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HomeMy WebLinkAbout241025 01/13/15 CITY OF CARMEL, INDIANA VENDOR: 131130 r d ONE CIVIC SQUARE HINCKLEY SPRINGS CHECK AMOUNT: $**"****690.02* CARMEL, INDIANA 46032 PO BOX 660579 CHECK NUMBER: 241025 v DALLAS TX 75266-0579 CHECK DATE: 01/13/15 MUTON�Q. DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 651 5023990 125531861213 641.97 OTHER EXPENSES 1301 4239099 267785901031 48.05 OTHER MISCELLANOUS 1-800-4-WATERS Upcoming Delivery Dates Hinckley 8TAMA%Springs We Deliver! December January February Bottled Water• Filtration • Coffee Friday, 19 -Thursday, 8 Thursday, 5 The weather outside is frightful, but the flavor 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 o tions-all designed to make your day a little warmer. Customer Account#: 172094612553186 TARA WASHINGTON Invoice Date: 12-13-14 CITY OF CARMEL UTILITIES 9609 HAZEL DELL PKWY Invoice#: 12553186 121314 INDIANAPOLIS IN 46280 Purchase Order#: Date Transaction# Details Qty. Each Amount Previous Balance 995.47 11-21-14 P238837 Payment-Check-238837-Thank You -594.70 Remaining Balance 400.77 11-21-14 T143253043037 HINCKLEY SPRINGS 5G DRINKING WATER 6.0 9.99 59.94 HINCKLEY SPRINGS 5G DISTILLED WATER 6.0 8.99 53.94 5.0 GALLON BOTTLE DEPOSIT 6.0 6.00 36.00 5.0 GALLON BOTTLE RETURN -4.0 6.00 -24.00 5.0 GALLON BOTTLE DEPOSIT 6.0 6.00 36.00 ENERGY SURCHARGE 1.0 3.01 3.01 Total 164.89 Rec'd By: Not Available or Refused R1433110140866 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 WHITE ROOM TEMP AND COLD COOLER RENTAL 1.0 11.25 11.25 WHITE ROOM TEMP AND COLD COOLER RENTAL 1.0 9.99 9.99 WHITE ROOM TEMP AND COLD COOLER RENTAL 1.0 9.50 9.50 Tota 1 74.71 12-09-14 T143433043040 HINCKLEY SPRINGS 5G DRINKING WATER 3.0 9.99 29.97 5.0 GALLON BOTTLE DEPOSIT 3.0 6.00 18.00 5.0 GALLON BOTTLE RETURN -3.0 6.00 -18.00 Tota l 29.97 Rec'd By: Not Available or Refused 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. 30356-P-0038 Previous Balance Payment Total New Charges © Pay This Amount $995.47 0 $594.70 $641.97 0 $1042.74 OWdte the-complete.account.number onyouur check..Detach.remittance.and.mail.with.payment.in-the enclosed envelope�To pay_online go to-www:HinckleySprings:com-� How to Read Your Statement Important Monthly Promotions: W.Dell"e,I �� Register online for access to your M; M; "� ; account.You can view and pay your bill, Delivery Calendar: °'°�MFsPom�° check delivery schedule and order Your scheduled deliveries for products all online. the next three months. P SMITH Customer Account Number: Bottle Deposits For prompt service,please use this Highlights bottle deposits and returns. number when referring to your account. "°° ' . ,–°,° ,ow, ° 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. FORM�_,—rte l 1°w�� nud,.a.,nniuw m,.°m Cry;2/IvPK>w�:..In NPpIF'®d uaM,rv,w....Mr S,.q,,,ws°.b.,p, Total New Charges: This information provides totals for .– Mail Remittance With Payment To: various products and transactions. Please detach remittance and mail ❑ ;a b ❑_ r w a�- $ using business envelope provided. II,,,IIIIIIIIIIIIIIIIIIIII,III 4Ma11 R-111--WIII 1-— °°m,swim Important Monthly Message ^"•'""Ene,"s,°rs°°" IIIJ�IEJol�llEpl„q lIdIILJJLIIt1 - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - 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 Customer Account#: 172094612553186 Invoice#: 12553186 121314 Date Details Qty. Each Amount 12-11-14 T143453043061 HINCKLEY SPRINGS 5G DRINKING WATER 9.0 9.99 89.91 CUP PLASTIC FLAT 9 OZ MULTI BRAND 50 CT 11.0 3.89 42.79 HINCKLEY SPRINGS 5G DISTILLED WATER 30.0 8.99 269.70 5.0 GALLON BOTTLE RETURN -44.0 6.00 -264.00 5.0 GALLON BOTTLE DEPOSIT 9.0 6.00 54.00 5.0 GALLON BOTTLE DEPOSIT 30.0 6.00 180.00 Tota 1 372.40 Rec'd By: Not Available or Refused Total New Charges 641.97 z C1141213 BC10-137-000000393 Page 2 of 2 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 12/30/2014 Invoice Invoice Description Date Number (or note attached invoice(s) or bill(s)) Amount 12/30/201, 