HomeMy WebLinkAbout242295 02/17/15 r CAA -
"' CITY OF CARMEL, INDIANA VENDOR: 131130
ONE CIVIC SQUARE HINCKLEY SPRINGS CHECK AMOUNT: $********71.89*
CARMEL, INDIANA 46032 PO BOX 660579 CHECK NUMBER: 242295
DALLAS TX 75266-0579 CHECK DATE: 02/17/15
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
506 4239099 42677859 71.89 17220042677859
1-800-4-WATERS(1-800-492-8377) www.HinckleySprings.com
Upcoming Delivery Dates Hinckley- V
Springs We Deliver!
February March April Bottled Water• Filtration • Coffee
Thursday, 5 Thursday, 5 Thursday, 2 New Year= Less Stress. Streamline your life when you sign
Thursday, 19 Thursday, 19 Thursday, 16 up for paperless billing from DS Services. It's just one
Thursday, 30 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: 01-31-15
CARMEL CITY COURT
1 CIVIC SQ Invoice#: 2677859 013115
CARMEL, IN 46032 Purchase Order#:
Date Transaction# Details Qty. Each Amount
Previous Balance 48.05
01-26-15 P241025 Payment-Check-241025-Thank You -48.05
Remaining Balance 0.00
01-02-15 T1 500230 4 205 3 HINCKLEY SPRINGS5GDRINKING WATER 2A 9.99 19.98
5.0 GALLON BOTTLE RETURN -2.0 6.00 -12.00
5.0 GALLON BOTTLE DEPOSIT 2.0 6.00 12.00
Total 19.98
Rec'd By:Not Available or Refused
R1500610140050 EVEREST BLACK HOT AND COLD COOLER WITH CUP 1.0 11.25 11.25
Total 11.25
01-22-15 T150223042048 HINCKLEY SPRINGS 5G DRINKING WATER 3.0 9.99 29.97
CUP PLASTIC FLAT 9 OZ MULTI BRAND 50 CT 2.0 3.89 7.78
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 2.91 2.91
Total 40.66
Rec'd By: Not Available or Refused
Total New Charges 71.89
Ready to streamline your life? View your delivery schedule ana account history,manage your
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payment options,pay your bill and much more with your own online account at water.comlmyaccount.
30356-P-0038
Previous Balance Payment 1t� Total New Charges m Pay This Amount
$48.05 �' $48.05 $71.89 $71.89
0 Write the complete account number on your check.Detach remittance and mail with payment in the enclosed envelope.To pay online go to www.HinckleySpnngs com 0
How to Read Your Statement 14004w•TEa" Important Monthly Promotions:
Upcoming DeLvery Dates yye Deliver! �+ Register online for access to your
Delivery Calendar: '°"°' M°Yam M°m�"3°� account.You can view and pay your bill,
Your scheduled deliveries for °°' �° M ,3( 4° "
s„„„„,P m.,��- 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. �"
Easy to Pay:
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Pay your invoice through the mail,online at
Summary. , „�„w,., www.water.com or call us to expedite your
Previous balance and posted remittance with automatic credit card payments
payments since last bill. �y
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Total New Charges: mm� 4W A==H
This information provides totals for - m".,"»"""" �"°tom Mail Remittance With Payment To:
various products and transactions. Please detach remittance and mail
❑ -� ❑ �„;„a�,=• f using business envelope provided.
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Important Monthly Message 11„_, ,,,!g!,!!,,,�!Ep!K,^w!,,,,!,„,,,11d..1„,!! -
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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 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 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.
Payee
Purchase Order No.
10 O K lrn 05-7 Ql Terms
" -7 6 Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
2 G71�59
a z✓- c ov 1'evv-- 7/
Total -7 I
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.
ALLOWED 20
AJ C- -Si"✓�-! /'� G
IN SUM OF $
�0 U-Y b (0S '7 9
VAc-LA5 Ty
$ -7/. �- I
ON ACCOUNT OF APPROPRIATION FOR
Board Members
PO#or INVOICE NO. ACCT#/TITLE AMOUNT
DEPT.# I hereby certify that the attached invoice(s),
6-6 1 b 77Y or bill(s) is (are) true and correct and that
4A 3 o.93 ' 1 �`� the materials or services itemized thereon
for which charge is made were ordered and
received except
16 1�� 20 c
S'
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund