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Home My WebLink About229038 2/11/2014 CITY OF CARMEL, INDIANA VENDOR: 131130 Page 1 of 1 f ONE CIVIC SQUARE HINCKLEY SPRINGS CARMEL, INDIANA 46032 PO BOX 660576 CHECK AMOUNT: $44.26 DALLAS TX 75266-0579 „o�a CHECK NUMBER: 229038 CHECK DATE: 2/11/2014 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1301 4239099 267785902114 44 . 26 OTHER MISCELLANOUS 1-800-4-WATERS 1-800-492-8377 www.HinckleySprings.com Upcoming Delivery Dates Hinckiey &MAlb February March Springs We Deliver! Agril Bottled Water• Filtration • Coffee Thursday, 6 Thursday, 6 Thursday, 3 Athena bottled water supports the fight against breast cancer all year 'round. Special -buy two cases of Athena bottled water, get one free! $7.99 per case (24 .5L bottles/case). Offer ends 2/28/14. Customer Account#: 17220042677859 PAM BAKER Invoice Date: 02-01-14 CARMEL CITY COURT 1 CIVIC SQ Invoice#: 2677859 020114 CARMEL,IN 46032 Purchase Order#: Date Transaction# Details Qty. Each Amount Previous Balance 78.67 01-27-14 P228024 Payment-Check-228024-Thank You -44.36 Remaining Balance - 34.31 R1400710140050 EVEREST BLACK HOT AND CCLD COOLER IPPTH CUP 1.0 11.25 11.25 01-09-14 T140093042033 HINCKLEY SPRINGS 5G DRINKING WATER 3.0 9.99 29.97 5.0 GALLON BOTTLE RETURN -3.0 6.00 -18.00 5.0 GALLON BOTTLE DEPOSIT 3.0 6.00 18.00 ENERGY SURCHARGE 1.0 3.04 3.04 Recd By:Not Available or Refused Total New Charges 44.26 i Ready to streamline your life? View your delivery schedpre—an—d.-696unt history,manage your payment options,pay your bill and much more with your o n online a c unt at water.com/myaccount. 30356-P-0037 Previous Balance Payment Total New Charg s o Pay This Amount $78.67 0 $44.36 $44.26 $78.57 0 Write the complete account number on your check Detach remittance and mail with paymen in the encim cl envelope_pay online go to www t inckleySpnngs com 0 : ..;-> _ i How to Read Your Statement 1400—ERS a ..,e,�m Important Monthly Promotions: Ja—g°ell°e,Y°-, weoerYell Register online for access to your Delivery Calendar: M �°�' ".g— w°lef F account.You can view and pay your bill, »e,P M° Y M Y ;; �u,�P check delivery schedule and order Your scheduled deliveries for the next three months. products all online. Customer Account Number: Bottle Deposits For prompt service,please use this Highlights bottle deposits and returns. number when referring to your account. A. Easy to Pay: Pay your invoice through the mail,online at Summary. u , M www.water.com or call us to expedite your Previous balance and posted remittance with automatic credit card payments payments since last bill. e Total New Charges: Xmi@d:M.sR�::M. M,Yp w,„ This information provides totals for TeMl.m°"m „� Mail Remittance With Payment To: various products and transactions. Please detach remittance and mail ❑ �„„ ❑yup -s�" s using business envelope provided. ILilllllll(,Itll,IILIJ,IIIIII 1 Mell PemIIlPnce wnn Payment To I w""s»im Important Monthly Message w.w„eae us,zrsmaz Illllllllol�ll�,ll,I.„Illllldlll Billing Rights Summary Electronic Funds Transfer Notice In case of Errors or Questions About Your Bill: If you pay by check,it will be converted into an"Electronic Funds Transfer” If you think your bill is incorrect,or if you need more information about a (EFT),a process in which your financial institution is electronically instructed to transaction on your bill,write us as soon as possible on a separate sheet,at transfer funds from your account to ours in lieu of processing the check.By P.O.Box 660579,Dallas,TX 75266-0579.We must hear from you no later sending your completed check to us,you authorize us to use the account than 60 days after we sent you the first bill on which the error or problem information therein to create an EFT for the amount indicated on the check.If appeared.Your bill shall be deemed correct unless disputed within 60 days the EFT cannot be processed for technical or other reasons,you authorize us from receipt.You can telephone us,but doing so will not preserve your rights. to process an image replacement document,draft,or copy of your check. In your letter,give us the following information: OPT OUT NOTICE:If you do not wish to participate in this check conversion program,please write to us on a separate sheet at: • Your name and complete account number. P.O.Box 660579, Dallas,TX 75266-0579. • The dollar amount of the suspected error. • Describe the error and explain why you believe there is an error. If you need Insufficient Funds Notice more information,describe the item you are unsure about. If your check is returned for insufficient or uncollected funds(NSF),your signature on your check gives us permission to debit your checking account electronically You do not have to pay any amount in question while we are investigating,but for the uncollected amount. Payment by check constitutes your acceptance of you are still obligated to pay the amount of your bill that is not in question.While these terms. we investigate your questions,we cannot report you as delinquent or take any , action to collect the amount you question. We appreciate your business. As a food product,bottled water is subject to rules and regulations promulgated by the Federal Food and Drug Administration(FDA). For further information,please write DS Waters of America,Inc.at P.O.Box 660579,Dallas,TX 75266-0579. +�-- - C,. s�-.fir -- r'” -", ti, s'� .� �; -} o_ - _5 -- .� - y• T Prescribed by State Board of Accounts ACCOUNTS PAYABLE VOUCHER City Forth No.201(Rev.1995) 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 141AJCg L e� Purchase Order No. Terms Date Due Invoice Invoice Description Amount ate Number (or note attached invoice(s) or bill(s)) Total 7 I hereby certify that the attached invoice(s), or bill(s), is (are) true and correct and I have audited same in accor- dance with IC 5-11-10-1.6. , 20- Clerk-Treasurer 20Clerk-Treasurer VOUCHER NO. WARRANT NO. ALLOWED 20 /- L_C ; SP�eI��s IN SUM OF $ PO ?)N 5-7 DW a- S 7 S--2- $ `� y ON ACCOUNT OF APPROPRIATION FOR Board Members PO#or INVOICE NO. ACCT#/TITLE AMOUNT DEPT.# I hereby certify that the attached invoice(s), or bill(s) is (are) true and correct and that 3the materials or services itemized thereon for which charge is made were ordered and received except l� 20 ' natur Cost distribution ledger classification if It claim paid motor vehicle highway fund