HomeMy WebLinkAbout240312 12/16/14 0r.4�q
CITY OF CARMEL, INDIANA VENDOR: 131130
I ® al ONE CIVIC SQUARE HINCKLEY SPRINGS CHECK AMOUNT: $********24.25*
r. aq: CARMEL, INDIANA 46032 PO BOX 660579 CHECK NUMBER: 240312
9�(tON`�� DALLAS TX 75266-0579 CHECK DATE: 12/16/14
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1301 4239099 42677859 24.25 17220042677859
1-800-4-WATERS(1-800-492-8377) www.HinckleySprings.com
Upcoming Delivery Dates Hmkiey. 8MMAPt
Springs We Deliver!
December January February Bottled Water• Filtration •Coffee
Thursday, 11 Thursday, 8 Thursday, 5 The weather outside is frightful, but the flavor
Wednesday, 24 Thursday, 22 Thursday, 19 indoors is delightful with cozy hot-brewed beverage
indulgences from Standard Coffee. Choose from our
tasty hot cocoa mixes and brewed coffee and tea
options.-all designed to make your day a little warmer.
Customer Account#: 17220042677859
PAM BAKER Invoice Date: 12-06-14
CARMEL CITY COURT Invoice M 2677859 120614
1 CIVIC SQ
CARMEL, IN 46032 Purchase Order#:
Date Transaction# Details Qty. Each Amount
Previous Balance 92.45
11-12-14 P238398 Payment-Check-238398-Thank You -44.30
Remaining Balance 48.15
__R14315101.40050_ EVEREST_BLACK.HOT AND COLD_COOLER WITH-CUP _ 1-0 ___,__11.25_—_,_-_11.25 -- —
Total 11.25
11-13-14 T143173042029 HINCKLEY SPRINGS 5G DRINKING WATER 1.0 9.99 9.99
5.0 GALLON BOTTLE DEPOSIT 1.0 6.00 6.00
5.0 GALLON BOTTLE RETURN -1.0 6.00 -6.00
ENERGY SURCHARGE 1.0 3.01 3.01
Total 13.00
Recd By:Not Available or Refused
Total New Charges 24.25
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-
30356-P-0038
Previous Balance CPayment Total New Charges Pay.This Amount
$92.45 S44.3• $24.25572.40
0 Write the complete account number on your check.Detach remittance and mail with paymerit in the enclosed envelope.To pay online go to www.HinckleySLnngs.com
_— «__
How to Read Your Statement 1400d-WATERS „t .w=",.gym Important Monthly Promotions:
0ppom1nq 0e1riry D— We Deliverl 8 "`l°i Register online for access to your
Delivery Calendar' MK,ya Jul,— M°�°�3°°° � "w account.You can view and pay your bill,
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M°�;yzz ,a�=° R.�.y,y mom„„s �.°v check delivery schedule and order
Your scheduled deliveries for M^,a,y„ . .x.�,,.,_.,°,,,,
the next three months. .o^^^m products all online.
Customer Account Number: °� ^ "a Bottle Deposits:
For prompt service,please use this =°„ Highlights bottle deposits and returns.
number when referring to your account.
RR"R.,a„ °a a. Easy to Pay:
Pay your invoice through the mail,online at
Summary: -°u., www.water.com or call us to expedite your
Previous balance and posted remittance with automatic credit card payments
payments since last bill.
�: yjRq' DISCOVER
.,m,�AnwOt®,naTrCry„(a(r¢�.. fey Y,�ncd yagjy,�RE.."Rr Snm spw,msw�
Total New Charges. "
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This information provides totals for " m Mail Remittance With Payment To:
various products and transactions. °u� ^m Please detach remittance and mail
❑ � ❑ ;®® $ using business envelope provided.
IIIIILIILIIAI, LIIIILIIIIldl ,-1R—U...°wltn R°y—N Tu:,
Important Monthly Message ""`^1eiE0513"81® IIIIIIaL16�ILdullwlLIILIILILll
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
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 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 ACCOUNTS PAYABLE VOUCHER City Form 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.
Pa ee Q
Purchase Order No.
Terms
L x 17 Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
e r S
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
20Clerk-Treasurer
VOUCHER NO. WARRANT NO.
ALLOWED 20
sip-/P4 G S IN SUM OF $
Flo 5
I
ON ACCOUNT OF APPROPRIATION FOR
r `
Board Members
Po#or INVOICE NO. ACCT#!TITLE AMOUNT
DEPT.# I hereby certify that the attached invoice(s), or
(f,778� '1 g.a,5gD -57bill(s) is (are) true and correct and that the
D(o l materials or services itemized thereon for
which charge is made were ordered and
received except
20
Si e�
Cost distribution ledger classification if e
claim paid motor vehicle highway fund