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HomeMy WebLinkAbout243229 3 /18/2015 CITY OF CARMEL, INDIANA VENDOR: 131130 ONE CIVIC SQUARE HINCKLEY SPRINGS CHECK AMOUNT: $*******616.46* f� a CARMEL, INDIANA 46032 PO BOX 660579 CHECK NUMBER: 243229 9MfFoN � DALLAS TX 75266-0579 CHECK DATE: 03/18/15 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 506 4239099 43.99 17220042677859 651 5023990 572.47 172094612553186 1- m Upcoming Delivery Dates Hinckley 8TAMA% Springs We Deliver! March April �( Bottled Water• Filtration • Coffee Thursday, 19 Thursday,2 Thursday, 14 Get a jump on spring with some cool and delicious beverage Thursday, 16 Thursday,28 options available for home&office.Add Crystal Light, Thursday, 30 Arizona Tea&Arnold Palmer powdered drink mixes to your next delivery&get a FREE .5 liter 24-pk of bottled water. A great way to welcome inspring! Ex ires March 27 2015. Customer Account#: 172094612553186 TARA WASHINGTON Invoice Date: 03-07-15 CITY OF CARMEL UTILITIES Invoice M 12553186 030715 9609 HAZEL DELL PKWY INDIANAPOLIS IN 46280 Purchase Order#: Date Transaction# Details Qty. Each Amount Previous Balance 1,034.64 02-10-15 P241516 Payment-Check-241516-Thank You -523.59 Remaining Balance 511.05 02-19-15 T150503043050 HINCKLEY SPRINGS 5G DRINKING WATER 18.0 9.99 179.82 HINCKLEY SPRINGS 5G DISTILLED WATER 10.0 8.99 89.90 CUP PLASTIC FLAT 9 OZ MULTI BRAND 50 CT 5.0 3.89 19.45 5.0 GALLON BOTTLE RETURN -22.0 6.00 -132.00 5.0 GALLON BOTTLE DEPOSIT 18.0 6.00 108.00 5.0 GALLON BOTTLE DEPOSIT 10.0 6.00 60.00 ENERGY SURCHARGE 1.0 2.77 2.77 Total 327.94 Rec'd By:Not Available or Refused R1505010140866 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 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 03-05-15 T150643043050 HINCKLEY SPRINGS 5G DRINKING WATER 8.0 9.99 79.92 HINCKLEY SPRINGS 5G DISTILLED WATER 10.0 8.99 89.90 5.0 GALLON BOTTLE DEPOSIT 8.0 6.00 48.00 5.0 GALLON BOTTLE DEPOSIT 10.0 6.00 60.00 5.0 GALLON BOTTLE RETURN -18.0 6.00 -108.00 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.comlmyaccount. 30358-P-0038 Previous Balance PaymentC Tot�ChargesC7y�This Amount$1,034.64C $523.59 1,083.52 . Write-the complete accountnumber.on.yourcheck_Detach.remittance.and.mail.withpayment.inahe^enclosed envelope.To.pay.online.go.to, wuvw.Hinc kleySprings.com© a , How to Read Your Statement Important Monthly Promotions: °`ry °"• we oefi—I g��, Register online for access to your M"^`;�°' M"';'�' ;�° "°°' account.You can view and a our bill, Delivery Calendar: �. ,�, °�°s �"° °reR; pay Y Your scheduled deliveries for ""° " M"°°°r'° °""' s a�P mom- " check delivery schedule and order "°'"'I °" "°'� ' roducts all online. the next three months. P Customer Account Number: " Bottle Deposits For prompt service,please use this Highlights bottle deposits and returns. number when referring to your account. "" °° '°'° O� ° °° e.. Easy to Pay: Pay your in, 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. DISCOVER ED�iE55 ,Total New Charges: anl�zeungYrrryz@{ M� rXem,mdz This informationrovides totals for °ems o�°r^^° °°° P Mail Remittance With Payment To: various products and transactions. Please detach remittance and mail ❑���-m, a ❑ X2a using business envelope provided. II„LIIALII,ILIInI,I,I,,II,LI,,,ll,l„I,,,II 1M111 R—Itt^e°vn,n v°ymem To:, — -Important-Month!y-Message - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - 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 i, VOUCHER # 155125 WARRANT # ALLOWED 131130 ' IN SUM OF $ HINCKLEY SPRINGS PO BOX 660579 DALLAS, TX 75266-0579 i Carmel Wastewater Utility !I ON ACCOUNT OF APPROPRIATION FOR Board members PO# INV# ACCT# AMOUNT Audit Trail Code I 12553186030 01-7202-05 $572.47 1 i I Voucher Total $572.47 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 I Purchase Order No. PO BOX 660579 ' Terms DALLAS, TX 75266-0579 , Due Date 3/12/2015 Invoice Invoice Description Date Number (or note attached invoices) or bill(s)) Amount 3/12/2015 1255318603( $572.47 t i i I t i i r 1 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 1-800-4-WATERS (1-800-492-8377) www.HinckloySprings.com Upcoming Delivery Dates Hmkiey. 