25,2013 Invoice Number 0761-001884448 Training Facility 510 3rd Ave SW (1-1) CSA 002792 Previous Balance $50.00 Carmel,IN Payments/Adjustments -$50.00 Unpaid Balance $0.00 1 -Front Load(2 Yd) Scheduled Service (S1) Current Invoice Charges $32.00 Date Description Reference Quantity Unit Price Amount 12/25 Basic Service 01/01/14-01/31/14 $32.00 $32.00 Current Invoice Charges $32.00 $32.60 - ---- Due __Due By: 01/14/14 Customer Service (317)917-7300 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. . CURRENT� .. 3Q MAYS s,,, .f O=u,.,:6620AY5: `.�F� ' 90,+L7AY..S�ry..��.. 32.00 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 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 $410.99 ON ACCOUNT OF APPROPRIATION FOR Carmel Fire Department PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members 1120 0761-001884459 43-501.01 $378.99 1 hereby certify that the attached invoice(s), or 1120 0761-001884448 43-501.01 $32.00 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 JAN 13 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)) 0761-001884459 $378.99 0761-001884448 $32.00 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 REPUBLIC CITY OF CARMEL POLICE Invoice fy� SERVICES Page 1 of 2 832 Langsdale Ave Indianapolis,IN 46202-1150 Payments/Adjustments Date Description Reference Amount 12/20 Payment-Thank You 227483 -$154.00 ' o ak a Account Number 3-0761-0034698 Current Invoice Charges Invoice Date December 25,2013 Police Firing Range 9609 Hazel Dell Pkwy (1_1) CSA 002755 Invoice Number 0761-001884458 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 CurrentlnvoiceCharges $178.64 12/25 Basic Service 01/01/14-01/31/14 $89.32 $89.32 Police Headquarters 3 Civic Sq (L2) CSA 002756 Carmel,IN o' ;. 1 -Front Load(8 Yd) Scheduled Service (S1) _ 17_R,�d _ ` Qate Desc— ri�tion__ _Reference_ Ouantity Unit Price— Arnt untti Y 12/25 Basic Service 01/01/14-01/31/14 $89.32 $89 32 Due By: 01/14/14 Current Invoice Charges $178.64 Customer Service (317)917-7300 . 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. �, :,:<;:.,..GURRE1+iT •, 30.I3AYS, M > 60AAYS ;3, > .: 90.+,DAY, ,:: 178.64 0.00 0.00 0.00 To pay on-line or sign up for convenient auto pay, go to: A A Visit our website,wwwAisposal.com to make your payment electronically or to sign up for our convenient automatic payment plan. www.disposal.eom — _ -- --- —•—Please see reverse.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.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 $ P.O. Box 9001099 Louisville, KY 40290-1099 $178.64 ON ACCOUNT OF APPROPRIATION FOR Carmel Police Department PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members 1110 1 0761-0018844581 43-501.01 1 $178.64 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 Thursday, January 09, 2014 �Z 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)) 01/01/14 0761-001884458 monthly payment $178.64 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 ��� 'WE D gjREPUBLIC CITY OF CARMEL 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 -$105.00 12/20 Payment-Thank You 227483 -$105.00 Account Number 3-0761-0034742 Invoice Date December 25,2013 Current Invoice Charges Invoice Number 0761-001884460 City Hall 1 Civic Sq (1-1) CSA 002763 Previous Balance $210.00 Carmel,IN Payments/Adjustments -$210.00 Unpaid Balance $0.00 1 -Front Load(6 Yd) Scheduled Service (S1) Current Invoice Charges $125.69 Date Description Reference Quantity Unit Price Amount 12/25 Basic Service 01/01/14-01/31/14 $125.69 $125.69 Current Invoice Charges $125.69 W r�v.vv Due By: 01/14/14 Building Maintenance - Account # 1l 35cP/o l �.v►.a Customer Service (317)917-7300 Department # 1,9 a5� 0 0 o o( ` Effective 4/16/2012:SERVICE INTERRUPTION FSUbmiftedPOLICY CHANGE All accounts with a balance over 60 days will experience a service interruption unless prior arrangements are made. 13 2014 Clerk Treasvvc 90+DAYS 125.69 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 3-0761-0034742 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.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 #761 IN SUM OF $ PO Box 9001099 Louisville, KY 40290-1099 i $125.69 I ON ACCOUNT OF APPROPRIATION FOR Administration Department PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members 1205 i 0761-0018844601 43-501.01 1 $125.69 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 Mond y, January 13, 2014 c Director, Administrate n 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 0761-001884460 $125.69 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 p Please Return This Portion Pay This Amount $69.00 qR"AREPUBLI�C With Payment Account Number 3-0761-0059974 ;0A SERVICES Invoice Date December 25,2013 Invoice Number 0761-001885214 832 Langsdale Ave Indianapolis,IN 46202-1150 TOTAL rNCLOSL"D Payment Due Date January 14,2014 -----i I— For Bilking Adldress Changes. 9DOC eck Box and Com ietc=R,-verse. Return Service Requested 023461-000001-000001-023461 2325191 2240ST03_S 3 0 Make Checks Payable To: CITY OF CARMEL UTILITIES 3450 W 131ST ST CARMEL IN 46074-8267 REPUBLIC SERVICES#761 PO BOX 9001099 LOUISVILLE, KY 40290-1099 30761005997400000018852140000069000000069000 BILLING ADDRESS CHANGE Address City State Lip :Phone Alternate Phone R Please Return This Portion Pay This Amount $69.00 V 7)REPUBLOC With Payment Account Number 3-0761-0060187 44 SERVICES Invoice Date December 25,2013 Invoice Number 0761-001885219 832 Langsdale Ave Indianapolis,IN 46202-1150 Payment Due Date January 14,2014 TOTAL ENCLOSED For Biiling Ac&e5s G:-3nyNs o�_ LD ,heck Box 2rd Corrr,.cte Peverse. Return Service Requested -__ �` T_ 023462-000001-000001-023462 2325191 2240ST03_S 3 0 Make Checks Payable To: CITY OF CARMEL UTILITIES JOHN DUFFY 3450 W 131ST ST REPUBLIC SERVICES#761 CARMEL IN 46074-8267 PO BOX 9001099 LOUISVILLE, KY 40290-1099 30761006018700000018852190000069000000069001 BILLING ADDRESS CHANGE Address -------------------------------------------------- -----------------S-fate------------ Zip -'hone Alternate Phone IV WREPUBL/C 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 227093 -$113.00 Account Number 3-0761-0062694 Current Invoice Charges Invoice Date December 25,2013 Water Plant 1 4915E 106th St (L1) CSA 5387 Invoice Number 0761-001885305 Carmel,IN Previous Balance $226.00 Payments/Adjustments -$113.00 1 -Front Load(8 Yd) Scheduled Service (S3) Unpaid Balance $113.00 Date Description Reference Quantity Unit Price Amount Current Invoice Charges $113.00 12/25 Basic Service 01/01/14-01/31/14 $113.00 $113.00 Current Invoice Charges $113.00 Due By: 01114/14 Customer Service (317)917-7300 EIJI, Effective 411612012:SERVICE INTERRUPTION POLICY CHANGE All accounts with a balance over 60 days will experience a service interruption unless prior arrangements are made. C13R..RENT 34.DAY$ 50"MAYS.... 90#=L3AY8 ..: 113.00 ._ 113.00.. 0.00-_ .00-... To pay on-line or sign up for Past Due Balance $113.00 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 CARMEL UTILITIES 3-0761-0062694 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.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. cCRW REPUBLIC CITY OF CARMEL UTILITIES Invoice � SERVICES Page 1 of 2 832 Langsdale Ave Indianapolis,IN 46202-1150 Payments/Adjustments MW Date Description Reference Amount 12/07 Payment-Thank You 226455 -$69.00 ® 12/19 Payment-Thank You 227093 -$69.00 Account Number 3-0761-0059974 Invoice Date December 25,2013 ' Current Invoice Charges Invoice Number 0761-001885214 City Of Carmel Utilities 5484 E 126th St (L1) CSA 2753 Previous Balance $138.00 Carmel,IN Payments/Adjustments -$138.00 Unpaid Balance $0.00 1 -Front Load(6 Yd) Scheduled Service (S1) Current Invoice Charges $69.00 Date Description Reference Quantity Unit Price Amount 12/25 Basic Service 01/01/14-01/31/14 $69.00 $69.00 Current Invoice Charges $69.00 - —- w12Q,n -- - - -- — - —--- _ — — Due By: 01/14/14 Customer Service (317)917-7300 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. 