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HomeMy WebLinkAbout247304 07/15/15 CITY OF CARMEL, INDIANA VENDOR: 131130 s t.i ONE CIVIC SQUARE HINCKLEY SPRINGS CHECK AMOUNT: $*******662.15* CARMEL, INDIANA 46032 PO BOX 660579 CHECK NUMBER: 247304 DALLAS TX 75266-0579 CHECK DATE: 07/15/15 iron�° DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 651 5023990 12553186062 628.51 OTHER EXPENSES 506 4239099 267785906201 33.64 OTHER MISCELLANOUS i 1-800-4-WATERS(1-800-492-8377) www.1-11hickleySorings. m Upcoming Delivery Dates Hinckley Springs We Deliver! v July August September Bottled Water• Filtration • Coffee Thursday,9 Thursday, 6 Thursday,3 Sparkletts Sparkling and Sparkletts ice help Thursday,23 Thursday,20 Thursday, 17 keep you refreshed all summer long! Choose from six flavor options like Lemon/Lime and Pink Grapefruit.Just$12 for 12-pk this June!, Ask your Route Sales Rep for details. Customer Account#: 172094612553186 TARA WASHINGTON Invoice Date: 06-27-15 CITY OF CARMEL UTILITIES Invoice#: 12553186 062715 9609 HAZEL DELL PKWY INDIANAPOLIS , IN 46280 Purchase Order#: Date Transaction# Details Qty. Each Amount Previous Balance 1,168.58 06-09-15 P245505 Payment-Check-245505-Thank You -614.46 Remaining Balance 554.12 R1516210140866 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 Total 74.71 06-12-15 T151633043059 HINCKLEY SPRINGS 5G DRINKING WATER 11.0 9.99 109.89 HINCKLEY SPRINGS 5G DISTILLED WATER 2.0 9.99 19.98 5.0 GALLON BOTTLE RETURN -12.0 6.00 -72.00 5.0 GALLON BOTTLE DEPOSIT 2.0 6.00 12.00 5.0 GALLON BOTTLE DEPOSIT 11.0 6.00 66.00 ENERGY SURCHARGE 1.0 2.34 2.34 Total 138.21 Rec'd By:Not Available or Refused 06-25-15 T151763043044 5.0 GALLON BOTTLE RETURN -40.0 6.00 -240.00 HINCKLEY SPRINGS 5G DRINKING WATER 14.0 9.99 139.86 HINCKLEY SPRINGS 5G DISTILLED WATER 27.0 9.99 269.73 5.0 GALLON BOTTLE DEPOSIT 27.0 6.00 162.00 5.0 GALLON BOTTLE DEPOSIT 14.0 6.00 84.00 Total 415.59 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 Payment C7�$628.51 �,�,1�82.63 l New Charges L= Pay This Amount $1,16 $614.46 "Write the complete account number on your check.Detach remittance and mail with payment in the How to Read Your Statement Important Monthly Promotions: J" we D.fi-rl 8 ^� Register online for access to your Iwe3009 lu1y 3009 /wqui[3009 OdxOwa,n'Fm.auon m Delivery Calendar " Maw a Vi=a,„ a �w account.You can view and pay your bill, Your scheduled deliveries for "" " °" ° ;; �u check delivery schedule and order a"m' the next three months. products all online.s< Customer Account Number: "° ate. Bottle Deposits' For prompt service,please use this Highlights bottle deposits and returns. number when referring to your account. as m 01 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. Total New Charges: This information provides totals for Mail Remittance With Payment To: various products and transactions. s^ a:mm Please detach remittance and mail ❑m��m ❑ a 4 § using business envelope provided. II..,IIIILIL,.II.IIA61„IIAInlll„Inll Fwon flomu[ance wnn v.ymem T°:, .nms,m. ,n uunsmssr Important Monthly 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 VOUCHER # 155885 WARRANT # ALLOWED 131130 IN SUNT OF $ HINCKLEY SPRINGS I PO BOX 660579 DALLAS, TX 75266-0579 4 Carmel Wastewater Utility ON ACCOUNT OF APPROPRIATION FOR I I Board members PO# INV# ACCT# AMOUNT I Audit Trail Code i 12553186062 01-7202-05 $628.51 I} I I I Voucher Total $628.51 Cost distribution ledger classification if claim paid under vehicle highway fund I 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 sho\rv, 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 7/8/2015 Invoice Invoice