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HomeMy WebLinkAbout302602 08/31/16 (9, CITY OF CARMEL, INDIANA VENDOR: 13 130 ONE CIVIC SQUARE HI CKLEY SPRINGS CHECK AMOUNT: $*******898.79* CARMEL, INDIANA 46032 PoDX 660579 CHECK NUMBER: 302602 DAL AS TX 75266-0579 CHECK DATE: 08/31/16 DEPARTMENT ACCOUNT PO NUMBER INVOICE NU VIBER AMOUNT DESCRIPTION 651 5023990 12553186 898.79 OTHER EXPENSES VOUCHER # 166021 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 12553186082 01-7202-05 898.79 -- - / - -- -- --_ - - 813of/a C , -e (Y`— Voucher Total 898.79 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 Purchase Order No. PO BOX 660579 Terms DALLAS, TX 75266-0579 Due Date 8/25/2016 Invoice Invoice Description Date Number (or note attached invoice(s) or bill(s)) Amount 8/25/2016 1255318608 898.79 1 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.HinCKleybprings.com Upcoming Delivery Dates Hinckley �TAI�DARD; Springs We Deliver! V September October November Bottled Water• Filtration • Coffee Thursday, 1 Thursday, 13 Thursday, 10 Being ready for an emergency is crucial. Thursday, 15 Thursday,27 When disaster strikes, safe drinking water is a necessity. Thursday,29 So, add bottled water to your emergency preparedness kit. Speak to your RSR or call 1-800-4-WATERS today. Customer Account#: 172094612553186 TARA WASHINGTON Invoice Date: 08-20-16 CITY OF CARMEL UTILITIES Invoice M 12553186 082016 9609 HAZEL DELL PKWY INDIANAPOLIS , IN 46280 Purchase Order#: Date Transaction# Details Qty. Each Amount Previous Balance 1,653.41 08-08-16 P301015 Payment-Check-301015-Thank You -757.95 Remaining Balance 895.46 08-04-16 T162173043064 HINCKLEY SPRINGS 5G DRINKING WATER 15.0 9.99 149.85 HINCKLEY SPRINGS 5G DIST LLED WATER 15.0 9.99 149.85 HINCKLEY SPRINGS.51-T PURIFIED WATER 24 PK 1.0 5.99 5.99 CUP PLASTIC FLAT 9 OZ MU TI BRAND 50 CT 25.0 3.89 97.25 5.0 GALLON BOTTLE RETURN -30.0 6.00 -180.00 5.0 GALLON BOTTLE DEPOSIT 15.0 6.00 90.00 5.0 GALLON BOTTLE DEPOSIT 15.0 6.00 90.00 ENERGY SURCHARGE 1.0 2.10 2.10 Total 405.04 Rec'd By:Not Available or Refused R1621710140866 WHITE ROOM TEMP AND CO D COOLER RENTAL 1.0 9.99 9.99 WHITE ROOM TEMP AND CO D COOLER RENTAL 1.0 9.50 9.50 WHITE ROOM TEMP AND CO D COOLER RENTAL 1.0 11.49 11:49 WHITE ROOM TEMP AND CO D COOLER RENTAL 1.0 9.50 9.50 WHITE ROOM TEMP AND CO D COOLER RENTAL 1.0 11.49 11.49 WHITE ROOM TEMP AND CO D COOLER RENTAL 1.0 11.25 11.25 WHITE ROOM TEMP AND CO D COOLER RENTAL 1.0 11.49 11.49 Total 74.71 08-18-16 T162313043047 HINCKLEY SPRINGS 5G DRI KING WATER 17.0 9.99 169.83 HINCKLEY SPRINGS 5G DIS ILLED WATER 13.0 9.99 129.87 HINCKLEY SPRINGS.51-T PURIFIED WATER 24 PK 2.0 5.99 11.98 CUP PLASTIC FLAT 9 OZ MULTI BRAND 50 CT 24.0 3.89 93.36 Ready to streamline your ine-t 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 Total New Charges Pay This Amount $1,653.41 $757.95 eu� $898.79 0 $1,794.25 © n e ie comp e e accoun number on your chec . e c remi nce an mil with payment in ie enc ose enve ope. o pay online go to www. enc c e pnngs.com How to Read Your Statement ,— a--Z:_—��Important Monthly Promotions: Upcoming Delivery Dates , W.DeWe,l � Register online for access to your nee2M ,uly2M .�.M Delivery Calendar: Y •F�m a account.You can view and pay your bill, . e. _ Yip check delivery schedule and order Your scheduled deliveries for ^�^ the next three months. a, ,; products all online. Customer Account Number: v. ...a Bottle Deposits For prompt service,please use this Highlights bottle deposits and returns. number when referring to your account. ,m . ; �,� �. m e.2 Easy to Pay: "`=. Pay your invoice through the mail,online at Summary =22T , www.water.com or call us to expedite your Previous balance and posted remittance with automatic credit card payments payments since last bill. Total New Charges: This information provides totals for .�`.�""�""` :;� Mail Remittance With Payment To: various products and transactions. '% . Please detach remittance and mail ❑m;„a- . o ;�-,B® .$; _,_rhl�_� using business envelope provided. !Yell Yeml,bnca WIM P......To:l - 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 a the amount of our bill that is not in question.While for the uncollected amount.Payment by check constitutes your acceptance of Y 9 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 Customer Account#: 172094612553186 Invoice#: 12553186 082016 Date Details Qty. Each Amount 5.0 GALLON BOTTLE DEPOSI 17.0 6.00 102.00 5.0 GALLON BOTTLE RETUR -28.0 6.00 -168.00 5.0 GALLON BOTTLE DEPOSI 13.0 6.00 78.00 Total 417.04 Rec'd By:Not Available or Refused 08-18-16 21491122 PAPER INVOICE FEE 1.0 2.00 2.00 Total 2.00 Total New Charges 898.79 z M11 60820BM10-119-000000614 Page 2 of 2