HomeMy WebLinkAbout235870 08/13/14 {ur_4,q�
CITY OF CARMEL, INDIANA VENDOR: 131130
® ONE CIVIC SQUARE HINCKLEY SPRINGS CHECK AMOUNT: $*******629.42*
s9 ,_� CARMEL, INDIANA 46032 PO BOX 660579 CHECK NUMBER: 235870
''aTml�. DALLAS TX 75266-0579 CHECK DATE: 08/13/14
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1301 4239099 24.35 17220042677859
651 5023990 605.07 172094612553186
1-800-4-WATERS 1-800-492-8377 www.HinckleySprings.com
Upcoming Delivery Dates Hinckley. &MA%Springs We Deliver!
.July August September " Bottled Water• Filtration •Coffee
Thursday,24 Thursday, 7 Thursday, 4 July Special:Athena Buy 2 Get 1 Free! Now you can drink
Thursday, 21 Thursday, 18. pink every day&save money with this refreshing special.
Buy 2 cases of Athena bottled water and get one FREE!*
Fight breast cancer with every bottle.*$7.99 per case.
Offer ends July 31, 2014.
Customer Account#: 17220042677859 -
PAM BAKER Invoice Date: 07-19-14
CARMEL CITY COURT Invoice#: 2677859 071914
1 CIVIC SQ
CARMEL, IN 46032 Purchase Order#:
Date Transaction# Details Qty. Each Amount
Previous Balance 96.74
06-23-14 P233252 Payment-Check-233252-Thank You -64.38
07-14-14 P234305 Payment-Check-234305-Thank You -32.30
Remaining Balance_ 0.06
8141.7510140050- EVEREST BLACK HOT AND-COLD COOLER-WITH CUP-- - 1.0- 11.25 -11.25 --
Total 11.25
07-10-14 T141913042046 HINCKLEY SPRINGS 5G DRINKING WATER 1.0 9.99 9.99
5.0 GALLON BOTTLE RETURN -1.0 6.00 -6.00
5.0 GALLON BOTTLE DEPOSIT 1.0 6.00 6.00
ENERGY SURCHARGE 1.0 3.11 3.11
Total 13.10
Rec'd By:Not Available or Refused
Total Now Charges 24.35
Ready to streamline your life? View your delivery schedule and account history,manage your
(--Payment options,pay your bill and much more with your own online account at water.comlmyaccount.
�j
30356-P-0038
Previous=Balance =Payment Total New Charges Pay This Amount
$9m6.68 4. $24.35 0 $24.41
9 Write the complete account number on your check.Detach remittance and mail wft�i payment ig the en_closed envelope To pay_ g_._-__..�. Nia6tgSpdngs ogm
online oto _
How to Read Your Statement Important Monthly Promotions:
Upcaming Delivery Dates _ ; ;q Wa De11Ve,, Register online for access to your
;°� d „ account.You can view and pay your bill,
Delivery Calendar. y, M"" � _ .�
M^�a,yu a.w.,y:^ Mom,yn � "" "11""B ":Rnp°'tl
Your scheduled deliveries for M.�.y„ � Hi check delivery schedule and order
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. UR „ am ,
Q°
as aaa �a �a ,aa ^aa Easy to Pay:
Pay your invoice through the mail,online at
Summary: ,�a www.water.com or call us to expedite your
Previous balance and posted remittance with automatic credit card payments
payments since last bill. ' ^°"
•mm4s Aniw,(m{}grz C�ela ,y�iC--- ---- --------
�71N:Jdu.9y�new�rr 5.c!R sawm6'a'm"'B
Total New Charges: aua,
This information provides totals for �""" °"` a,� Mail Remittance With Payment To:
various products and transactions. Please detach remittance and mail
❑a„„�-a ❑�- �® `5= i , using business envelope provided.
Important Monthly Message ne.ae ,eo u...,�,,,,,E,�,
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -- - - - - - - -
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 ori 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
You do not have to pay any amount in question while we are investigating,but on your check gives us permission to debit your checking account electronically
you are still obligated to a the amount of our bill that is not in question.While for the uncollected amount.Payment by check constitutes your acceptance of
Y g pay Y q 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 Services of America,Inc.at P.O.Box 660579,Dallas,TX 75266-0579
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
Sr.
� II�k Ri�lC�
/ rv, LC/ Purchase Order No.
& (q 0 s? / Terms
DW—LA— T>( Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
7-I9-1 G77S 07/ W 6_ K'_C QQLe( ttl& -e/ a
Total
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
VOUCHER NO. WARRANT NO.
ALLOWED 20
'1 q IN SUM OF $
57 I
ON ACCOUNT OF APPROPRIATION FOR
Board Members
Po#or INVOICE NO. ACCT#/TITLE AMOUNT
DEPT.# I hereby certify that the attached invoice(s), or
(0?75-907 bill(s) is (are) true and correct and that the
materials or services itemized thereon for
396-99 which charge is made were ordered and
received except
20 1 '7r
Si to
Cost distribution ledger classification if it e
claim paid motor vehicle highway fund
1-800-4-WATERS 1-800-492-8377 www.HinckleySprings.com
Upcoming Delivery Dates Hinckley.. �TAI�DA�D
August September October Springs We Deliver. v
Bottled Water• Filtration • Coffee
Thursday,7 Thursday,4 Thursday,2 July Special:Athena Buy 2 Get 1 Free! Now you can drink
Thursday,21 Thursday, 18 Thursday, 16 pink every day&save money with this refreshing special.
Thursday,30 Buy 2 cases of Athena bottled water and get one FREE!*
Fight breast cancer with every bottle.*$7.99 per case.
