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323850 04/06/16
(9, CITY OF CARMEL, INDIANA VENDOR: 369794 ONE CIVIC SQUARE READY REFRESH BY NESTLE CHECK AMOUNT: $****'***56.29*CARMEL, INDIANA 46032 PO BOX 856680 CHECK NUMBER: 323850 LOUISVILLE KY 40285-6680 CHECK DATE: 04/06/16 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 506 4239099 56.29 OBC0125805523 s VOUCHER NO. WARRANT NO. Prescribed by State Board of Accounts City Form No.201(Rev.1995) ALLOWED 20 ACCOUNTS PAYABLE VOUCHER Vendor# 369794 IN SUM OF$ - - CITY OF CARMEL READY REFRESH BY NESTLE PO BOX 856680 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. LOUISVILLE, KY 40285-6680 Payee $56.29 Purchase Order# ON ACCOUNT OF APPROPRIATION FOR Carmel City Court Terms Date Due PO# ACCT# DATE INVOICE# DESCRIPTION DEPT# INVOICE# Fund# AMOUNT Board Members DEPT# FUND# (or note attached invoice(s)or bill(s)) AMOUNT 08CO125805523 42-390.99 $56.29 1 hereby certify that the attached invoice(s),or 3/26/18 08CO125805523 Water and Cooler Rental $56.29 1301 506 1301 506 bill(s)is(are)true and correct a e materials or services:itemi d thereon forwhich charge is madwer rdered a received except t Monday,April 02,2018 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 20 Cost distribution ledger classification if claim paid motor vehicle highway fund. Clerk-Treasurer gepdy Totral ►mount dues Rehresh JUST CLICK BY i PREVIOUS BALANCE .. $35.92 AND QUENCH PAYMENT/.ADJUSTMENT $0.00 Account Number: 0125805523 CURRENT ACTIVITY $20.371 Invoice Number: 08CO125805523 PAY THIS AMOUNT $56.29 i Deliveries From: 02/25/18-03124/18 Billing Date: 03/26/18 Delivery Address: CITY OF CARMEL -------------•___ __ ___ ___m._�.____________._�.�_.__._ _ �. _� 1 CIVIC SQ CITY COURT Did you forget about us? Kindly pay upon receipt. CARMEL IN 46032 Remember,,past'due accounts are subject to ya»late Upcoming Deliveries* fee. Your prompt payment is appreciated. For your convenience, you can, pay your bill online.. If THLI- APR 12 Access your delivery calendar at pay.:ment'hlas been made, we thank.you FRI- MAY 11 ReadyRefresh.com Date Ticket# Qty Description PREVIOUS BALANCE 35.92 3113 1100714680, 4 ICE MOUNTAIN BRAND DRINKING WATER 5 GALLON BOTTLE � 15.96 PLASTICCOLD CUPS 9 OZ SLEEVE OF 50 6.58 BOTTLE DEPOSIT:-4 CHARGED,,6 CREDITED �'� � � � -12.0 d 3/24 1104567753 1 DELIVERY FEE 3.95 04061619..,= v.°. RENT,,. 4.99, SALES TAX .8J RE UQ � : . I oq� .` - - MAR 3rd t Toil „r $5s.29 (dews for You Satisfy your thirst for the extraordinary with the NEW Perrier Peach. 0 Calories, 0 Sweeteners, 7 Exhilarating Flavors. And, for a limited time, save $2 on all Perrier Slim Cans! To add to your - - - - - - order, visit Ready Refresh-.com.0. -- - - _ - Detach below stub and return with your payment Pa e 1 of 1 ----------------------------------------------- -------------------------------------------------- 9 Qty 1.800-274.5282 ACCOUNT NUMBER-0125805523 INVOICE NUMBER-08CO125805523 refresh. #215 6661 DIXIE HWY,SUITE 4 TdtalATm u 0 ©'ue LOUISVILLE KY 4025a by 04115/1$ 56 JUST-L ANDT 11 _ ��& Amount Enclosed: $ ADDRESS SERVICE REQUESTED 407201258055238 0002037 00056294 5 ReadyRefresh by Nestle CITY OF CARMEL CITY COURT a Division of Nestle Waters North America Inc. DIANE APPELGET P.O. Box 856680 1 CIVIC SQ Louisville, KY 40285-6680 CARMEL IN 46032-2584 IIII'I�Ilrl��lrrl�l'II'�I���I���Illlr��lr�lll�l���l�l'�I'�II'lll� IL��r���lll�r�l����lll�l�l�ll���lrl�l�l�l���ll��llrl�l�ll'����II 720407-040-0—--1-T-E-C –0375 ❑SIGN UP FOR FREE AUTOPAY!Sign Up Required On Reverse Side Or visit ReadyRefresh.com