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Home My WebLink About183322 03/16/2010 a CITY OF CARMEL, INDIANA VENDOR: 131130 Page 1 of 1 ONE CIVIC SQUARE HINCKLEY SPRINGS 1, CARMEL, INDIANA 46032 PO BOX 660579 CHECK AMOUNT: $68.43 DALLAS TX 75266 -0579 CHECK NUMBER: 183322 CHECK DATE: 3/1612010 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1301 4239099 031017220042 68.43 OTHER MISCELLANOUS 1- 800-4-WATERS (492-8377) www.HinckleySprinas.com Upcoming Delivery Dates ji ed March April May rints Bottled Water Filtration Coffee Thursday, 18 Thursday, 1 Thursday, 13 Save time and money by adding coffee to your delivery Thursday, 15 Thursday, 27 service! With several national brands and private roasts Thursday, 29 available, we are sure to have the right blend to ft your employees' needs. Call us to schedule an appointment with one of our coffeespecialists today. Customer Account 17220042677859 KIM ROTT Invoice Date: 03 -06 -10 CARMEL CITY COURT Invoice 0310 1722004 2677859 1 CIVIC SQ CARMEL, IN 46032 Purchase Order M Date Transaction Details Qty. Each Amount Previous Balance 64.91 03 -05 -10 P182379 Payment Check 182379 Thank You Remaining Balance 15.4 R100402494748 WHITE HOT AND COLD COOLER RENTAL 1.0 13.00 13.00 02 -18 -10 T100493042005 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 03 -04 -10 T100633042004 HINCKLEY SPRINGS 5G DRINK NON -SPILL 2.0 9.49 18.98 5.0 GAL BOTTLE DEPOSIT 2.0 6.00 12.00 5.0 GAL BOTTLE RETURN -2.0 6.00 -12.00 03 -04 -10 50108759 ENERGY SURCHARGE 1.0 1.98 1.98 Total New Charges 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 p roducts, check your next deliverV, pay our bill and much more. Log on toda I 30356 -P -0034 Previous Balance Payment V ,,el pe. ges Pay This Amount r $64.91 $49.42 4 $68.43 _Write the,c omplete.account numberon.your check.. Detach remittance and mail.with- pay i To pay-online go to www.HhckleySprings.com. U How to Read Your Statement 1— Important Monthly Promotions: up—m oe yD-, we oei vex Register online for access to your M" W A, 11 account. You can view and pay your bill, Delivery Calendar: M u M.- Your scheduled deliveries for Mo amp. check delivery schedule and order the next three months. products all online. Customer Account Number: n °W For prompt service, please use this Bottle Deposits: Highlights bottle deposits and returns. number when referring to your account. Easy to Pay: Pay your invoice through the mail, online at Summary: 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 e' mow° „W� Mail Remittance With Payment To: ^,E. °A various products and transactions. Please detach remittance and mail r :5 using business envelope provided. -1 P.. -lTl 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), your signature on your check gives us permission to debit your checking account electronically You do not have to pay any amount in question while we are investigating, but for 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. While 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. Y d by Stale VATERS (492 -8377) m www HmckleySp rings.com U coming Delivery Dates actober November December 'C a ter. m Filtration Coffee': bottled V11a Thursday, 1 Thursday 12` Thursday 10 1, Thursday; 15 Friday 20 Thursday 24 We are proud to announce,our new partnership with Thursday' 29 A Sus n G Komen for the Cured To celebrate this en' eavor A' s of'September and.October you jnay notice`;: we've changed our 5=gallon. bottles to a new pink cap to show our commitment. Visit water.com for more information! Cus #omer Account 17220042fi77859 KIM ROTT CARMEL CITY COURT Invoice Date: 09 :.1 CIVIC SQ Invoice 0909 1722004 2677859 CARMEL, IN 46032 Purchase Order Date Trig &action i3i�unt Previous Balance 21.85 09 -14 -09 P176778 Payment Check 176778 Thank You -21 85 Remaining Balance 0.00 RO92372494748. WHITE HOT AND COLD COOLER RENTAL 1.0 13.00 13.00 09-03;.09 T092463042022 HINCKLEY SPRINGS 5G DRINK NON -SPILL 2.0 9.49 18.9 5.0 GAL BOTTLE RETURN -2.0 5.00 5.0 GAL BOTTLE DEPOSIT 2.0 6.00 12.00 Recd By: Prescribed by Slate Board of Accounts City Form No. 201 (Rev. 1995) ACCOUNTS PAYABLE VOUCHER 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 Purchase Order No. 1 0 /Jta c.P (off Terms Date Due Invoice Invoice Description Amount Date Number (or note attached invoice(s) or bill(s)) 1A A/Le- Total 3 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 �o L-3 ON ACCOUNT OF APPROPRIATION FOR Board Members PO# or INVOICE NO. ACCT #!TITLE AMOUNT DEPT. I hereby certify that the attached invoice(s), or l G�', 3 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 O,4 201 Sig ature Cost distribution ledger classification if Title claim paid motor vehicle highway fund