Offer ends July 31,2014.
Customer Account M 172094612553186
DAVE DYE Invoice Date: 07-26-14
CITY OF CARMEL UTILITIES Invoice M 12553186 072614
9609 HAZEL DELL PKWY
INDIANAPOLIS, IN 46280 Purchase Order#:
Date Transaction# Details Qty. Each Amount
Previous Balance 1,196.70
07-14-14 P233760 Payment-Check-233760-Thank You -663.03
Remaining Balance 533.67
R1419110140866 WHITE ROOM TEMP AND COLD COOLER RENTAL 1.0 11.25 11.25
WHITE ROOM TEMP AND COLD COOLER RENTAL 1.0 9.50 9.50
WHITE ROOM TEMP AND COLD COOLER RENTAL 1.0 9.99 9.99
WHITE ROOM TEMP AND COLD COOLER RENTAL 1.0 11.49 11.49
WHITE ROOM TEMP AND COLD COOLER RENTAL 1.0 11.49 11.49
WHITE ROOM TEMP AND COLD COOLER RENTAL 1.0 11.49 11.49
WHITE ROOM TEMP AND COLD COOLER RENTAL 1.0 9.50 9.50
Total 74.71
07-10-14 T141913043056 HINCKLEY SPRINGS 5G DRINKING WATER 11.0 9.99 109.89
HINCKLEY SPRINGS 5G DISTILLED WATER 4.0 8.99 35.96
CUP PLASTIC FLAT 9 OZ MULTI BRAND 50 CT 10.0 3.89 38.90
5.0 GALLON BOTTLE DEPOSIT 4.0 6.00 24.00
5:0 GALLON BOTTLE RETURN -15.0 6.00 -90.00
5.0 GALLON BOTTLE DEPOSIT 11.0 6.00 66.00
ENERGY SURCHARGE 1.0 3.11 3.11
Total 187.86
Rec'd By:Not Available or Refused
07-24-14 T142053043052 HINCKLEY SPRINGS 5G DRINKING WATER 9.0 9.99 89.91
HINCKLEY SPRINGS 5G DISTILLED WATER 20.0 8.99 179.80
CUP PLASTIC FLAT 9 OZ MULTI BRAND 50 CT 11.0 3.89 42.79
5.0 GALLON BOTTLE RETURN -24.0 6.00 -144.00
5.0 GALLON BOTTLE DEPOSIT 9.0 6.00 54.00
Ready to streamline your life? View your delivery schedule and account history,manage your
payment options,pay your bill and much more with your own online account at water.com/myaccount.
_ 30358-P-0038
Previous Balance CPayment Total New Charges Pay This Amount °
$1,196.70 0 $663.03 $605.07 En= $1,138.74
___ +Write the complete account number on your check.Detach remittance and mall with payment in the enclosed envelope.To p online coto www.HinckleySpriny&coin -_ _
How to Read Your Statement Important Monthly Promotions:
Upc°min9 Delivery Dares We Danced Shi Register online for access to your
Delivery Calendar: �° q6. M"°'3 . P.a aWa�.l�m�flw,,e. account.You can view and pay your bill,
IAaEa�e Y2 wWny Sp.q.Wm.h!
Your scheduled deliveries for °' """° ,°""
„��,�._ �, ,a, check delivery schedule and order
the next three months. ")1 °" "�' 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. 11 04
.gym.rola "°neem a am Easy to Pay:
Pay your invoice through the mail,online at
Summary: www.water.com or call us to expedite your
Previous balance and posted remittance with automatic credit card payments
payments since last bill.
=o,sco weFse.)EAKJII
_
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__--Mw+u.+A11IDLt 9E11!IP4ltp..@(a�t��KyY�?iirad n'��nsr.wr SY.^.? �'^"8
Total New Charges:
This information provides totals for ` "' '"""` Mail Remittance With Payment To:
various products and transactions. _;; s Please detach remittance and mail
❑m„�-� ❑=—=9Na S - using business envelope provided.
I�ii�i�inlilini��ii�lii��iii��i �i ��i�ii�� !Nell Fero!+lento WltM1 P°ymenl Te:)
Important WnthlyNless`age - "°, a, ---,rn;r,Ed,il„�iEgi
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
You do not have to pay any amount in question while we are investigating,but on your check gives us permission to debit your checking account electronically
you are still obligated to pay the amount of your bill that is not in question.While for the uncollected amount.Payment by check constitutes your acceptance of
we investigate your questions,we cannot report you as delinquent or take any these terms.
action to collect the amount you question.
—We-appreciate-your-business.---
As
1Ve-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 Services of America,Inc.at P.O.Box 660579,Dallas,TX 75266-0579
.Customer Account#:°172094612553186 Invoice# 12553186 072614:;
Date Detais ty.
lQEa
.: . _ ch : Amount .,
5.0 GALLON BOTTLE DEPOSIT 20.0 6.00 120.00
Total 342.50
Rec'd By:Not Available or Refused
Total New Charges 605.07
W-C
0140726 BC10-111-000000401
Page 2 of 2
VOUCHER # 145245 WARRANT # ALLOWED
131130 IN SUM OF $
HINCKLEY SPRINGS
PO BOX 660579
DALLAS, TX 75266-0579
Carmel Wastewater Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO# INV# ACCT# AMOUNT Audit Trail Code
12553186072 01-7202-05 $605.07
Voucher Total $605.07
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
131130
HINCKLEY SPRINGS Purchase Order No.
PO BOX 660579 Terms
DALLAS, TX 75266-0579 Due Date 8/5/2014
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
8/5/2014 1255318607 $605.07
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