Description Date Number (or note attached invoice(s) or bill(s)) Amount 7/8/2015 1255318606 $628.51 i 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 7 Date Officer 1-800-4-WATERS(14800-492-8377) www.HinckleySprings.com Upcoming Delivery Dates �t ARn Hi PCkgs we Deliver! June f JUIV AU Ust Bottled Water• Filtration • Coffee Thursday, 25 Thursday, 9 Thursday, 6 Sparkletts Sparkling and Sparkletts ice help Thursday, 23 Thursday, 20 keep you refreshed all summer long! Choose 1 from six flavor options like Lemon/Lime and Pink Grapefruit. Just$12 for 12-pk this June! Ask your Route Sales Rep for details. Customer Account#: 17220042677859 . I PAM BAKER Invoice Date: 06-20-15 CARMEL CITY COURT Invoice#: 2677859 062015 1 CIVIC SQ CARMEL,IN 46032 Purchase Order#: Date Transaction# Details Qty. Each Amount Previous Balance 95.04 05-26-15 P245155 Payment-Check-245155-Thank You -51.41 Remaining Balance 43.63 -- __--._R151-461-0140050-_ EVEREST,BLACK_HOTA19D COLD-COOLER WITH CUP 1.0 11.25 1. Total - -- -- ~-11:25- - -- 05-28-15 T151483042055 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 2.41 2.41 Total 12.40 Recd By: Not Available or Refused 06-11-15 T151623042057 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 Total 9.99 Rec'd By:Not Available or Refused Total New Charges 33.64 I 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 C_L$51 yment Total New Charges o Pay This Amount $95.04 .41 t, $33.64 r= $77.27 ® Write the complete account number on your check.Detach remittance and mail with pay merd in the enclosed envelope.To pay online go to www-HinckleySpdngs.com '17 - __ --_ - ------- _ --- ----- --_- --- -------------- 7 How to Read Your Statement Important Monthly Promotions: U,—in, "°°`" We Del—1 s Register online for access to your +=te June 2009 J°IY 1009 N°9us,] Delivery Calendar: °,�.y° Mme° 009 mow.— ,��9�w�.yN°�, .w account.You can view and pay your bill, Your scheduled deliveries for """"°' """ ;; �: d:. check delivery schedule and order the next three months. m ' products all online. Customer Account Number: o� �^� IN Bottle Deposits For prompt service,please use this Highlights bottle deposits and returns. number when referring to your account. '°' '°'° h w "°"'°"` ° 9. 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. Total New Charges: This information provides totals for Mail Remittance With Payment To: various products and transactions. 6-5 n^r Please detach remittance and mail ❑ � ❑ �. Z, using business envelope provided. II.,II,I„,I.ILII,IIII„ILIILI„I„IIII„II- Iu°u nemin°"=°wuM1 P--1:1 Jw"sWM ImportanYMonudy Niessage- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - 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 • Your name and complete account number. program,please write to us on a separate sheet at: � 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 Forth No.201(Rev.199q 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 d�C-��`� l � �lGs Purchase Order No. PC) (o 5 ` 1 Terms R4c�//} Date Due Invoice Invoice Description Amount Date Number (or note attached invoice(s) or bill(s)) D b1S G ra"TA& t aJ)A (24 3 3 - (OqL Total J- 1 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. 114C-0e.4 5��IN6S ALLOWED 20 IN SUM OF $ ro &(Oo �7 $ 53 . (oq ON ACCOUNT OF APPROPRIATION FOR Board Members Po#or INVOICE NO. ACCT#/TITLE AMOUNT DEPT.# I hereby certify that the attached invoice(s), 5� or bill(s) is (are) true and correct and that ©(o q .(4 the materials or services itemized thereon for which charge is made were ordered and received except 20 Sign e Cost distribution ledger classification if Title claim paid motor vehicle highway fund