8MMA% Springs We Deliver! March A02 MaySprings Water• Filtration • Coffee Thursday, 5 Thursday, 2 Thursday, 14 It's"Fe-brew-ary"and we're celebrating custom brews! Thursday, 19 Thursday, 16 Thursday, 28 In addition to our great coffee options you already enjoy at Thursday, 30 home or the office, you can customize your brew with single serve coffees featuring traditional &gourmet options. Ask your RSR for details. Customer Account#: 17220042677859 PAM BAKER Invoice Date: 02-28-15 CARMEL CITY COURT Invoice#: 2677859 022815 1 CIVIC SQ CARMEL, IN 46032 Purchase Order#: Date Transaction# Details Qty. Each Amount Previous Balance 71.89 Payment 0.00 Remaining Balance 71.89 _R1503410140050 EVEREST BLACK HOT-AND COLD COOLER WITH CUP 1.0 11.25 11.25 _ Total 11.25 02-05-15 T150363042050 HINCKLEY SPRINGS 5G DRINKING WATER 2.0 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 ENERGY SURCHARGE 1.0 2.77 2.77 Total 22.75 Rec'd By:Not Available or Refused 02-19-15 T150503042054 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 Total 9.99 Rec'd By:Not Available or Refused Total New Charges 43.99 ,,Oa� lReady to str� Ihhe youO life? View your delivery schedule a d account history,manage your payment optio s,pay your bill and much more with your own unt at water.comlmyaccount. 30356-P-0038 Previous Balance Payment al New Charges CP�h! A.mou3nt$71.89 $0.00 $43.99 ® Write the complete accou number on your check.Detach remittance and mail with payme(init!heenclosed envelope.T ay online go to www.HinckleySprings.com p i How to Read Your Statement I.—W.— —10——.— Important Monthly Promotions: '� We Delivers Register online for access to your Delivery Calendar: ­yS'°°e3009 - °6 M°«°"'°° ' "W „F, ^gym account.You can view and pay your bill, „1f ���: Your scheduled deliveries for f",K ;,1�,, 1 check delivery schedule an order the next three months. products all online. „� Customer Account Number: _ Bottle Deposits: ° De osits: For prompt service,Please use this Highlights bottle d e osits and returns. number when referring to your account. ,a° M 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. V6q' RISCOVER �,� Y ff00.00 310000 '{' f,OON " 3,00°] mue.wrta.mnsr-ai_nmi.srt.eWr._n��.-aae+na.,ewrwnw.��.�- Total New Charges: This information provides totals for �a"'""` ° 3,�° Mail Remittance With Payment To: various products and transactions. Please detach remittance and mail ❑ ❑=„„.„471C $ using business envelope provided. II,I,ISI,LIIIII,ILAIAIIAI,,IIILII 1x.11 R—tten-with P-— Important Monthly Message _- --- ""^`^' ."_'"'°', 11..11.111.1.1.1. J II -.- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - 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 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 n Hai Cka' 510/x_//�_[GS Purchase Order No. J 8 (,o 5-q Terms LL��I �( 'T a Date Due Invoice Invoice Description Amount Dae Number (or note attached invoice(s) or bill(s)) - coy e_r - -oasYK Total L 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 IN SUM OF $ o os"7 700-d $ q3 , ON ACCOUNT OF APPROPRIATION FOR n � I o Board Members Po#or INVOICE NO. ACCT#/TITLE AMOUNT DEPT.# I hereby certify that the attached invoice(s), -7 or bill(s) is (are) true and correct and that S )c, the materials or services itemized thereon for which charge is made were ordered and received except 'i 2 20() S a ure itle Cost distribution ledger classification if claim paid motor vehicle highway fund