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HomeMy WebLinkAbout186855 06/23/2010 CITY OF CARMEL, INDIANA VENDOR: 131130 Page 1 of 1 �y 0 ONE CIVIC SQUARE HINCKLEY SPRINGS CHECK AMOUNT: $733.80 o CARMEL, INDIANA 46032 PO BOX 660579 DALLAS TX 75266 0579 CHECK NUMBER: 186855 CHECK DATE: 6/23/2010 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 651 5023990 17209463083 693.92 OTHER EXPENSES 1301 4239099 2677859 39.88 OTHER MISCELLANOUS 1- 800-4- WATERS (492 -8377) www.HinckleySprings.com Ile Upcoming Delivery Dates is a `�j1 June July August Springs.,,, Bottled Water Filtration Coffee Thursday, 10 Thursday, 8 Thursday, 5 Help us make a difference in the fight against breast Thursday, 24. Thursday, 22 Thursday, 19 cancer. From now through December 31st, 2010, for every referred customer who starts new service with any Komen Budget Plan, we will donate $30 to Susan G. Kamen Cure. Visit Water.com /KomenReferral today! Customer Account 17220042677859 KIM ROTT Invoice Date: 05 -29 -10 CARMEL CITY COURT Invoice 0510 1722004 2677859 1 CIVIC SQ CARMEL, IN 46032 Purchase Order Date Transaction Details Qty. Each Amount Previous Balance 45.43 05 -21 -10 P185286 Payment Check 185286 Thank You -45.43 Remaining Balance 0.00 R101242494748 WHITE HOT AND COLD COOLER RENTAL 1.0 13.50 13.50 05 -13 -10 T101333042008 HINCKLEY SPRINGS 5G DRINK NON -SPILL 1.0 9.99 9.99 CUP COLD FLAT 9 OZ HINCKLEY SPRINGS 100 CT 3.0 4.79 14.37V 5.0 GAL BOTTLE DEPOSIT 1.0 6.00 6.00d 5.0 GAL BOTTLE RETURN -1.0 6.00 -6.00 v 05 -27 -10 52654197 ENERGY SURCHARGE 1.0 2.02 2.02 Total New Charges 39.88 SPECIAL OFFER: Hinckley Springs now delivers softener salt directly to your home or office. Call 1- 800-4- WATERS and ask about our introductory offer) 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 -0034 Previous Balance Payment Total New Charges Pay This Amount $45.43 $45.43 $39.88 $39.88 V Write the complete account number on your check. Detach remittance and mail wi payment in the e nclosed env To pay online go to www.Hin ings.com O How to Read Your Statement Important Monthly Promotions: Register online for access to your Delivery Calendar: account. You can view and pay your bill, M M d •�•�F,��, °q;."� Your scheduled deliveries for rea check delivery schedule and order the next three months. �...R 0fe0 x �Po products all online. Customer Account Number: Bottle Deposits: For prompt service, please use this 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 remitt with automatic credit card payments payments since last bill. u o��o Total New Charges: This information provides totals for Mail Remittance With Payment To: various products and transactions.., �n,.. Please detach remittance and mail using business envelope provided. I I... id 1. LII,,, II „IL ",I.l,Imllilnlu.11.1"In.11 IP.II a. -I... wun c.r —roy 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 our letter, give us the following information: OPT OUT NOTICE: If you do not wish to participate in this check conversion y g g 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 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 a the amount of our bill that is not in question. While for the uncollected amount. Payment by check constitutes your acceptance of Y J 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. We bill monthly by summary Invoice. i Retain for your records. HINCKLEY SPRINGS WATER 800- 444 -PURE WATER.COM ORIGINAL CUSTOMER 1722004 TICKET 101333042008 LOCATION a 2677868 POa: CARMEL CITY COURT Date: 0511312010 Time: 08:14:04 AM 1 CIVIC Sd ROUTE #3042 DAVID CARMEL, IN 45032 Last Payment Date: 04/2212010 Last Payment AmOUnt: 43.43 Product Delivered OTY PRICE AMOUNT($) HS 5G OR NS 1 9.99 9.99 BOT 5.OG PLS 1 6,00 6.00 BOT 5.OG PLS -1 6.00 -6.00 5CuFlat9zHSP 3 4.79 14.37 (1 Outtles Delivered 1 Empty Bultles Returned 0 Dultles Deposited) Subtotal Sales 24.36 Sales Tax 0.00 DELIVERY TICKET TOTAL 24.36 Previous Account Balance 58.93 Total Balance Due 83.29 Payments 0.00 ENDING BALANCE 83.29 We bill monthly by summary Invoice Retain for your records, Next Delivery Date 05127/2010 We bill monthly by summary Invoice. Retain for your records. Prescribes by State Board of Accounts ACCOUNTS PAYABLE VOUCHER City Form Na. 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 Purchase Order No. �0 to ®579 Terms Date Due Invoice Invoi Description Amount Date Number (or note attached invoice(s) or bill(s)) 13. 