The URL can be used to link to this page

Home My WebLink About182379 02/17/2010 CITY OF CARMEL, INDIANA VENDOR: 131130 Page 1 of 1 ONE CIVIC SQUARE HINCKLEY SPRINGS ro CARMEL, INDIANA 46032 PO BOX 660576 CHECK AMOUNT: $49.42 DALLAS TX 75266 -0579 CHECK NUMBER: 182379 CHECK DATE: 2/17/2010 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1301 4239099 2677859 49.42 OTHER MISCELLANOUS 1- 800-4- WATERS 492 -8377) www.HinckleySprings.com Upcoming Delivery Dates Hine e February March A ril Springs,, Bottled Water Filtration Coffee Thursday, 18 Thursday, 4 Thursday, 1 Save time and money by adding coffee to your delivery Thursday, 18 Thursday, 15 service! With several national brands and private roasts Thursday, 29 available, we are sure to have the right blend to fit your employees' needs. Call us to schedule an appointment with one of our coffee specialists today. Customer Account 17220042677859. KIM ROTT Invoice Date: 02 -06 -10 CARMEL CITY COURT Invoice 0210 1722004 2677859 1 CIVIC SO CARMEL, IN 46032 Purchase Order Date Transaction Details Qty. Each Amount Previous Balance 101.30 01 -11 -10 P180834 Payment Check 180834 Thank You -33.91 02 -05 -10 P181577 Payment Check 181577 Thank You -51.90 Remaining Balance 15.49 R100122494748 WHITE HOT AND COLD COOLER RENTAL 1.0 13.00 E13 00 01 -21 -10 T100213042008 HINCKLEY SPRINGS 5G DRINK NON -SPILL 2.0 9.49 18.93 5.0 GAL BOTTLE RETURN -1.0 6.00 6:00. 5.0 GAL BOTTLE DEPOSIT 2.0 6.00 2.00 Rec'd By: Not Available or Refused 02 -04 -10 49271241 ENERGY SURCHARGE 1.0 1.95 1.95 02 -04 -10 T1 00 3 53042006 HINCKLEY SPRINGS 5G DRINK NON -SPILL 1.0 9.49 .49� 5.0 GAL BOTTLE RETURN -1 -0 6.00 00 5.0 GAL BOTTLE DEPOSIT 1.0 6.00 6.00 Rec'd By: Not Available or Refused Total New Charges 49.42 M anaging 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! �j 30356-P -W3A Previous Balance Payment Total New Charges Pay This Amount $101.30 $85.81 $64.91 Q Write the complete account number on your check. Detach remittance and mall with payment in the enclosed enve lope. To pay online go to www.HinckieySprings.com V How to Read Your Statement -w• Ag I11 Important Monthly Promotions: °aces We Deliver' Register online for access to your l.ne 2009 Iuy3009 .u9us[3004 ^✓a BoN.O W aIe"F'.re w'C.nee Delivery Calendar: account. You can view and pay your bill, M Man A M" Your scheduled deliveries for check delivery schedule and order M. K�.�� the next three months. products all online. Customer Account Number: Bottle Deposits For prompt service, please use this ��o W RNisgL Highlights bottle deposits and returns. number when referring to your account. Easy to Pay: Pay your invoice through the mail, online at Summary: a 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 ail Remittance With Payment To: various products and transactions. n Please detach remittance and mail 1 5 using business envelope provided. ILhL113ALlI ��,��.IAI JIII JL�dl 1 u.0 x.mw.— wi,n a.vm.m T.J Important Monthly Message.�� Billing Rights Summary Electronic Funds Transfer Notice In case of Errors or Questions About Your Bill: If you pay by check, it will 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 bill, 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 we sent you the first bill on which the error or problem information therein to create an EFT for the amount indicated on the check. If 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 check conversion program, please write to us on a separate sheet at: Your name and complete account number. P.O. Box 660579, Dallas, TX 75266 -0579. The dollar amount of the suspected error. 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 for insufficient or uncollected funds (NSF), yoursignature You do not have to pay any amount in question while we are investigating, but on your check gives us permission to debit your checking account electronically you are still obligated to the amount of our bill that is not in question. While for the uncollected amount. Payment by check constitutes your acceptance of y a g pay y q these terms. we investigate your questions, we 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 Waters of America, Inc. at P.O. Box 660579, Dallas, TX 75266 -0579. HINCKLEY SPRINGS 800-444-PURE WATER.COM HINCKLEY SPRINGS WATER 800 444 -PURE WATER.COM MODIFIED(1) CUSTOMER a 1722004 TICKET 10021304200 LOCATION a: 2677868 POa: CARMEL CITY COURT Date: 0112112010 Time: 09:22:12 AM 1 CIVIC SO ROUTE #3042 DAVID CARMEL, IN 46032 Last Payment Dale: 01 /1112010 Last Payment amount: 33.91 Product Delivered OTY PRICE AMOUNT($) 1 HS 5G DR NS 2 9.49 18.98 BOT 5.OG PLS 2 6.00 12.00 BOT 5.OG PLS .1 6.00 -6.00 (2 fluttles Delivered I Empty Bottles Returned 1 Bottles Deposited) Subtotal Sales 24.98 Sales Tax 0.00 DELIVERY TICKET TOTAL 24.98 Previous Account Balance 80.39 Total Balance Due 105.37 Payments 0.00 ENDING BALANCE 105.37 We bill monthly by summary Invoice Retain for your records. J Next Delivery Date 02104/2010 t We bill monthly by summary Invoice. Retain for your records. Prescribed by State Board of Accounts ACCOUNTS PAYABLE VOUCHER Ciry Form No. 201 (Rev. 1995) CITY OF CARMEL 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. Payee J Purchase Order No. Terms Date Due Invoice Invoice Description Amount Date Number (or note attached invoice(s) or bill(s)) 1 4 7i Total 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. ALLOWED 20 IN SUM OF ON ACCOUNT OF APPROPRIATION FOR Board Members PO# or INVOICE NO. ACCT #/TITLE AMOUNT DEPT. I hereby certify that the attached invoices or G 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 hy—�S 12 0� Cost distribution ledger classification if Title claim paid motor vehicle highway fund