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319498 12/12/17
CAq ,y CITY OF CARMEL, INDIANA VENDOR: 131130 :. '., ® �• ONE CIVIC SQUARE HINCKLEY SPRINGS CHECK AMOUNT: $***'***806.58* ?4 CARMEL, INDIANA 46032 PO BOX 660579 CHECK NUMBER: 319498 vy;TON. DALLAS TX 75266-0579 CHECK DATE: 12/12/17 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER, AMOUNT DESCRIPTION 651 5023990 806.58 12553186611117 VOUCHER NO. 176854 WARRANT NO. ALLOWED 20 Prescribed by State Board of Accounts City Form No.201(Rev 1995) Vendor # 131130 IN SUM OF$ ACCOUNTS PAYABLE VOUCHER HINCKLEY SPRINGS CITY OF CARMEL PO BOX 660579 An invoice or bill to be properly itemized must show: kind of service,where performed, DALLAS, TX 75266-0579 dates service rendered, by whom, rates per day, number of hours, rate per hour, numbers of units, price per unit,etc. Payee 806.58 131130 Purchase Order No. ON ACCOUNT OF APPROPRATION FOR HINCKLEY SPRINGS Terms Carmel Wasterwater Utility PO BOX 660579 Due Date BOARD MEMBERS I hereby certify that that attached invoice DALLAS,TX 75266-0579 (s), PO# ACCT# or bill(s)is(are)true and correct and that DATE INVOICE# Description the materials or services itemized thereon DEPT# INVOICE# Fund# AMOUNT for which charge is made were ordered and DEPT# FUND# (or note attached invoice(s)or bill(s)) AMOUNT 1255318611 01-7202-05 $806.58 and received except 11/28/2017 12553186111117 $806.58 1117 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 Cost distribution ledger classification if claim paid motor vehicle highway fund. 20_ Clerk-Treasurer 1. _ www.HinckleySprings.com Upcoming Delivery Dates Hinckley 8TIMA% Springs We Deliver! November December January Bottled Water• Filtration • Coffee Wednesday,22 Thursday,7 Thursday,4 Say hello to AquaCaf Thursday,21 Thursday, 18 An innovatively different beverage solution. This all-in-one space-saver is ideal for homes and offices. It dispenses bottled water and brews coffee,tea and cocoa. Call 1-800-4-WATERS or visit water.com. Customer Account#: 172094612553186 TARA WASHINGTON Invoice Date: 11-11-17 CITY OF CARMEL UTILITIES Invoice#: 12553186 111117 9609 HAZEL DELL PKWY INDIANAPOLIS , IN 46280 Purchase Order#: Date Transaction# Details Qty. Each Amount Previous Balance 1,902.24 10-25-17 P317292 Payment-Check-317292-Thank You -978.52 Remaining Balance 923.72 10-26-17 T172993043041 HINCKLEY SPRINGS 5G DRINKING WATER 7.0 9.99 69.93 HINCKLEY SPRINGS 5G DISTILLED WATER 18.0 9.99 179.82 CUP PLASTIC FLAT 9 OZ MULTI BRAND 50 CT 20.0 3.89 77.80 5.0 GALLON BOTTLE DEPOSIT 25.0 6.00 150.00 5.0 GALLON BOTTLE RETURN -24.0 6.00 -144.00 ENERGY SURCHARGE 1.0 3.84 3.84 Total 337.39 R1729910140866 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 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 11.25 11.25 WHITE ROOM TEMP AND COLD COOLER RENTAL 1.0 11.49 11.49 Total 64.72 11-09-17 T173133043031 HINCKLEY SPRINGS.5LT SPRING WATER 24 PK 2.0 6.99 13.98 HINCKLEY SPRINGS 5G DRINKING WATER 9.0 9.99 89.91 HINCKLEY SPRINGS 5G DISTILLED WATER 22.0 9.99 219.78 CUP PLASTIC FLAT 9 OZ MULTI BRAND 50 CT 20.0 3.89 77.80 5.0 GALLON BOTTLE DEPOSIT 31.0 6.00 186.00 5.0 GALLON BOTTLE RETURN -31.0 6.00 -186.00 Total 401.47 11-09-17 28472177 PAPER INVOICE FEE 1.0 3.00 3.00 Total 3.00 Be the one in control!Did you know that you can view your delivery schedule,pay your bill and much more online? Sign up at water.com/myaccount and get started today! rC_ 303H P-0038 Previous Balance Payment Total New Charges Pay This Amount $1,902.24 $978.52 $806.58 $1,730.30 ©Write the rmmnlete acrnunt mimber nn vnur check.Detach remittance and mail with oavment in the enclosed envelope.To oav online oo to www.HincklevSvdngs.com © ___