1255318612' $641.97 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 VOUCHER # 146339 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 12553186121 01-7202-05 $641.97 t Voucher Total $641.97 Cost distribution ledger classification if claim paid under vehicle highway fund 1-800-4-WATERS 1-800-492-8377 www.Hinckle S rinsV .com Upcoming Delivery Dates Hinckley_ �'fAHpARD_ Springs We Deliver! January February March Bottled Water• Filtration • Coffee Thursday, 8 Thursday, 5 Thursday, 5 New Year= Less Stress. Streamline your life when you sign Thursday, 22 Thursday, 19 Thursday, 19 up for paperless billing from DS Services. It's just one more way to manage your monthly bills with total online account management and payments you can initiate from home or the office! Visit our website for more info. Customer Account#: 17220042677859 PAM BAKER Invoice Date: 01-03-15 CARMEL CITY COURT Invoice#: 2677859 010315 1 CIVIC SQ CARMEL, IN 46032 Purchase Order#: Date Transaction# Details Qty. Each Amount Previous Balance 72.40 12-15-14 P239275 Payment-Check-239275-Thank You -48.15 12-24-14 P240312 Payment-Check-240312-Thank You -24.25 Remaining Balance 0.00 R1434310140050 EVEREST BLACK HOT AND COLD COOLER WITH CUP 1.0 11.25 11.25 Total 11.25 12-10-14 T143443042006 HINCKLEY SPRINGS 5G DRINKING WATER 3.0 9.99 29.97 CUP PLASTIC FLAT 9 OZ MULTI BRAND 50 CT 1.0 3.89 3.89 5.0 GALLON BOTTLE DEPOSIT 3.0 6.00 18.00 5.0 GALLON BOTTLE RETURN -3.0 6.00 -18.00 ENERGY SURCHARGE 1.0 2.94 2.94 Total 36.80 Rec'd By: Not Available or Refused Total New Charges 48.05 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 onlin oun water.com/myaccount. 30356-P-0038 Previous BalanceC Payment otal Fe.velope ges _ Pay This Amount $72.40 $72.40 Write the compete account number on your check.Detach remittance and mail with payme tin the encl . y online go to www HinckleySprings com How to Read Your Statement °<wa=Eas Important Monthly Promotions: °�°m^9°e'°efY°a'P5r wane yen ^ Register online for access to your Delivery Calendar: M�z�9 A°M°' ... we "w.,,, account.You can view and pay your bill, Your scheduled deliveries for '"° ' check delivery schedule and order "° "" ' -� �e the next three months. ' products all online. 020 1023877 Customer Account Number: Bottle Deposits For prompt service,please use this Highlights bottle deposits and returns. number when referring to your account. °" u` ° , Z, Easy to Pay: Pay your invoice through the mail,online at Summary. T= www.water.com or call us to expedite your Previous balance and posted remittance with automatic credit card payments payments since last bill. ne�,v„nnrcw,eonavr cow,op^ii,.,,qv 01WN,,..f/,,,v,,..v.e "Sve.,tr Total New Charges: °°°.° P. ,= p;;� This information provides totals for o:°"" Mail Remittance With Payment To: various products and transactions. = s °; E;„a° Please detach remittance and mail ❑gab ❑; w a4 $ using business envelope provided. IIILIILIIII,��„JJJIILL,II,1I,�� w f M.0 a°mu„".wnn Favmenrt°I Imnrortan±Monthly MessFvje - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - 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. o The dollar amount of the suspected error. a 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 Services of America,Inc.at P.O.Box 660579, Dallas,TX 75266-0579 Prescribed by State Board of Accounts ACCOUNTS PAYABLE VOUCHER CityForm 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. Paye W � CI{ I-e //� f Purchase Order No. 0 _S Terms I LL:i / 1 S / / �a �' Date Due Invoice Invoice Description Amount Dae Number (or note attached invoice(s) or bill(s)) Total 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 VOUCHER NO. WARRANT NO. f ALLOWED 20 icl e � 5Aj/� / � � IN SUM OF $ -7 �� � 1�- ON ACCOUNT OF APPROPRIATION FOR off wd 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 the materials or services itemized thereon for which charge is made were ordered and received except 20 g t Tit e Cost distribution ledger classification if claim paid motor vehicle highway fund