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Home My WebLink About331777 10/30/18 4� c,p3�f CITY OF CARMEL, INDIANA VENDOR: 131130 I, ONE CIVIC SQUARE HINCKLEY SPRINGS CHECK AMOUNT: S****...395.48* CARMEL, INDIANA 46032 PO BOX 660579 CHECK NUMBER: 331777 M�TpN DALLAS TX 75266-0579 CHECK DATE: 10/36/18 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 651 5023990 125531861013 395.48 OTHER EXPENSES VOUCHER NO. 186733 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 395.48 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), or bill(s)is(are)true and correct and that PO# ACCT# the materials or services itemized thereon DATE INVOICE# Description DEPT# INVOICE# Fund# AMOUNT for which charge is made were ordered and DEPT# FUND# (or note attached invoice(s)or bill(s)) AMOUNT 1255318610 01-7202-05 $395.48 and received except 10/24/2018 12553186101318 $395.48 1318 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 1-800-4-WATERS(1-800-492-8377) www.HinckleySprings.com Upcoming Delivery Dates Hinckley. V1/e Deliver! srA.Qfl u- __ ..___ Springs oa .- October 2018' November'2018 December 2618 Bottled Water`Filtration'Coffee I ;- Thursday 25 ;_ Thursday,8 _Thursday 6 Thursday 20 Constantly on the go?Add our 24 packs of your favorite bottled water to your delivery and stay hydrated all fall. Customer Account#:;;172094612553186' CITY OF CARMEL UTILITIES Invoice Date: 10-13-18 9609 HAZEL DELL PKWY Invoice#: 12553186101318 INDIANAPOLIS,IN 46280 Purchase Order#: Date `Transaction# Details, qty* Eachr'-Io, Amount Previous Balance 903.76 09-24-18 Payment-Check-329475-Thank You -357.54 09-24-18 Payment-Check-329475-Thank You -460.80 Remaining Balance 85.42 09-24-18 T182673043024 HINCKLEY SPRINGS.5LT SPRING WATER 24 PK 8 6.99 55.92 HINCKLEY SPRINGS 5G DRINKING WATER 7 10.49 73.43 CUP PLASTIC FLAT 7 OZ CLEAR 50 CT . 5.0 GALLON BO -22 6.00 -132.0 5.0 GALLON BO f d Dv ter— 42.0 ENERGY SURC R ��+" ff �j 1 5.14 5.1 Sales Tax 1� t� !-l o ® • 0.0 Total Date: .. 122.2 Recd by: VCt Use: _-__ LGA Did you know that in addition to the top left comer of this bill,you can also find your delivery schedule at watercom/myaccount?Online you can also easily skip or add a delivery as needed. Previous Balance Payment " Total New Charges Pay This Amount - 30356-P-0034 $90376 $395 48` ® $480,.90 bId® C lock® ® Peo FIIIid(1Cy® ��(pi, �� - Moue/l�,„t lug +u[r ms oiaimmetts® TANDAnW11__ _ cry � DwATea t Spmigs K�IIIWUl1�® u'Y"�_ n"Yu"" S RL verrn�re® Customer Account M 172094612553186 Due By: Upon Receipt Hinckley..,& 6750 Discovery Blvd. Late Fees May Apply After: 11-05-18 Springs Mableton,GA 30126 Total Amount Due: $480.90 ® Check here and see reverse for ® Check here and see e i ! address and phone corrections. reverse if paying by ; a g credit card. .covEn , !1 ._.—!t 1 c j Mail Remittance With Payment To:3 Irlrrlrllrrrrlrllrrlrllrr�llr��l Il�rrlrlrlrrrlrlrllrrrllrrllrrr�irl�lrr�llrlrr�rllrl CITY OF CARMEL UTILITIES HINCKLEY SPRINGS TARA WASHINGTON PO BOX 660579 9609 HAZEL DELL PKWY DALLAS,TX 75266-0579 INDIANAPOLIS,IN 46280 021310 091404 01720946125531861 0048090 1 0039548 6 8 Customer Account# 172094612553186 Invoice MA 2 86 1`01318 Date Details ." Qty. ' Each `Amount R1827010140866 WHITE ROOM TEMP AND COLD COOLER RENTAL 1 11.49 11.49 WHITE ROOM TEMP AND COLD COOLER RENTAL 1 9.50 9.50 WHITE ROOM TEMP AND COLD COOLER RENTAL 1 9.50 9.50 WHITE ROOM TEMP AND COLD COOLER RENTAL 1 9.50 9.50 Sales Tax 0.00 Total 39.99 10-11-18 T182843043034 HINCKLEY SPRINGS.5LT SPRING WATER 24 PK 8 6.99 55.92 HINCKLEY SPRINGS 5G DRINKING WATER 8 10.49 83.92 CUP PLASTIC FLAT 7 OZ CLEAR 50 CT 24 3.89 93.36 5.0 GALLON BOTTLE DEPOSIT 8 6.00 48.00 5.0 GALLON BOTTLE RETURN -8 6.00 -48.00 Sales Tax 0.00 Total 233.20 Total New Charges 395.48 i 1 I Page 2of3 How to Read Your Statement • a^• -A Important Monthly Promotions: Register online for access to your Nom.nY— Dative Calendar. C,�„ •�,,,,�, ,4 „®,•,,,p,e,,,;;,,,,,,,„ account.You can view and pay your bill, Your scheduled deliveries for x ` check delivery schedule and order the next three months. tz= products all online. Customer Account Number: "-- _ b Bottle Deposits: For prompt service,please use this p, !„ m. an Highlights bottle deposits and returns_ number when referring to your account. ,7�' r" .•. IS tit It, Easyto Pay. Pay your Invoice through the mail,online at Summery: �� 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. r+tg•-u;d„` Please detach remittance and it o oE'^:� fry-;;'y �r r?= using business envelope provided. Li8.W4L,1JJ.i1.61W61 ,uw........o,,..r•.+.., Important Monthly Message - 16t JUYJ�LL+s J A.1JU.• . . . . . . . . . . . . . . . . . . . . . . . . • - . - . . . . . . . . . . . . . . . . - . - - . . . . - • . . - Billing Rights Summary Electronic Funds Transfer Notice In case of Errors or Questions About Your Bill: If you pay by check,it viill 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 bkll,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 vie sent you the first bill on which the error or problem information thoroln to create an EFT for the amount Indicated on the check.It 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 cheek conversion • Your name and complete account number. p o Box Elease a 9 Dallasus,writeto n a separate sheet at: • The dollar amount of the suspected error. 579. • 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 far insufficient or uncollected funds(NSF),your signature You do not have to a an amount in question while we are Investigating,but on your check gives us permission to debit your checking account electronically pay Y 9for the uncollected amount,Payment by check constitutes your acceptance of you are still obligated to pay the amount of your bill that Is not In question. hila these terms. via investigate your questions,vie 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 752664579 Please print only now address or credit card information below and check the appropriate box on reverse side.Thank you. CreditCard Payment Address Changes BIII my credit card, Please check one. Mailing address only p Malting and delivery address Charge to my: VISA American Express R MasterCard 8 Discover Name 0[10000❑1-110❑❑❑m11 Address Credit Card Number FI0E-10 City state zip Code Expiration Dale ( ) Phone Number E-mail Address Phone Number ❑❑❑�❑❑❑��❑m❑ Customer Account Number Signature(must match name on account) Do Not Forget To: ✓ Detach this remittance and return with your payment. ✓ Write the complete account number on your check. 0201405 Smkea d lnaE$Fs.AJtrtira M&nd ✓ Mail remittance and payment using the enclosed envelope. Page 3of3