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HomeMy WebLinkAbout180834 12/30/2009 CITY OF CARMEL, INDIANA VENDOR: 131130 Page 1 of 1 :',1 ONE CIVIC SQUARE HINCKLEY SPRINGS CHECK AMOUNT: $33.91 s CARMEL, INDIANA 46032 PO 80X 660579 1, 6”, DALLAS TX 75266 -0579 CHECK NUMBER: 180834 CHECK DATE: 12/30/2009 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION ,1301 4239099 1722004 33.91 OTHER MISCELLANOUS 1- 800 -4- WATERS (492 -8377) www.HinckleySprings.com Upcoming Delivery Dates H nC I g/® ti I R.. December January February Springs; Bottled Water Filtration Coffee Thursday, 24 Thursday, 7 Thursday, 4 Help us make a difference in the fight against breast Thursday, 21 Thursday, 18 cancer. Now through December 31, 2009, when you refer your friends or family to start new service with any one of our Komen Budget. Plans, we'll donate $30 to Susan G. Komen for J the Cure. Visit Water.com /KomenReferral today! Customer Account 17220042677859 KIM ROTT Invoice Date: 12 -12 -09 CARMEL CITY COURT Invoice 1209 1722004 2677859 1 CIVIC SQ CARMEL, IN 46032 Purchase Order Date Transaction Details Qty. Each Amount Previous Balance 52.87 12 -04 -09 P179699 Payment Check 179699 Thank You -37.38 Remaining Balance 15.49 R093212494748 WHITE HOT AND COLD COOLER RENTAL 1.0 13.00 13.00 12 -10 -09 T093443042007 HINCKLEY SPRINGS 5G DRINK NON -SPILL 2.0 9.49 18.98 5.0 GAL BOTTLE RETURN -2.0 6.00 -12.00 5.0 GAL BOTTLE DEPOSIT 2.0 6.00 12.00 Recd By: Not Available or Refused 12 -10 -09 47650107 ENERGY SURCHARGE 1.0 1.93 1.93 Total New Charges 33.91 Managing your account is now at your fingertips. Take advantage of many time saving options available on water.com. Save paper when you sign up for elnvoice, order additional products, check your next delivery, pay your bill and much more. Log on today) 30356 -P -0035 Previous Balance C $52.87 Payment New Charg Pay This Amount $37.38 Total $33.91 $49.40 V Write the complete account number on your check. Detach remittance and mail with payment in the enclosed envelope. To pay online go to www.HinckleySprings.com V L ,....- J HINCKLEY SPRINGS WATER 800- 444 -PURE WATER,COM ORIGINAL <i CUSTOMER 1722004 TICKET 093443042007 LOCATION 2677868 PO CARMEL CITY COURT Date: 12/10/2009 Time: 08:36:14 AN 1 CIVIC SO ROUTE #3042 DAVID CARMEL, IN 46032 as Payirent Date: 12/04/2009 Last Payment Amount: 37.38 Product Delivered UTY PRICE AMOUNT($) HS 5G DR NS 2 9.49 18.98 BOT 5.0G PLS 2 6.00 12.00 BOT 5.00 PLS -2 6.00 -12.00 (2 Bottles Delivered 2 Eopty Relulned 0 D Deposited) Subtotal Sales 18.98 Sales Tax 0,00 DELIVERY TICKET TU1AL 18.98 Previous Account Balance 28.49 Total Balance Due 47.47 Payments 0,00 ENDING BALANCE F 47.47 We bill monthly by summary Invoice Retain for your records. Next Delivery Date 12/24/2009 We bill monthly by summary Invoice. Retain for your records. Prescribed by Slate Board of Accounts City Form No. 201 (Rev. 1995) ACCOUNTS PAYABLE VOUCHER CITY OF CARMEL An irivoice 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. Payee 1 Purchase Order No. o. jp b& 57 9 Terms f .(.1,.v J 7 5 Date Due Invoice Invoice Description Amount Date Number (or note attached invoice(s) or bill(s)) .0/0 409 laloolid67715 s l C n lJ� f 4f 1 /,L) 1- i ,12_,I u_ yi v1'4 o/704 0 Total 33. �1 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 Clerk- Treasurer VOUCHER NO. WARRANT NO. 41/t-t'Ay ALLOWED 20 4 IN SUM OF O (,,,i,o677 9 .to, p 75;244 �a579 33,s ON ACCOUNT OF APPROPRIATION FOR Board Members PO# or INVOICE NO. hereby certify DEPT. I ACCT #/TITLE AMOUNT hereb certi that the attached invoices or 30/ 17,2,2_0 0 Ic0 5 S 43 3.91 bill(s) is (are) true and correct and that the materials or services itemized thereon for which charge is made were ordered and received except AlIA tdi 1 i$ 2.4� a it t iO r Cost distribution ledger classification if Title claim paid motor vehicle highway fund