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332673 11/21/18
CITY OF CARMEL, INDIANA VENDOR: 131130 ® ONE CIVIC SQUARE HINCKLEY SPRINGS CHECK AMOUNT: S*******413.17* CARMEL, INDIANA 46032 PO BOX 660579 CHECK NUMBER: 332673 DALLAS TX 75266-0579 CHECK DATE: 11/21/18 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 651 5023990 413.17 12553186111000018 VOUCHER NO. 186858 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 413.17 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 1255318611 01-7202-05 $413.17 and received except 11/14/2018 12553186111018 $413.17 1018 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(1-800492-8377) www.HincklaySprings.com Upcoming Delivery Dates Hinckley Siroa>t:a- We Deliver! Springs November 2018 December 2018 Bottled Water•Filtration.Coffee Thursday 22 "- - 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. I Customer Account#.;172094612553186 CITY OF CARMEL UTILITIES Invoice Date: 11-10-18 9609 HAZEL DELL PKWY Invoice#: 12553186111018 INDIANAPOLIS,IN 46280 Purchase Order#: --Date Transaction# "'Details- " Qty: Each Amount Previous Balance 480.90 10-23-18 Payment-Check-330475-Thank You -442.96 Remaining Balance 37.94 10-24-18 T182973043007 HINCKLEY SPRINGS.5LT SPRING WATER 24 PK 4 6.99 27.96 HINCKLEY SPRINGS 5G DRINKING WATER 10 10.49 104.90 CUP PLASTIC FLAT 7 OZ CLEAR 50 CT 20 3.89 77.80 5.0 GALLON BOTTLE DEPOSIT 10 6.00 60.00 5.0 GALLON BOTTLE RETURN -10 6.00 -60.00 ENERGY SURCHARGE 1 5.17 5.17 Sales Tax 0.00 Total 215.83 Rec'd by: Did you know that In addition to the top left corner of this bill,you can also find your delivery schedule at water.com/myaccount?Online you can also easily skip or add a delivery as needed. 30350-P-0034 Previous Balance Payment, Total New Charges Pay This Amount ' $480 90 $442 96 $413.17 , $451.11 V AAA11131ribtd® Crystal R'ocke Clfd�� EEPBp� H((1Cltley® ���'W�d /31ornrt(�yttsa S%QI7Yl© NltletzS® STANDARD 0� DwATeRKTM ® ,,,,,a, TM VermontPurea e//rr Customer Account#: 172094612553186 Due By: Upon Receipt Hinckley, siaNnaRD 6750 Discovery Blvd. Late Fees May Apply After: 12-03-18 Springs Mableton,GA 30126 Total Amount Due: $451.11 ® Check here and see reverse for ® Check here and seeWE I®) J address and phone corrections. reverse if paying by �I <<' �' E ,°� H credit card. `Mail Remittance With Payment To:l Irlrrlrllrrrrlrllrrlrlirrrllrrrl Ilrrrlrlrlrrrlrlrllrrrllrrllrrrrlrlrlrrrllrlrrrrllrl 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 0045111 1 0041317 4 9 Customer Account#: 172094612553'186 Invoice #: .12553186 111018 , -Date Defails.. Qty.. Each Amount R1829810140866 WHITE ROOM TEMP AND COLD COOLER RENTAL .F 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 11-07-18 T183113043002 HINCKLEY SPRINGS.5LT SPRING WATER 24 PK 4 6.99 27.96 HINCKLEY SPRINGS 5G DRINKING WATER 6 10.49 62.94 CUP PLASTIC FLAT 7 OZ CLEAR 50 CT 14 3.89 54.46 ATHENA.51.T PURIFIED WATER PRINTED FILM 24 PK 1 5.99 5.99 5.0 GALLON BOTTLE DEPOSIT 6 6.00 36.00 5.0 GALLON BOTTLE RETURN -5 6.00 -30.00 Sales Tax 0.00 Total 157.35 Total New Charges 413.17 4 Page 2 of 3