5Z .d:2 Total tj 94f 1 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 .ate�7 ON ACCOUNT OF APPROPRIATION FOR CU Board Members Po# or INVOICE NO. ACCT #!TITLE AMOUNT DEPT. I hereby certify that the attached invoice(s), or 1 3 0) 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 20 J Title Cost distribution ledger classification if claim paid motor vehicle highway fund 1- 800 -4- WATERS 492 -8377 www.HinckleySprings.com Upcoming Delivery Dates l P June July August Springs, Bottled Water Filtration Coffee Thursday, 17 Thursday, 1 Thursday, 12 Finding your next scheduled delivery day just got easier! Thursday; 15 Thursday, 26 Go to My Account at water.com and log in or register for Thursday; 29 Self Service. Click on Printable Calendar to view and print your 2010 Delivery Calendar online. Customer Account 17209463083945 JOE ACCOUNTS PAYABLE Invoice Date: 06 -05 -10 CITY OF CARMEL UTILITIES Invoice 0610 1720946 3083945 9609 HAZEL DELL PKWY Purchase Order INDIANAPOLIS, IN 46280 Date Transaction Details Qty. Each Amount Previous Balance 1,264.88 05 -10 -10 P184781 Payment Check 184781 Thank You 644.31 Remaining Balance 620.57 05 -20 -10 T101403042002 HINCKLEY SPRINGS 5G DRINK NON -SPILL 6.0 9.99 59.94 HINCKLEY 5.OG DISTILLED NON SPILL 22.0 10.49 230.78 5.0 GAL BOTTLE RETURN -28.0 6.00 168.00 5.0 GAL BOTTLE DEPOSIT 6.0 6.00 36.00 5.0 GAL BOTTLE DEPOSIT 22.0 6.00 132.00 R101401797710 WHITE ROOM TEMP AND COLD COOLER RENTAL 1.0 9.50 9.50 WHITE ROOM TEMP AND COLD COOLER RENTAL 1.0 11.00 11.00 WHITE ROOM TEMP AND COLD COOLER RENTAL 1.0 11.00 11.00 WHITE ROOM TEMP AND COLD COOLER RENTAL 1.0 11.00 11.00 06 -03 -10 T101543042004 HINCKLEY SPRINGS 5G DRINK NON -SPILL 8.0 9 -99 79.92 HINCKLEY 5.OG DISTILLED NON SPILL 25.0 10.49 262.25 CUP PLASTIC FLAT 9 OZ HINCKLEY SPRINGS 50 CT 5.0 3.29 16.45 5.0 GAL BOTTLE DEPOSIT 8.0 6.00 48.00 5.0 GAL BOTTLE RETURN -33.0 6.00 198.00 5.0 GAL BOTTLE DEPOSIT 25.0 6.00 150.00 Recd By: Not Available or Refused 06 -03 -10 52919973 ENERGY SURCHARGE 1.0 2.08 2.08 Total New Charges 693.92 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! i 30356 -P -0034 Previous Balance Payment Total New Charges Pay This Amount $1,264.88 $644.31 c 7 $693.92 $1,314.49 V Write the complete account number_ o n y ouur-check. Detach-remittan and -mail with.payment in enclosed envelope. T o- pay_online.go to_www.HinckleySprings.com d How to Read Your Statement Important Monthly Promotions: °m' ^9 we Deliver' Register online for access to your June ]009 July 1009 august 3009 BortlW Wasw'FilVatlan'°ollaa Delivery Calendar: account. You can view and pay your bill, Your scheduled deliveries for check delivery schedule and order a ^�;:fa products all online. the next three months. Customer Account Number: =2 Bottle Deposits For prompt service, please use this ^Me %LL Highlights bottle deposits and returns. number when referring to your account. Easy to Pay: e` 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. °art J ®nom ol,•o rt Total New Charges: This information provides totals for Mail Remittance With Payment To: various products and transactions. a ,o. Please detach remittance and mail 42 using business envelope provided. II... IAI. LIIIIIJILIIIIIAILII,III ,Mall nemllle•ee wan Peym.nl Te:t 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 our letter, give us the following information: OPT OUT NOTICE: If you do not wish to participate in this check conversion y g g 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. E Customer Account 17209 fi30839 5, #s Invorceo# ��06 0 1720946 3083945 id Date n s s r Each A►170Unt a:u, v.: ,�x .x`,'., ^Qty SPECIAL OFFER: Hinckley Springs now delivers softener salt directly to your home or office. Call 1 -800 -4- NATERS an ask about our introductory offer) *A reminder that your invoice shows a previous unpaid balance. Please remit payment by mail, online at water.com, r call Customer Service at 1- 800 -492 -8377. If payment has been sent, we Thank You! c M I100505_BM10- 10857 000001145 Page 2 of 2 f VOUCHER 106646 WARRANT ALLOWED 131130 IN SUM OF HINCKLEY SPRINGS PO BOX 660579 DALLAS, TX 75266 -0579 Carmel Wastewater Utility ON ACCOUNT OF APPROPRIATION FOR Board members PO INV ACCT AMOUNT Audit Trail Code 17209463083 01- 7202 -05 $693.92 Voucher Total $693.92 Cost distribution ledger classification if claim paid under vehicle highway fund Prescribed by State 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 of service rendered, by whom, rates per day, number of units, price per unit, etc. Payee 131130 HINCKLEY SPRINGS Purchase Order No. PO BOX 660579 Terms DALLAS, TX 75266 -0579 Due Date 6/14/2010 Invoice Invoice Description Date Number (or note attached invoice(s) or bill(s)) Amount 6/14/2010 1720946308; $693.92 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 1 11- 10 -1.6 Date Officer