1� 90+DAYS 69.00 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 see reverse side for terms and conditions CITY OF CARMEL UTILITIES 3-0761-0059974 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. e7)REPUBLAC CITY OF CARMEL UTILITIES Invoice l-16 SERVICES Page 1 of 2 832 Langsdale Ave Indianapolis,IN 46202-1150 Payments/Adjustments Date Description Reference Amount 12/07 Payment-Thank You 226455 -$69.00 12/19 Payment-Thank You 227093 -$69.00Account Number 3-0761-0060187 eS Current Invoice Char Invoice Date December 25,2013 g Invoice Number 0761-001885219 ; Water District Plant 3450 W 131st St (1-1) CSA 2752 Previous Balance $138.00 Carmel,IN Payments/Adjustments -$138.00 Unpaid Balance $0.00 1 -Front Load(6 Yd) Scheduled Service (S1) Current Invoice Charges $69.00 Date Description Reference Quantity Unit Price Amount 12/25 Basic Service 01/01/14-01/31/14 $69.00 $69.00 Current Invoice Charges $69.00 Due By: 01/14/14 o0, o• • r r„ Customer Service (317)917-7300 a 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. Ct7RRENT: 3f3 DAYS' 0"MAYS:;"," 90+"17AYS 69.00 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 CITY OF CARMEL UTILITIES 3-0761-0060187 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 # 133800 WARRANT # ALLOWED 358593 IN SUM OF $ REPUBLIC SERVICES #761 PO BOX 9001099 LOUISVILLE, KY 40290-1099 Carmel Water Utility ON ACCOUNT OF APPROPRIATION FOR Board members PO# INV# ACCT# AMOUNT Audit Trail Code 1885305 01-6360-03 $113.00 i Voucher Total 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 SERVICES#761 Purchase Order No. PO BOX 9001099 Terms LOUISVILLE, KY 40290-1099 Due Date 12/30/2013 Invoice Invoice Description Date Number (or note attached invoice(s) or bill(s)) Amount 12/30/201: 1885305 $113.00 I hereby certify that the attached invoice(s), or bill(s) is (are) true and correct and I have audited same in accordance with IAC/5-11-10-1.6 //z//"I C�c Date Officer eWREPUBL/c CARMEL WASTWATER UTILITY Invoice 4#4 SERVICES Page 1 of 2 832 Langsdale Ave ' Indianapolis,IN 46202-1150 Payments/Adjustments ,tl1CACQ " Date Description Reference Amount 12/19 Payment-Thank You 227093 -$433.17 c - t 12/19 Payment-Thank You 227093 -$433.17 Account Number 3-0761-1410955 Current Invoice Charges Invoice Date December 25,2013 g Invoice Number 0761-001889599 Carmel Utilities 9609 Hazel Dell Parkway (L1) Previous Balance $866.34 Carmel,IN Payments/Adjustments -$866.34 Unpaid Balance $0.00 14-Front Load(2 Yd) Scheduled Service (S1) Current Invoice Charges $518.50 Date Description Reference Quantity Unit Price Amount 12/25 Basic Service 01/01/14-01/31/14 $518.50 $518.50 Current Invoice Charges $518.50 -- _W%O I W:5%o� ---- - -- — Due By: 01/14/14 e e Customer Service (317)917-7300 a'o Effective 4/16/2012:SERVICE INTERRUPTION POLICY CHANGE All accounts with a balance over 60 days will experience a service interruption unless prior arrangements are made. "' CURRENT< 3,O DAY5< :6U fJAY$'x. 90+'DAYS„< „s, 518.50 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 see reverse side-for terms-and conditions CARMEL WASTWATER UTILITY 3-0761-1410955 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 # 137177 WARRANT # ALLOWED 358593 IN SUM OF $ REPUBLIC WASTE SERVICES OF INDI PO BOX 9001099 i LOUISVILLE, KY 40290-1099 ? Carmel Wastewater Utility ON ACCOUNT OF APPROPRIATION FOR 1 i, i Board members PO# INV# ACCT# AMOUNT Audit Trail Code 30761141095 01-7362-05 $518.50 i Voucher Total $518.50 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 12/30/2013 Invoice Invoice Description Date Number (or note attached invoice(s) or bill(s)) Amount 12/30/201: 3076114109" $518.50 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